Dental Insurance Benefits, What are UCR fees
So I have a PPO dental plan I get though work. I really hate using it since it seems every time I go to the dentist I think my bill is going to be one charge but by the time the dentist sends me the billing it is more then I thought it was going to be.
This is getting me upset I called the dental insurance company and I am told that my dentist is over the UCR fees. That can happen whenever I go outside their network of providers. Why is that the case. I thought I can go to my own dentist but when I do I get hit by additional charges. This does not seem fair to me.
Thursday, Jul. 29th 2010 2:31 PM at 2:31 pm
Well UCR fees come from the insurance company when the determine that a dentist is over the going cost in the area the you live in. If the average is 75.00 for a cleaning but your dentist charges 150.00 for a cleaning chances are you are going to get hit with the UCR fees.
The only way to avoid or really know a head of time is by submitting the claim to the insurance company before the dental work is started.
You can try going to a dentist in the network. Normally dentist that are in the plans network stay within the UCR cost.
Thursday, Jul. 29th 2010 2:34 PM at 2:34 pm
If your really do not like your current dental insurance plan cancel it and get a better plan for yourself. HMO do not let you go out of network but they also do not have UCR fees.
Otherwise many be the dentist you are going to is over priced. Why don’t you shop them out to see if that is the case.