Can Insurance Companies Set Fees for Uncovered Services?

In this episode of “The Less Insurance Dependence Podcast,” Gary Takacs and Naren Arulrajah engage in a detailed discussion on whether insurance companies possess the authority to establish fees for services not covered under insurance plans. They travel into the historical challenges dentists faced when insurance companies dictate fees for services beyond their coverage, pondering the philosophical implications of such practices. Notably, they shed light on recent legislative advancements in select states that aim to address this issue. The conversation underscores the importance of dentists staying informed of state regulations and refraining from violating contract terms. Furthermore, they advocate for a strategic transition away from reliance on PPO plans, emphasizing alternative marketing avenues like Google SEO to attract patients and regain control over fee setting.