Monday, May 17, 2010

If a dental office already started doing some work on your teeth (w/insurance).......?

But then you decide that you don't want to go there anymore, will your insurance still cover if you go somewhere else, or do you have to finish what they started at the dental office that you first went to??

If a dental office already started doing some work on your teeth (w/insurance).......?
That really depends on your insurance plan. Call your insurance company, explain your situation and why you want to switch dentists, and let them tell you how to go about doing it so that the costs remain covered. It could be as simple as they just need to know in advance!
Reply:i think you have to finish at the other office, but i really don't know, ask your dental office?!
Reply:The insurance should cover the rest of the work somewhere else. You might want to check with your provider to make sure you are going to a dr in the network, if you have that type of plan. Make sure you get your x-rays and records sent to the new dentist, b/c most likely, your plan will not cover a second set of x-rays. And they are not cheap.
Reply:It depends. If the dentist you are seeing now has billed the insurance company for the complete treatment then you would need to get a type of override. Usually the dentist gets paid in installments which they bill to the insurance so you would be able to see another dentist without problem. Your best bet is to contact your insurance company and ask them. It will take an hour at least so make sure you have a lot of free time
Reply:Call your insurer, but they shouldn't care as long as your new choice is also in their network.
Reply:I went thru the same situation that you are going thru, I choose a Dentist that worked with my Insurance co. but I was extremely dissatisfied with them and I went with another Dentist that I have to pay out of my own pocket and I have to fill out the paperwork and bill the Insurance co. myself. Check your policy out and see if you can change Dentist and check with the ''new'' Dentist to see if they work with your Insurance co.
Reply:Your best bet when dealing with an insurance company is to ask them and then get it in writing.
Reply:It will still cover the work. It probably won't pay for another Dr. exam until 6 months to 1 year. You might have to pay for that or it may be covered. You will need to get your x-rays transferred to your new dentist or copies of them sent. And yes, you do have the right to your x-rays and copies of treatments needed and treatments done/copy of records. You can always have a pretreatment filed after they examine you and figure out what needs to be fixed. They send info to your insurance about what needs you still have and the insurance will send you a letter in about 3-4 weeks saying how much they will pay and what your cost will be.


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