{"data":{"id":"us-ia/iowa-code-514c.3b","jurisdiction":"us-ia","citation":"Iowa Code § 514C.3B","heading":"Dental coverage — fee schedules.","body":"1. A contract between a dental plan and a dentist for the provision of services to covered individuals under the plan shall not require that a dentist provide services to those covered individuals at a fee set by the dental plan unless such services are covered services under the dental plan.\n2. A person or entity providing third-party administrator services shall not make available any dentists in its dentist network to a dental plan that sets fees for dental services that are not covered services.\n3. For the purposes of this section:\na. “Covered services” means services reimbursed under the dental plan.\nb. “Dental plan” means any policy or contract of insurance which provides for coverage of dental services not in connection with a medical plan that provides for the coverage of medical services.\n4. Nothing in this section shall be construed as limiting the ability of an insurer or a third-party administrator to restrict any of the following as they relate to covered services:\na. Balance billing.\nb. Waiting periods.\nc. Frequency limitations.\nd. Deductibles.\ne. Maximum annual benefits.","path":["Title XIII - COMMERCE (Ch. 505 - 554I)","Chapter 514C - SPECIAL HEALTH AND ACCIDENT INSURANCE COVERAGES"],"source_url":"https://www.legis.iowa.gov/docs/code/2026/514C.3B.pdf","current_through":"Iowa Code 2026 edition","vintage":"","retrieved_at":"2026-09-14T19:40:13Z","sha256":"45e26ba71a5b090b1cb6997ea34c879639ddbb60d2ed3fa838a1e94c786a928a","source_id":"us-ia","stale":false,"prev":"us-ia/iowa-code-514c.3a","next":"us-ia/iowa-code-514c.3c"},"notice":"GroundRules: Original legal text. Not legal advice."}