There is a common belief that you must visit an in-network dentist if you want to use your insurance benefits. The fact is that if you have a PPO plan, you can use your policy at virtually any dental practice in the U.S., regardless of their network status. And in some cases, going out-of-network can actually be the smart choice! Why is that the case? This blog post explains three big reasons.
Out-of-Network Dentists Focus on Providing the Best Care
Dental insurance companies often enforce what they call the “standard of care.” This means that they may place certain restrictions on the services they cover. Unfortunately, those restrictions are not always in the best interests of the patient.
Out-of-network dental professionals, on the other hand, are not bound by the limitations or restrictions that sometimes come with insurance networks. They have the freedom to recommend treatments and procedures that are most suited to your individual needs, and they often spend more time with their patients, all with the goal of providing truly top-quality care. This may lead to better long-term treatment outcomes.
You Can Choose Your Favorite Dentist
One of the greatest advantages of going out-of-network is the flexibility it gives you in selecting a dentist. You do not have to settle for a provider simply because your insurance company includes them on its list. You can choose a dentist who matches your preferences, whether you value their experience, location, specialty, or even their chairside manner. This choice is especially important if you already have a trusted relationship with a particular dental office.
You may feel more comfortable and confident when you see a dentist who truly understands your dental history and personal concerns. This sense of familiarity can make every visit less stressful and more productive.
Going out-of-network means you also have the option to seek out specialists who may not be listed in your insurance network, giving you access to advanced treatments and expertise that might otherwise be unavailable.
Going Out-of-Network Is Not Always More Expensive
Many people assume that visiting an out-of-network dentist will automatically result in higher costs. However, if you have a PPO plan, your insurance will often reimburse a significant portion of the fees, even if the provider is not in your network. It is worth comparing the actual numbers, rather than relying on assumptions. Sometimes, the difference in out-of-pocket expenses is minimal, especially when you factor in the value of receiving high-quality care and individualized service.
You should not let an insurance network dictate where you go for oral health services! Instead, focus on finding a dentist whom you truly trust to provide excellent care for your smile.
Meet the Practice
At Royal Dental Brookline, Dr. Upadhyay and our team are happy to help patients file PPO insurance claims. We are dedicated to providing care that best supports our patients’ oral health and overall wellness. To learn more about our financial policies or to request a consultation, contact our office at 617-608-3463.