Out-of-network PPO dentists set their own fees, of which your insurance plan may only pay a portion (if covered). Balance billing occurs when the out-of-network dentist’s fee is higher than the insurance plan’s reimbursement fee to the dentist and the member is billed the remaining balance to cover the additional costs. Always consider using a participating network dentist to maximize your out-of-pocket savings. To learn more about in-network savings, visit DominionNational.com/EOB and select “In-Network Advantages” in the PPO section.
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