Dental Insurance: Understanding "Usual and
Customary"
By: Jason Cunningham
The term "usual and customary" is thrown out
there a lot, when it comes to dental insurance. You probably seen the term
before, but if you have not here is your chance. "Usual and Customary"
refers to a type of payment, given to a dentist by your dental insurance
company. Basically it is paying the dentist, based on what other dentist
in your area are paid, for a particular service. These services could be
for cleaning or filings. Read the benefit section of your policy or the
application very carefully. This explains somewhat, why dentist charge different
rates in different locations. However once your dentist receives this payment
called "usual and customary," your dental insurance carrier will not pay anymore
money to him or her.
Some dentist may not be happy with this
"usual and customary" figure that some dental insurance companies offer. But on
the other end of the spectrum, your dental carrier attempts to control cost and
keep the increase of your renewal to a minimal. It needs to be said that it is
all of our responsibilities to keep costs down to a minimal.
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