21 Aug, 2019 → by ClaimboUser24652
Dental
*SOLVED

1

The insurance for dental is a joke. I had one dentist state that they were not going to charge me or my insurance for x-rays and they did. Well call the insurance they called the dentist and verified that I was correct. They wrote it down in their notes, they said wait 6 weeks and I should see a change to call them back. So I waited it never changed so I called them back then Bluecross Blueshield had to verify it again???? WTF you verified it the first time. This time the dentists office said something different and my insurance is like well we cant do anything even though in our notes it said they agreed with you months ago. You have to file a dispute its been weeks for the dispute and i'm still having to fight what was already verified! That's just the beginning I went and saw a dentist for a tooth extraction. My deductible is $50 dollars and I have to pay that first before the insurance company will touch the bill which for an simple extraction they will pay $47 per tooth, well the dentist stated the bill was $97 i just looked at my account and they only charged me $95 (awesome dentist) but I paid full right off my card. From what I was told since i paid the full $95 out of pocket that the $50 deductible was covered and the insurance should reimburse me the rest. Well the insurance company is trying to say I only paid $47 towards my deductible and I got stuck with the rest of the bill. WTF If I paid $95 upfront obviously the the $50 dollars was paid but they say they only take the amount of the tooth that they would pay and apply it towards the deductible. That makes no sense at all! I already paid $95 they should have took the full $50 dollar deductible and reimbursed me the rest. Its a waste of money and time and seems almost cheaper to drop the insurance and just pay out of pocket. Cause in reality if your insurance is $27.50 per month and a tooth is $95 and they only cover $47 think add the total out of pocket is only $19.50 cheaper per tooth a month which is not crap. They are scam artist. And if they don't fix my deductible I'm going to drop them and sue them for the inconvenience and insurance fraud. The entire thing is a scam.
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