In News and Analysis

Delta Dental's new PPO may reduce reimbursement rates 20%: 4 key points

The state of Massachusetts' Division of Insurance approved Delta Dental of Massachusetts' new preferred provider organization plan, according to the Boston Globe.

Here are four key points:

1. Delta Dental's new PPO plan is designed as a low cost option for businesses struggling to afford dental coverage for employees. Dentists worry the plan will lower reimbursement rates 30 percent; the company maintains reimbursements face a 20 percent reduction

2. The plan is designed to attract new budget-conscious businesses and account for rising dental costs that can lead to increased premiums or reduced access to care. Delta will continue offering its traditional Premium network as well.

3. More than 4,000 dentists have joined Delta's new network, making it the largest dental PPO in the states. Delta Dental Massachusetts as a whole consists of 2.2 million members.

4. Dentists worry the new low cost coverage plan may force cuts into their incomes and forced them to charge patients more for services. Dentists also argue that the plan forces them to schedule more patients into a day and spend less time with each individual patient.

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