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Copayments and other charges

 
     
 
COPAYMENTS AND OTHER CHARGES  
 
You are required to pay any Copayments listed in Schedule A directly to the Dentist who provides treatment. Charges for broken appointments (unless notice is received by the Dentist at least 24 hours in advance or an emergency prevented such notice) and charges for visits after normal visiting hours are listed in Schedule A.

In the event that we fail to pay a Contract Dentist, you will not be liable to that Dentist for any sums owed by us. By statute, every contract between Delta Dental and our Contract Dentists contains a provision prohibiting a Contract Dentist from charging an Enrollee for any sums owed by Delta Dental.

If you have not received preauthorization for treatment from an out-of-network Dentist, and we fail to pay that out-of-network Dentist,you may be liable to that Dentist for the cost of services. For further clarification, refer to the provisions for Emergency Services and Specialist Services.
 
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