In Which States Can You Charge Your Full Fee For Non-Covered Services?

Twenty-two 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 2012, 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:

Arkansas

Arizona

California

Connecticut

Georgia

Iowa

Indiana

Louisiana

Maryland

Minnesota

Mississippi

North Carolina

North Dakota

Oklahoma

Oregon

Rhode Island

South Dakota

Tennessee

Texas

Virginia

Washington

Wyoming

 

If you have updated information in regards to this list, please feel free to email us at sandi@unlocktheppo.com