Why Medi-Cal Dental Fee-for-Service (FFS) is a Better Choice Than Geographic Managed Care (GMC) plan?

 

When it comes to accessing quality dental care, Medi-Cal Dental Fee-for-Service (FFS) offers greater flexibility, more provider choices, and fewer restrictions compared to the Geographic Managed Care (GMC) model. Here’s why FFS is the better option for Medi-Cal Dental beneficiaries:

 

1. More Freedom to Choose Your Dentist

With FFS, you can visit any Medi-Cal Dental provider who accepts Medi-Cal, without being restricted to a network. In contrast, GMC requires you to choose a dental plan, which may limit your choice of providers and make it harder to find a dentist that meets your needs.

 

2. Easier Access to Specialty Care

FFS allows patients to see specialists without needing referrals from a primary dentist. Under GMC, referrals often require plan approval, leading to potential delays in receiving necessary treatments.

 

3. No Plan Enrollment or Restrictions

• FFS: No need to enroll in a managed care plan—simply find a participating provider and receive care.

• GMC: Requires enrollment in a specific dental plan, and switching providers within the plan can be difficult.

 

4. Faster Appointment Availability

Many patients under GMC experience longer wait times due to limited provider availability within their plan. FFS offers a larger network of dentists, increasing the likelihood of getting an appointment sooner.

 

5. No Prior Authorizations for Basic Services

GMC plans often require pre-approvals for certain procedures, which can delay necessary treatment. FFS allows dentists to provide services without unnecessary delays, ensuring timely care.

 

6. Statewide Access

FFS is now available for Sacramento County Medi-Cal Dental subscribers, making it a more flexible and widely accessible option for Medi-Cal beneficiaries.

 

Make the Switch Today!

As of December 2023, Medi-Cal Dental beneficiaries in Sacramento County can opt out of their current Dental Managed Care (DMC/GMC) plan and switch to Fee-for-Service (FFS). This gives you the freedom to choose your provider and access care without the restrictions of a managed care plan.

 

For more information or to switch to FFS, call Health Care Options at (800) 430-4263. Take control of your dental care today!