A PPO dental plan offers a network of dental providers. If you visit an in-network provider, your out-of-pocket costs are typically lower.[0] That’s because dentists within the network have agreed to a negotiated dollar amount for each covered charge with your insurance company.

Out-of-network dentists may charge fees either higher or lower than what the insurance plan allows; excess fees are usually your responsibility to pay.

Typically, an HMO dental plan covers – meaning pays benefits for – only the care you receive from a contracted network provider.[1]

Will dental insurance cover services only for in-network providers?

A PPO dental plan offers a network of dental providers. If you visit an in-network provider, your out-of-pocket costs are typically lower.[2] That’s because dentists within the network have agreed to a negotiated dollar amount for each covered charge with your insurance company.
Out-of-network dentists may charge fees either higher or lower than what the insurance plan allows; excess fees are usually your responsibility to pay.
Typically, an HMO dental plan covers – meaning pays benefits for – only the care you receive from a contracted network provider.[3]