Legislation Prohibits Insurance Companies Control Over Fees Charged

Legislation Prohibits Insurance Companies Control Over Fees Charged

Some 35 states have passed new legislation that no longer allows insurers to require dental providers to give discount for services not covered under an insured dental plan.  Listed below are the states that have passed this legislation and the link to the document source. https://wf.employeebenefitservice.com/wps/wcm/connect/Storefronts/obc/1398878240638

StateEffective Date
ALABAMA9/1/2015
ALASKA9/13/2010
ARKANSAS3/22/2011
ARIZONA1/1/2011
CALIFORNIA1/1/2011
CONNECTICUT1/1/2012
FLORIDA7/1/2014
GEORGIA7/1/2011
IDAHO7/1/2010
ILLINOIS1/1/2013
IOWA7/1/2010
KANSAS7/1/2010
KENTUCKY7/11/2012
LOUISIANA1/1/2011
MARYLAND10/1/2011
MINNESOTA8/1/2011
MISSISSIPPI7/1/2010
MISSOURI8/28/2013
MONTANA7/1/2013
NEBRASKA7/19/2012
NEW MEXICO4/7/2011
NEW JERSEY11/28/2014
NORTH CAROLINA7/21/2010
NORTH DAKOTA8/11/2011
OKLAHOMA11/1/2010
OREGON3/18/2010
PENNSYLVANIA12/24/2012
RHODE ISLAND6/18/2009
SOUTH DAKOTA7/1/2010
TENNESSEE5/23/2011
TEXAS9/1/2011
VIRGINIA7/1/2010
WASHINGTON6/10/2010
WISCONSIN1/1/2014
WYOMING7/1/2011

Talking to patients in regards to the new legislation when it becomes apparent that their out of pocket expenses will increase due to the loss of the discounts or write-off adjustments for certain dental procedures makes the dental staff nervous.  The patient’s employers may experience more complaints due to employee dissatisfaction at increased costs for non-covered services.  Patients may opt not to have the service performed if there isn’t a required discount or their insurance company declines to participate in the costs of services that their dental provider recommends.

There are pros and cons in this scenario for dentists as the rulings affect patients purchasing power.

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