Share of Cost Question: Who do I call for an over charging dentist that lied about my insurance paying?

Wednesday, Jul. 28th 2010 6:51 AM

If you have a PPO or Indemnity Plan: Since these are plans where you can go outside of network or choose your own dentist the insurance company is out of the lope. Even though a dentist may call on coverages, it is up to you to make sure you are covered. You can do this by submitting a quote only to the claims department before the work is started or you can call. Many PPOs or Indemnity Plans pay based on % up to ACV/UCR so even though you may have coverage if your dentist is above the ACV/UCR you can get hit by a big bill. (that is why I advise to submit claims as quotes before the work is started. This helps you know what is your true cost for any procedure)

If you have an HMO: HMOs are different in that you have to go with their providers. Cost for procedures are normally fee based. Meaning that the dentist will charge based on the fees laid out to them under the plan. Therefore if you feel your dentist lied to you about your coverage I would start by calling the insurance company. Telling them what you had done (need ADA codes) and finding out your true cost. If they did a procedure that was not covered and told you it was then at least the insurance company will then be aware of this. They do not want their dentist doing such stuff to their Insured and to many complaints will have them removed from the program.

There is as you menshion the better business, but there is also the America Dentist Asso. ADA. Most states have there own ADA web site.

You can also find web sites that you can leave a blogs about the dentist you went to this will help others in not going to them. I sell dental insurance and dental plans so I have clients that tell me they google,yahoo, bing ect the dental office before choosing a dentist. I am just not sure how much effort you want to put into this.


Source: http://www.insurancecompany.com

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Posted on Wednesday, Jul. 28th 2010 6:51 AM | by Share of Cost | in Share of Cost | 1 Comment »

One Comment on “Share of Cost Question: Who do I call for an over charging dentist that lied about my insurance paying?”

  1. Su J Says:

    I hate having to look for dental insurance. This was always something I either got from work or when I got married something my husband would have gotten for us. Now I have to look for dental insurance I have no husband (divorced a year ago) and no dental insurance though my job.

    I have no clue as to what type of dental plan I should get. There is just so many you can find on line but I get a headache just trying to go though all the information provided. It just all so Greek to me. How the heck to I figure it all out and know what is the best type of dental insurance plan for me to get.

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