- Do I have to join a network or sign a contract to be a provider for Dental Direct Reimbursement and Direct Assignment Plans?
- What is the fee schedule for DR/DA plans?
- Why do the VDA and ADA support Dental Direct Reimbursement and Direct Assignment?
- What size groups are able to use a DR or DA plan?
- I have a patient whose company is interested in finding out more about DR/DA, what should I do?
- Are there any resources available for my office to promote Dental Direct?
- Are there employers in Virginia who are using DR and DA right now?
Q: Do I have to join a network or sign a contract to be a provider for Dental Direct Reimbursement and Direct Assignment Plans?
A: No. There is no network for these types of plans because they are fee-for-service. You may currently have patients who have a DR plan in place but you might not be aware as they simply pay at the time of service.
Q: What is the fee schedule for DR/DA plans?
A: There are no fee schedules with DR and DA. Simply bill the patient your price for services and they will pay at the time of service or your office will be reimbursed by the third party administrator (TPA).
Q: Why do the VDA and ADA support Dental Direct Reimbursement and Direct Assignment?
A: DR and DA plans support fee-for-service dentistry and maintain the dentist-patient relationship. These plans do not limit the ability of dentists and patients to determine the appropriate treatment plans together. The VDA and ADA have been working to promote these plans since 1996.
Q: What size groups are able to use a DR or DA plan?
A: Any size group is able to set up a DR or DA plan, however, an actuarial cost estimate for employers can only be provided for groups with 20+ employees. DR and DA plans are not for individuals and are for groups only. Employers large and small have been using DR and DA plans for many years with much success.
Q: I have a patient whose company is interested in finding out more about DR/DA, what should I do?
A: You can refer them to Elise Rupinski at the VDA (804-523-2184), C.P. Coyner at Benefits Administration, Inc. (888-379-2218) or you can refer them to this website (www.VADentalDirect.com).
Q: Are there any resources available for my office to promote Dental Direct?
A: Yes! The VDA and ADA both have free resources available to dental offices to promote Dental Direct. For the VDA please contact Elise at 804-523-2184 and for the ADA please call the Dental Benefits Information Service at 800-621-8099 ext. 2746 and ask about free resources for your office.
Q: Are there employers in Virginia who are using DR and DA right now?
A: Yes! There are over 7,000 people covered under DR and DA Plans. A number of employers in Virginia have these plans in place including hospitals, public schools, manufacturers and retailers.
