 Very important ? about being on parents insurance while in school!? |
| So im attending community college and we go on Quarters here not semesters. Well i turned in my schedule in March during spring quarter as proof i was in school, well im faling one of my classes ... |
|
 Have insurance. No maternity coverage. Don't qualify for state medicaid. We want another baby but HOW? |
| My husband and I pay for private health insurance as it's not provided through employment. It does not cover any maternity costs at all. We make just over the amount to qualify for medicaid and I... |
|
 I want to sue my solicitor, could I find a solicitor to take my case on the basis no win no fee.? |
| I had a very bad divorce solicitor, who caused me a lot of financial loss and long term health damage. The Law Society deal with solicitors service level and do not deal with solicitor bad advice and ... |
|
 Health Insurance. Why do costs differ from state to state when the coverage and provider are the same? |
| We are a few years away from 65 and moving from Maryland to Florida. Costs for the same high deductable health coverage from our health provider will cost 5 times the amount we pay now. We are ... |
|
 Allstate Auto insurance? |
| I tried to pay my mom's car insurance today and it said that the account was terminated. How do i get the policy reinstated?... |
|
 What is the best way to list a non-family member as your benificiary on an insurance policy? |
| I live with a woman who is my best friend in a totally platonic relationship; we're like brother and sister. In fact I refer to her AS my sister and she calls me her brother. I have placed her ... |
|
 If you are hurt on the job and are covered by workman's comp. can you file a claim on the other insurance? |
| workmans comp. only pays 2/3rds of what you made. if you have two jobs that destroys (the injury)your other source of income. Can you file a claim against your employers insurance(not the workmans ... |
|
 How do i check to see if my insurance covers maternity? |
| I finally got my BFP test results and im insured (i think...i mean i am insured but don't know if it covers maternity). But now im starting to wonder if my dad's insurance on me covers ... |
|
 I am exploring the idea of becoming an adjuster. I am not really looking for a 9 to 5 job.? |
I would be interested in doing cat work, but when the catastrophe is over, just go home and do local work for the rest of the time.
As far as I can tell a Texas all lines license is preferable .<... |
|
 Insurers just want to refund my policy money as they wont settle my claim? |
| I recently claimed on insurance i took out on a suite, i bought insurance with sofa's, the 3 seater was too badly damaged to keep in the house so i had to put it outside, I told them this when i ... |
|
 Identify Theft Insurance for an Insurance Agency? |
Is there such a thing? Would it be covered under an E&O policy? If there is a separate policy can you give details on who provides it? Thanks
Additional Details
Sorry, I'm ... |
|
 My husband owns a moving co. and he wants to build a storage unit. The insurance is way too high. Any ideas? |
Additional Details
I've heard people transfer home insurance to their goods in storage. How does this work - is the building only insured for fire, etc. and the goods are covered ... |
|
|  |
Alicia | I was just denied coverage for a wisdom tooth extraction by my insurance. Now what? |
I'm pretty confused, so bear with me here.
Last month I had my upper left wisdom tooth removed. It was coming in sideways and impacted, causing me great pain. A few days later I got a letter basically saying I would need to have x-rays done so that my insurance could determine whether or not it'd be covered. Now, 4 weeks later, I get paperwork saying coverage has been denied. The only reason I've been given is that it is "Not a covered service".
Mind you, this is NOT the first wisdom tooth I've had pulled. The first one was covered in full, and the dentist's office even says I have a $3 credit to my account for a copay at some point.
I have Fidelis Care, as well as Medicaid. What I was told that I'm supposed to use Medicaid first, and if they don't cover it, Fidelis should. But when I went to my dentist's office last month, the receptionist told me they only take the Fidelis card now (before, they took both). My Medicaid ID number is on that card as well.
Could it be that they tried using the wrong insurance for coverage, or am I really going to have to pay this bill now? There's no way I can afford this, and it was my understanding that it would all be covered for me.
If anyone has any advice that might be helpful, please do share. Thanks so much in advance =]
Additional Details
It IS covered, that's the problem. The only time my insurance (medicaid) does NOT cover is if it is cosmetic, which this obviously wasn't. The tooth has already been pulled, btw.
If dental isn't covered, than please explain to me why they paid for the first one?! |
 |
 
sarah314
|
In general, extraction of a tooth that is either full bony or partial bony impacted would fall under a medical/surgical benefit.
(Note that I said "in general." Some group out there somewhere could decide to exclude all extractions regardless of impaction. But the norm is for it to be impacted.)
You said that your tooth was impacted, correct? My next question would be...is your insurance company aware that it was impacted? When a dentist/oral surgeon sends in a claim form or a pre-approval request, they usually include a diagnosis code. Impacted teeth have a different diagnosis code than "regular" teeth. Sometimes a denial can be something as simple as a wrong code being listed on a claim.
That's the first thing I'd do - make sure the insurer was aware that it was an impacted tooth.
What state are you located in? I can try looking up the Medicaid coverage in your state to confirm whether an impacted extraction should be covered. (Please also note if you're in a managed Medicaid plan or just in regular Medicaid.) |
|
Earl s
 |
call customer service & ask them to explain
nobody here knows |
|
natethenorsk
 |
Since you said that Medicaid paid for the first tooth, and now you dentist doesn't accept Medicaid, my advice would be to find another dentist that does accept Medicaid payments. |
|
capricorn dancer♥
|
Daylight robbery,bastards,probably because they regard it as a cosmetic non emergency procedure.Appeal,tho it's almost impossible to win against the "establishment",rage against the machine,create some chaos,you might get partial financial assistance. |
|
mbrcatz
 |
Nope, I don't think they billed it wrong, I think that dental services aren't covered.
Sorry. |
|
Skye
 |
Get it yanked out and pay them later. If it's really bad go to Emergency at the hospital. If you're financilly strapped go to the university or social services.
There is always help somewhere |
|
| |
|
| | |
| Questions List |
Answers | Last Post
| | | |
6 | 20 minutes(s) ago
| | | |
6 | 53 minutes(s) ago
| | | |
6 | 1 hour(s) ago
| | | |
6 | 3 hour(s) ago
| | | |
4 | 6 hour(s) ago
| | | |
6 | 7 hour(s) ago
| | | |
5 | 8 hour(s) ago
| | | |
6 | 9 hour(s) ago
| | | |
6 | 2 day(s) ago
| | | |
6 | 6 day(s) ago
| |
|
Homepage 
Financial
Forum 
Insurance 
No Spam
Adult 
Gambling
Unfinished
Deception
Plagiarism
Not English
