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Topic

Later dental insurance exclusions

Question
#1
  • as
  • mail
  • 2024/10/30 21:09

A few months after I was treated by a dentist, I was told that my insurance company was reluctant to pay out and that I might not be covered.
Is it common in Hawaii to get treatment because it was explained to me that it was covered by insurance and that was the price, but then be charged later ？
I can only assume that the doctor is immature.

This text has been translated by auto-translation. There may be a slight difference between the original text and the translation. (Original Language: 日本語)

#2
  • juju
  • 2024/10/30 (Wed) 22:31
  • Report

It won't happen. You should take responsibility for your own 窶帴(dentist窶帴) mistakes with your dentist.
I chose to trust you because of that calculation.
Tell them clearly.
In America, if you don't tell them, they will cry themselves to sleep.

This text has been translated by auto-translation. There may be a slight difference between the original text and the translation. (Original Language: 日本語)

#3
  • as
  • 2024/10/31 (Thu) 22:12
  • Report

Thank you for your comment. Of course I don't intend to pay. I thought that is the culture here. By the way, I am a Japanese dentist.

This text has been translated by auto-translation. There may be a slight difference between the original text and the translation. (Original Language: 日本語)

#4

I used to work for a dentist and I don't know what the treatment is, but there is a code for each treatment to scrub the insurance claim, so the amount of coverage depends on that treatment.　When they give you an estimate, they should also know the percentage of coverage, so they can tell you which part they are saying they will not cover ？

The estimate is just that, an estimate, and if the insurance company does not pay, the patient will be responsible for the items on the estimate as well.

If it's just verbally communicated, it's possible that they can negotiate and waive it.

This text has been translated by auto-translation. There may be a slight difference between the original text and the translation. (Original Language: 日本語)

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