Preferred Provider
Organizations (PPO)
In Preferred Provider Organization programs you must choose from
a specific group of dentists who have agreed to provide minimal
care for the least cost. Participating dentists have agreed
to discount there fees so they can be a part of the program,
and must often limit treatment options. Treatment choices are
usually limited to the least expensive option regardless of
desires of the patient for higher quality care.
Patients are
funneled or referred to these participating dentist by the
insurance network. If the patient chooses to see a dentist
who is not designated as a "preferred provider," that
patient may be required to pay a greater share of the fee-for-service.
Only about 81% of the monies spent on a PPO program goes
to actual patient care. The remaining 19% goes to the insurance
company. In a PPO, patients are limited in the choice of
doctor and the quality of care they can receive. The largest
PPO in Oregon is Oregon Dental Service (ODS).
Pacific Family
Dental is fee approved for ODS, but we do not participate
as preferred providers. Meaning we participate with ODS
as an indemnity or UCR program only (see UCR programs). Unlike
other indemnity programs, however, with ODS the UCRs are
known and accepted fees. Our commitment to the highest
quality dental care keeps us from participating in managed care
programs, such as PPOs or HMOs (See Our Mission Statement)
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