Bill > S628

This bill amends the Massachusetts General Laws to define "dental benefit plans" and to require such plans to allow insured individuals to direct their benefits to be paid directly to a dental care provider that is not contracted with the insuring entity, as long as the provider meets the entity's credentialing criteria. The bill also allows the insuring entity to reduce the benefits paid to the non-contracted provider by up to 5% of the usual and customary rates paid to participating dentists, and gives the entity the right to review the provider's records related to the specific patient. The bill excludes certain types of insurance coverage, such as disability income, accident-only, and limited benefit policies, from these requirements.

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https://malegislature.gov/Bills/191/S628