Aetna recently resolved a system configuration error that caused some out-of-network Medicare Advantage dental claims to be adjudicated under Medicare medical rules rather than dental benefit rules, the American Dental Association reported Sept. 3. The issue came to the ADA’s…
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California community health centers are bracing for increased costs as a provision in the state’s 2026-27 budget will eliminate routine Medi-Cal dental coverage for many undocumented immigrants beginning July 1, Northern California Public Media reported. Many Medi-Cal members aged 19…
Dental PPO plans cover preventive care, but patients absorb a significant share of costs for more common restorative procedures, according to data from DentalInsurance.com. Here is how much patients pay out of pocket for four common procedures under a PPO…
A number of states have enforced, enacted and introduced dental loss ratio legislation this year, with dentists in a handful of additional states advocating for the change. Here are six updates on dental loss ratio, as reported by Becker’s so…
The average dental insurance premium across the U.S. is $49.60 per month, according to data from DentalInsurance.com. Massachusetts has the highest average monthly premium at $65.58, while West Virginia has the lowest average premium at $36.98 per month. The report…
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Dental industry leaders and clinicians continue to advocate for enhancements in insurance plans as they deal with stagnant reimbursements, legislative changes and potentially restrictive policies. Five updates: 1. The American Dental Association urged UnitedHealthcare to accept dentists’ credentialing information from…
The Academy of General Dentistry is opposing two new insurer policies and has asked regulatory bodies to prohibit restrictive payment rules. Six notes:
States are increasingly stepping in to hold dental insurers accountable, and the latest wave of legislative activity is changing how dentists get paid and what patients can expect from their coverage. Massachusetts made history as the first state to enforce…
Massachusetts is requiring dental insurance companies to provide rebates to consumers for failing to meet dental loss ratio standards. Six dental insurance companies — Blue Cross and Blue Shield of Massachusetts, Guardian Life Insurance Company, Harvard Pilgrim Health Care Insurance…
The Academy of General Dentistry is supporting two federal bills that would expand access to dental care. The Medicaid Dental Benefit Act of 2026 would make dental and oral health services a mandatory component of Medicaid coverage for adults in…