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Reduced Fee-For-Service (RFFS) Plans
CompBenefitt's RFFS Plans offer...
Predictable Income.
CompBenefits' Reduced Fee for Service dental plans are CompBenefits Direct Discount
Dental Plan, CompSave, Texas Dental Plan, and National Dental Plan. They are
discounted, fixed-fee benefit schedules which are marketed to local, individual,
and multi-state employer groups. The benefit schedule provides members with a
discount of approximately 20-to-40 percent off usual fees depending on region
and procedure performed. As a Participating Dentist, your practice benefits from
increased patient flow with no administrative burden.
Compensation
Payments for services are made at the time services are rendered. The member
and your staff can determine the exact charge by simply referring to the fee
schedule. Any financial arrangements are made between you and the member and
do not involve any additional reimbursement from CompBenefits. Our Reduced Fee-for-Service
Plans do not involve third party reimbursements or claim forms.
Ease of Administration
No Deductibles.
No maximum annual benefit limitations.
No claim forms.
Benefits apply to pre-existing conditions.
Benefits apply to missing teeth.
No referral forms are necessary for specialty care.
The member may visit a specialist without being referred by the general dentist
Your Company is in Good Company.
Your affiliation with CompBenefits places you among a group of dental practitioners
who hold to the highest standards. Each Participating Dentist is qualified through
an extensive credentialing process designed to ensure the quality and integrity
of CompBenefits' reputation.
Read the RFFS frequently asked questions
RFFS Frequently Asked Questions
How can a RFFS dental plan benefit my well-established practice?
Dentistry is more competitive than ever and a successful dental practice must
have a balance of delivery systems to remain marketable and profitable. CompBenefits'
Reduced Fee-for-Service dental plans represent another way to accomplish your
goals of increasing your patient base and maintaining a positive cash flow.
How do I know what to charge the member for specific procedures?
The charge is based on the member's fee schedule. Payment is made by the member to the dental office at the time services are rendered.
If my fees are more than what is listed on the member's
fee schedule, can I charge the member the balance for any of the listed procedures?
As a RFFS Participating dentist, you agree to accept the listed fees as full
payment for your services.
How are non-listed procedures charged to the member?
Non-listed procedures are charged at a 20 percent reduction from your usual fee.
Are pre-existing conditions covered?
Yes. Benefits apply to pre-existing conditions.
Are there limits to the annual benefit?
No. Maximum annual benefits do not apply.
Are there benefits for missing teeth?
Yes. Missing teeth are a covered benefit.
What is the standard procedure if the member is in
need of specialty care?
No referral forms are necessary for specialty care. The member may visit a participating
specialist at any time without being referred by the general dentist and without
pre-certification by CompBenefits.
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