Out-of-network dental care
Culinary dental benefits only cover some of the costs of an out-of-network dentist.
Your patients may go to any dentist of their choice. But, if they go to an out-of-network dentist it may cost more.
Nevada Dental Benefits (NDB) will only cover some of the costs of dental care at an out-of-network dentist. NDB will pay for charges that are covered up to the total listed in the Schedule of Allowables. Your patients are responsible for paying the rest. Your patients can call NDB at 702-478-2014 for more information.
Your patients will save more money and get more benefits if they go to an in-network dentist instead.
Out-of-Network Basic Plan (non-Culinary Network Dentist) benefit information:
| Benefit | What your patients should know |
|---|---|
| Annual deductible | No deductible |
| Maximum yearly benefit | $1,500 each person |
| What your patients have to pay (out-of-pocket) | Your patients have to pay all charges above what is listed in the plan’s Schedule of Allowables. If a service is not listed, your patient has to pay the full price of that service. |
| Dual Culinary coverage | If your patient and their spouse both have Culinary dental benefits, they may still have copays and extra costs. |
| Anesthesia | Covered for some extractions |
| Missed appointments | Your patient should call their dentist at least 24 hours before their appointment if they have to cancel. The plan will not pay any fees for missed appointments. |
Are orthodontics (braces) covered by the out-of-network plan?
No. Braces are not covered by the out-of-network plan. Braces are only covered for your patients if they go to an in-network dental provider.
Other dental benefits
- Follow this link to learn more about your patients’ dental benefits, dental care at the Culinary Health Center, and dental emergencies.
- Follow this link to see your patients’ in-network dental benefits.