Bill > S714

This bill requires dental insurance plans to allow policyholders to direct their dental benefits to be paid directly to a non-contracted dental provider who meets the plan's credentialing criteria. The plan can reduce the benefits paid to the non-contracted provider by up to 5% of the usual and customary rates paid to participating providers. The plan also has the right to review the records of the non-contracted provider related to the specific patient to ensure the service was rendered. The bill exempts certain types of insurance coverage, such as disability income, accident-only, and long-term care policies, from this requirement.

Business and Industry

https://malegislature.gov/Bills/192/S714