If employees use a Maverest dentist their claims will be paid on Maverest's fee schedule not based on the dentist's usual and customary fees.
The immediate out-of-pocket savings at a Maverest dentist is the difference between the dentist's full fee and the Maverest fee.
Typically this creates a savings of up to 30% on the employer's claim cost and on the employee's out-of-pocket cost.
The following example provides information on the typical overall savings (at 50% coverage) when a Maverst dentist is used.
Typical Fee: For a Root Canal, a dentist usual fee is $850. At 50% coverage,
$425 is paid by the member's insurance plan (employer) and $425 is paid by the employee.
Maverest Fee: When an Maverest dentist is used, the full fee charged by the
dentist is less. For example, when you use an Maverest dentist for the same Root Canal service mentioned above, the total
fee charged is $654. At 50% coverage, $327 is paid by the member's insurance plan (employer) and $327 is paid by the employee.
This is why it works
Reduced out-of-pocket costs motivate employees to use their freedom of choice to make smart, cost effective decisions
when selecting dental providers.