{"id":276,"date":"2021-09-08T15:08:00","date_gmt":"2021-09-08T15:08:00","guid":{"rendered":"https:\/\/www.wethersfielddentalgroup.com\/blog\/?p=276"},"modified":"2021-10-27T15:08:54","modified_gmt":"2021-10-27T15:08:54","slug":"in-network-vs-out-of-network-dental-insurance","status":"publish","type":"post","link":"https:\/\/www.wethersfielddentalgroup.com\/blog\/2021\/09\/08\/in-network-vs-out-of-network-dental-insurance\/","title":{"rendered":"In-Network Dentist vs. Out-of-Network Dentist: What\u2019s the Difference?"},"content":{"rendered":"\n
\"female<\/figure><\/div>\n\n\n\n

If you have dental insurance, chances are that you\u2019ve heard the terms \u201cin-network\u201d and \u201cout-of-network\u201d before. \u201cHMO\u201d and \u201cPPO\u201d may also sound familiar. However, you might be unclear as to what exactly they mean. It\u2019s important to understand the difference if you want to get high-quality dental care and keep your smile healthy. Read on to learn the difference between visiting an in-network dentist and an out-of-network dentist, as well as how it impacts the caliber of your care.<\/p>\n\n\n\n\n\n\n\n

Types of Dental Insurance Plans: HMO vs. PPO<\/h2>\n\n\n\n

Dental insurance<\/a> is inherently complicated and difficult to use, so it helps to understand a few basics. First, you should find out whether your plan is a PPO (Preferred Provider Organization) or an HMO (Health Managed Organization).<\/p>\n\n\n\n

With an HMO, you\u2019ll only receive discounts on your care if you see a dentist who is in-network with your insurance company. In contrast, a PPO plan allows some of your care to be covered whether or not you visit an in-network dentist.<\/p>\n\n\n\n

What Does It Mean for a Dentist to Be Out-of-Network?<\/h2>\n\n\n\n

An in-network dentist has signed a contract with an insurance company to charge established rates for certain services. However, the treatments they provide are often restricted by what the insurance company will cover.<\/p>\n\n\n\n

Visiting an out-of-network dentist, on the other hand, doesn\u2019t limit the type of care you can receive. In fact, this option is ideal for patients who need to undergo advanced procedures, like dental implants<\/a>, without compromising on the quality of their treatment.<\/p>\n\n\n\n

What Is a Fee-for-Service Dentist?<\/h2>\n\n\n\n

Just because a dentist isn\u2019t in-network doesn\u2019t mean you can\u2019t save. In fact, because so many patients have invested in dental insurance, many out-of-network dentists are willing to file claims on your behalf. However, this typically comes in the form of reimbursement, so you\u2019ll be responsible for payment at the time of treatment. This is called a fee-for-service dentist, and their team is happy to help you maximize your benefits by handling much of the paperwork for you.<\/p>\n\n\n\n

Get High-Quality Care by Seeing an Out-of-Network Dentist<\/h2>\n\n\n\n

To get the top-quality dental care you deserve, consider seeing an out-of-network dentist. While you may need to pay out-of-pocket expenses up-front, you\u2019ll most likely be reimbursed to some degree later. If you have a PPO dental plan, you\u2019re free to choose a dentist who will deliver the perfect level of care that your smile needs.<\/p>\n\n\n\n

About the Author<\/h2>\n\n\n\n

Dr. Ukti Phadnis<\/a> is a dentist in Wethersfield, CT who enjoys nothing more than helping patients maintain bright, healthy smiles. While she isn\u2019t in-network with any dental insurance plans, her team accepts virtually all PPO plans and can gladly help you maximize your benefits by handling the claims process on your behalf. To learn more about saving on high-quality dental care, contact<\/a> Wethersfield Dental Group at 860-400-3007.<\/p>\n","protected":false},"excerpt":{"rendered":"

If you have dental insurance, chances are that you\u2019ve heard the terms \u201cin-network\u201d and \u201cout-of-network\u201d before. \u201cHMO\u201d and \u201cPPO\u201d may also sound familiar. However, you might be unclear as to what exactly they mean. It\u2019s important to understand the difference if you want to get high-quality dental care and keep your smile healthy. Read on […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-276","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/www.wethersfielddentalgroup.com\/blog\/wp-json\/wp\/v2\/posts\/276","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wethersfielddentalgroup.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.wethersfielddentalgroup.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.wethersfielddentalgroup.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wethersfielddentalgroup.com\/blog\/wp-json\/wp\/v2\/comments?post=276"}],"version-history":[{"count":1,"href":"https:\/\/www.wethersfielddentalgroup.com\/blog\/wp-json\/wp\/v2\/posts\/276\/revisions"}],"predecessor-version":[{"id":278,"href":"https:\/\/www.wethersfielddentalgroup.com\/blog\/wp-json\/wp\/v2\/posts\/276\/revisions\/278"}],"wp:attachment":[{"href":"https:\/\/www.wethersfielddentalgroup.com\/blog\/wp-json\/wp\/v2\/media?parent=276"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.wethersfielddentalgroup.com\/blog\/wp-json\/wp\/v2\/categories?post=276"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.wethersfielddentalgroup.com\/blog\/wp-json\/wp\/v2\/tags?post=276"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}