What is a disadvantage of a non-scheduled dental plan?

A non-scheduled dental plan typically does not provide a pre-determined fee schedule for services rendered, which means that benefits are not specifically outlined for each type of service in advance. This can lead to uncertainty for both the insured and the dental provider regarding payment amounts. When an individual seeks dental care, they may not know how much of their bill will be covered by the plan until after the services are performed. This lack of clarity in payment can create confusion for members in budgeting for their dental expenses and can also lead to disputes between providers and patients regarding payment amounts.

In contrast, scheduled dental plans offer a detailed list of covered services along with fixed reimbursement amounts, which provides clear expectations for all parties involved. This difference highlights why the ambiguity around payments in non-scheduled plans is seen as a primary disadvantage.