You may have read or been made aware of information being circulated on different web forums or social media postings claiming the majority of PPO plans to renew in 2018 will not include out-of-network benefits. We have investigated this claim and contacted a number of national companies and dental networks, including Aetna, Ameritas, Guardian, Careington, Cigna, Connection/GEHA, and Principal.
We have concluded this claim is untrue. All of the companies we contacted confirmed that the claim of a big change to drop out-of-network benefits in 2018 has no merit.
PPO insurance carriers (including Delta) sell and will likely continue to offer plan options that requires the insured patient to receive treatment from an in-network provider in order to utilize or receive any dental benefits. Dental practices should continue to verify benefits as a matter of course to ensure they can provide accurate benefit information to their patients. Keep in mind that in most cases, out-of-network benefits are determined by the patient’s plan, not the company, dental network, or TPA.
Please contact us should you receive any information directly from an insurance company regarding major changes to the plans they offer excluding out-of-network benefits.
Rumors like these tend to circulate regularly. As a Unitas client, you have the peace of mind in knowing that your PPO experts can sift through these confusing & contradictory stories and find the truth for you. Spread the word by clicking the Facebook icon below, let your colleagues know the good news!