The bill amends the 1956 Insurance Code by adding a new section, 3406ss, which mandates that health plans or nonprofit dental care corporations providing dental benefits must offer at least one payment or reimbursement method that ensures dentists receive 100% of the payable amount without incurring any fees to access these payments. However, this requirement does not apply to fees imposed by the dentist's financial institution. Additionally, if a dentist chooses to opt out of a payment method, that decision remains effective until the dentist decides to opt back in or enters into a new contract.
The new provisions will apply to dental benefits policies that are delivered, issued for delivery, or renewed in Michigan after the effective date of the amendatory act. The bill also clarifies the definition of "health plan" as it is used in the context of this section.
Statutes affected: House Introduced Bill: 500.100, 500.8302