We run into this a lot here at Savon Dental Plan. A valued member will call in and talk to us about their dentist only to hear the bad news from us that the dentist that they are going to is not credentialed with our office. We get the same response each time... "Our dentist said that they accept your plan." That may be the case. Most dental offices will agree to honor the plan in order to retain you as a member, but still, that does not mean that they are a credentialed provider for the plan.
The reasons that you want to make sure that the dentist or specialist you are going to is credentialed with your coverage plan are:
- They will have the most up-to-date fee schedule.
- They will be familiar with the plan and know what discounts are supposed to be given.
- They will know what is covered and you will not be misinformed.
- They will be able to verify your coverage via roster or phone call.
- If you as a member has a problem with the pricing discount, the plan will be able to intervene and help you.
I can not stress this enough. Going to a dentist that is not credentialed with your plan puts you at financial risk! That dentist is under no obligation to give you the discounts or may be charging you off of an outdated fee schedule. So PLEASE PLEASE PLEASE, make sure that whatever dentist you are seeing is authorized BY THE PLAN to take the plan that you have.
To see a current list of Savon Dentists, Click Here!
Original post from December 22, 2014
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