Best Things About Alcohol Free Toothpaste
- Family Dental Coverage
- Oct 6, 2018
- 2 min read
The is crest toothpaste alcohol free front end they billed Delta and we pay them directly the providers also accept agreed to accept Delta dental processing policies and these processing policies are rules and edits.
That is crest toothpaste alcohol free within our system that limit program abuses so for example they can't bundle services to make that claim more expensive they can't charge certain services within certain periods of time.
Which because they're essentially the same service an example of this would would be a filling if I have a filling done on tooth number eight and that filling fails within months that provider has to redo.
That filling at no cost there's no cost to the retirement system and there's no cost to the member so when the claim comes in and process it it will say plan pays zero patient pays zero that's just an example of a processing policy because we would expect those fillings to last more than months.
when you go to a PPO provider you also have the highest level of benefit as we saw on the screen that had the benefits listed there is a higher level of benefit or a lower amount of out-of-pocket when you go to a PPO provider and lastly when you go to a PPO provider.
There is no deductible for any of the services under the under the dental plan the second type of provider is the Delta Dental premier provider and these providers participate with Delta Dental.
next year but they do not put they do not accept the lower PPO approved amount that each of these claims are paid at so you so the provider is allowed to charge the difference between that PPO approved fee and the Delta Dental premier approved amount that they have agreed to accept.
that's why you pay an additional amount when you go to a delta dental premier provider the Delta Dental premier providers cannot bill you the difference between the Delta Dental premier approved fee and the amount that they normally receive for services that would be considered balanced billing.
They are not able to balance bill you or they're not allowed to a balance bill you when they participate with our Delta Dental premier network the providers are also paid directly here so you're responsible for your coinsurance portion on the front end and then the providers bill us and we pay them directly they also agreed to accept the processing
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