Page 18 - 2021 AGD ADVOCACY
P. 18

Non-Covered Services






                                                                 • Dental and Optometric Care (DOC)

                                                                     Access Act (S.1793/H.R.3461)

                                                                 • Bipartisan legislation that allows

                                                                     dentists to charge an amount that is
                                                                     usual and customary for services not

                                                                     covered under an insurance plan

                                                                     rather than the insurer’s mandated
                                                                     fee schedule


                                                                 • Limits plan contracts to two years
                                                                     unless a health provider chooses to

                                                                     extend the contract for another term

                                                                 • Includes a private right of action

                                                                     provision that allows individual
                                                                     doctors to take offending plans

                                                                     directly to court.
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