( My Waco Dentist )

A UCR fee guide, a.k.a. a “Usual, Customary and Reasonable’ guide, is used by most dental insurance companies. Basically, the maximum price allowed for all dental procedures are established by the insurance companies.

Under an insurance plan, the prices for covered dental procedures are not based on what the dentist charges. Instead, the insurance companies set these amounts. To provide you an example, let’s say your Waco dentist charges $147 for your initial cleaning and exams. However, the insurance company may only be willing to pay $108 which is the amount based on the UCR fee they have set.

Keep In Mind: When using your dental insurance with an approved provider, you should never be charged the difference between the dentist’s price and the UCR fee.

Typically, an in-network Waco dentist who is contracted with dental insurance companies will agree to not charge the difference between these amounts. On the other hand, if you visit a dentist outside the network, it is possible you will be charged this difference. Refer to the UCR fee guide of your dental insurance policy to see if this is the case.

Although you might have to shell out the difference, it may be worth the price of top notch dental care. That’s entirely up to you!

For any questions about dental insurance coverage, contact dentist in Waco today.