Where a particular course of orthodontic treatment is covered neither by private nor public health insurance, which is becoming increasingly common, the patient is classed as a self-payer and is free to negotiate the cost of the treatment themselves without having to get involved with any bureaucratic organisation. Because they do not have to deal with any insurance company, self-payers are welcomed by most orthodontic practices and are easier to bill and can sometimes benefit from lower costs than they would if they were privately-insured.