Direct Dental Care Agreements
Extending the direct health care agreements framework to dentistry would let patients pay a predictable recurring fee directly to a dental practice for clearly listed services.
Overview
A direct dental care agreement is a written contract between a patient and a dental practice. The patient pays a set fee, often monthly or annually, and the practice provides the dental services listed in the agreement. Depending on the contract, those services might include examinations, preventive visits, routine X-rays, or reduced fees for other treatment. The contract must state exactly what is included.
How the agreement works
- The practice offers a voluntary agreement – A patient chooses whether to enroll. A dentist would not be required to offer an agreement, and a patient would not be required to use one.
- The written contract explains the terms – It identifies the covered services, participating locations, recurring fee, possible additional charges, complaint contact, and cancellation rules.
- The patient pays the practice directly – The recurring fee covers only the services listed in the agreement. Services outside the contract are billed separately unless the agreement says otherwise.
- The dentist and patient make care decisions together – The agreement describes payment and access. It does not replace a dentist’s clinical judgment or a patient’s right to understand and consent to treatment.
Why this Option Matters
- Predictable costs can make routine dental care easier for families to include in a monthly or annual budget.
- Clear service lists help patients understand what they are buying before care is needed.
- Regular access to examinations and preventive services can support earlier conversations about oral health needs.
- Direct payment can reduce claim-related administration for services included in the agreement.
- The policy adds a choice. Patients may still use dental insurance or pay for care in other ways.
Learn More!
Alaska enacted a direct health care agreement framework in 2024 for services that a primary care provider may provide. Dental services are not expressly included. The proposed policy would add dental care to that existing framework and apply its contract and consumer-protection rules to participating dental practices.