2013 List of States that can Charge for Non-Covered Services

The following states have already implemented laws for non-covered benefits and many more are currently in the process of introducing legislature on it.  These laws, when passed, state that if you are contracted with an insurance company as a “participating provider” you are NOT required to honor the PPO fee if it is a non-covered benefit under the patient’s policy.  In other words, if the insurance company isn’t going to be paying for the benefit they can’t hold you to the fee schedule.

As of January 2013, this is the most recent data I have on states which have passed the law where dentists are not required to accept negotiated fees for non-covered services.  If the law changes in your state please email us if you find out before we do!

State Effective Date
1 Rhode Island 6/18/2009
2 Oregon 3/18/2010
3 Washington 6/10/2010
4 Idaho 7/1/2010
5 Iowa 7/1/2010
6 Kansas 7/1/2010
7 Mississippi 7/1/2010
8 South Dakota 7/1/2010
9 Virginia 7/1/2010
10 Nebraska 7/16/2010
11 North Carolina 7/21/2010
12 Alaska 9/13/2010
13 Oklahoma 11/1/2010
14 Louisiana 1/1/2011
15 Arizona 1/1/2011
16 California 1/1/2011
17 Arkansas 3/22/2011
18 New Mexico 4/7/2011
19 Tennessee 5/23/2011
20 Wyoming 7/1/2011
21 Georgia 7/1/2011
22 Minnesota 8/1/2011
23 North Dakota 8/1/2011
24 Texas 9/1/2011
25 Maryland 10/1/2011
26 Connecticut 1/1/2012
27 Pennsylvania 12/24/2012
28 Illinois 1/1/2013
29 Kentucky 7/11/2012