Bill > S697

This bill aims to provide dental insurance consumer protections. The key provisions are: 1. Requires disclosure of benefit terms, including whether the benefit is limited to the least costly treatment and the specific amount or standard for payment/reimbursement (e.g., "usual and customary" fees). 2. Requires the insurance plan or policy to establish a website to provide resources and information on the reimbursement standard and covered dental services. 3. Mandates that payment/reimbursement for non-contracted providers be the same or greater than contracted providers, allows patients to assign benefits to the dentist, and requires the plan to disclose any fees associated with payment methods. 4. Prohibits the insurance plan from interfering with a patient's choice of dentist, denying a dentist the right to participate as a contracted provider, regulating the provision of dental services, requiring unnecessary diagnostic tests, or deducting overpayments from other claims, except under certain circumstances.

Business and Industry

https://malegislature.gov/Bills/193/S697