Dr Dental Dental Insurance: Under a Dental PPO Insurance Plan, What Are UCR Fees? 

01/12/24 2:21 PM

I have a dental PPO insurance plan and live in NY. I would like to know what the plans UCR fees are before having the dental services rendered because I keep getting hit by additional UCR costs (that I only sometimes have the money for) that I am unaware of when I have the dental service.  

Answer: To budget dental service under a PPO plan and avoid UCR fees or at least know the charges, you must first have your dentist submit a quote-only claim. Suppose your dentist submits a claim as a quote only to your insurance company before starting the dental services. In that case, your insurance company will then be able to provide you with the amount they will pay for the services before you have them done. This way, you will know the dollar amount of what you will be responsible for. Usually, this is done for dental services exceeding $300.00. Talk to your dentist and let them know this is how you like to have things done in the future.

Posted by Carol | in Dental Insurance Plans | No Comments »
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