Dental Insurance and cleanings

DJG1
DJG1 Member Posts: 121
in Head and Neck Cancer #1
I thought I would share with everyone that I just did get my Dental Insurance to approve cleaning of my teeth every 3 month (rather than every 6 mnths that the plan states unless you have paradontial issues) due to the radiation I received. My dentist wrote a lengthy letter stating the damage radiation can have on the teeth. Thus, after about 3 month of sending back the claim for my teeth cleaning, they finally agreed to allow me to have my teeth cleaned every 3 months, and be paid by the dental insurance. This would not have happened without going back and call the insurance every couple of weeks. I figured we could all use some good news when it comes to our mouth.
Debbie

Comments

  • Daddisgrl
    Daddisgrl Member Posts: 116
    #2
    Nice to hear you got
    Nice to hear you got approved.
    It stinks that you go through that & teeth seem to be cosmetic in their eyes.
    One day; people with oral cancer won't have to jump through hoops. Breast Cancer patients can elect to have reconstruction; yet teeth & hearing are not important. :(
  • Skiffin16
    Skiffin16 Member Posts: 8,305 Member
    #3
    American Dental Plan
    I have the above, haven't tried though...who does your company use as the insurer....
  • Hondo
    Hondo Member Posts: 6,636 Member
    #4
    Teeth cleaning

    That is not a bad idea to get your teeth cleaned every three months, I believe I am going to try it and see if I can get BCBS to approve doing mine every three months.

    Very good port
    Hondo
  • sweetblood22
    sweetblood22 Member Posts: 3,228
    #5
    Hondo said:

    Teeth cleaning

    That is not a bad idea to get your teeth cleaned every three months, I believe I am going to try it and see if I can get BCBS to approve doing mine every three months.

    Very good port
    Hondo

    I think after you have had HNC you should go to every 3-4 months
    I go every three months. No insurance, so everything is out of pocket for me. I have spent about $4k on my mouth this year. Sucks.
  • DJG1
    DJG1 Member Posts: 121
    #6
    sweetblood22 said:

    I think after you have had HNC you should go to every 3-4 months
    I go every three months. No insurance, so everything is out of pocket for me. I have spent about $4k on my mouth this year. Sucks.

    TEETH CLEANING
    Skif and Hondo,
    Our dental plan is with METLIFE a company sponsered plan through Dupont retirees. The plan allows paradontial cleaning if you have a paradontial history. I did not, but the argument was for keeping my teeth as long as possible. It took a lot of time of pushing the denied claim back and correspondence with the dentist to get it finally approved. It is unusual to win something like this, but we have to keep fighting for what we deserve (and pay for). Good Luck to everyone if you try to get it approved.
    Debbie
  • CajunEagle
    CajunEagle Member Posts: 408
    #7
    Hondo said:

    Teeth cleaning

    That is not a bad idea to get your teeth cleaned every three months, I believe I am going to try it and see if I can get BCBS to approve doing mine every three months.

    Very good port
    Hondo

    Good Luck
    BCBS of LA pretty much laughed at the thought of paying for 3 month dental checkups, as far as my policy is concerned. They've paid out so much for me in the last two years, they've taken me off their Christmas card list :). I don't think they like me anymore.

    Larry
  • HAWVET
    HAWVET Member Posts: 318
    #8
    CajunEagle said:

    Good Luck
    BCBS of LA pretty much laughed at the thought of paying for 3 month dental checkups, as far as my policy is concerned. They've paid out so much for me in the last two years, they've taken me off their Christmas card list :). I don't think they like me anymore.

    Larry

    Every four months
    I have been getting my teeth cleaned every four months. Did you have an increase in premium?
  • CajunEagle
    CajunEagle Member Posts: 408
    #9
    HAWVET said:

    Every four months
    I have been getting my teeth cleaned every four months. Did you have an increase in premium?

    Dental insurance
    I don't even have a dental rider on my Blue Cross policy. They want 1,200 a year just for basic maintenance. AARP wants somewhere in the same neighborhood. Yea, I know I'm walking a tightline when it comes to if they all start falling out, but at only 150.00 max with my Dentist (one of those "deals" made long ago), I just keep paying out of my own pocket. As of now, seems to work out better.

    Larry
  • DJG1
    DJG1 Member Posts: 121
    #10
    HAWVET said:

    Every four months
    I have been getting my teeth cleaned every four months. Did you have an increase in premium?

    NO INCREASE
    No Increase in premium. We pay $24/mo for me and my husband.

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