Dental Insurance

[Flames9_RN 359]

They charges vary from insurance company. Your dentist or hospital my charge Insuarnce company A 75 a filling, while they charge company B 125 a filling!! I have yet to visit the dentist in the USA yet, and trying to avoid it

[Marilyn. 340]

They charges vary from insurance company. Your dentist or hospital my charge Insurance company A 75 a filling, while they charge company B 125 a filling!! I have yet to visit the dentist in the USA yet, and trying to avoid it

mmm, that seems a bit crooked to me

[lisaf 0]

They charges vary from insurance company. Your dentist or hospital my charge Insurance company A 75 a filling, while they charge company B 125 a filling!! I have yet to visit the dentist in the USA yet, and trying to avoid it

mmm, that seems a bit crooked to me

yep its a total scam! I had all my teeth done in Asia is sept...

clean $15

4 small fillings $10-$15 each

4 large silver filling replacements to porcelain $25 each

one broken corner fixed $15

total bill around $ 240 USD

Im not kidding next time I need something, Im getting on a plane! Ive had return tickets for $900 during specials or last minute deals...and thats to Asia. Mexico is looking good!

[Flames9_RN 359]

Sounds like a scam, but each insurance company is exactly that a company, and I do not know many companies that like to loose $$$. And like all businesses, they charge different fees!! I'm not stating ur dentist did not make a mistake with the fees, maybe further reseacrh is due? If I was in a situation that required a lot of work, I would ask for an estimate, then phone around!! Best of luck.

Edited January 22, 2007 by flames9

[Marilyn. 340]

so is it the insurance company that says what each procedure is going to cost?

maybe further reseacrh is due? If I was in a situation that required a lot of work, I would ask for an estimate, then phone around!!

too late for that hubby already has had a lot of the work done.... when he went the first time, they told him that the person in charge of billing wasn't in that day or something.. so he didn't find out how much it all cost until his next appointment...

Edited January 22, 2007 by MarilynP

[Flames9_RN 359]

the hospital/dentist come to an agreement what each treatment type will cost.

[Marilyn. 340]

I'm sorry I still don't quite understand

the dentist decides what each procedure is going to cost ...

and the insurance company decides how much they are going to cover for each procedure, depending on your plan etc....

did I get that right?....

[bebop + rocksteady 0]

Like said by other people, I'd recommend shopping around. I had one dentist in my home town, that charged $60 a piece to do cavities. I went to a new one when I moved to college, he charged $300 each!

Cass (bebop the great)

[Marilyn. 340]

Crown-Porcelain Fusion -

Original Bill - total cost for procedure $647.00 - Insurance covers $323.00

New corrected Bill - total cost for procedure $800.00 - Insurance covers $388.00

the dentist told him they thought he had the better dental insurance....

i do understand why what the insurance covers is different.. I am just wondering why the dentist charges are different

Edited January 22, 2007 by MarilynP

[Marilyn. 340]

Like said by other people, I'd recommend shopping around. I had one dentist in my home town, that charged $60 a piece to do cavities. I went to a new one when I moved to college, he charged $300 each!

Cass (bebop the great)

well hubby said the next time he has to go back to the dentist he will go back to the dentist he went to about 2 years ago... he said he had about the same amount of work done and it was a lot cheaper.... he told this new dentist this and she said that things are different now

[Mr. Big Dog 10,747]

Crown-Porcelain Fusion -

Original Bill - total cost for procedure $647.00 - Insurance covers $323.00

New corrected Bill - total cost for procedure $800.00 - Insurance covers $388.00

the dentist told him they thought he had the better dental insurance....

i do understand why what the insurance covers is different.. I am just wondering why the dentist charges are different

Check with the insurance company. If this is a PPN type deal and the dentist is part of the network, then what they are allowed to charge is agreed with the insurance company. The dentist cannot charge you more to offset the discount the insurance negotiated with him. If the dentist is out-of-network then you're out-of-luck and will have to pay up.

[Marilyn. 340]

Crown-Porcelain Fusion -

Original Bill - total cost for procedure $647.00 - Insurance covers $323.00

New corrected Bill - total cost for procedure $800.00 - Insurance covers $388.00

the dentist told him they thought he had the better dental insurance....

i do understand why what the insurance covers is different.. I am just wondering why the dentist charges are different

Check with the insurance company. If this is a PPN type deal and the dentist is part of the network, then what they are allowed to charge is agreed with the insurance company. The dentist cannot charge you more to offset the discount the insurance negotiated with him. If the dentist is out-of-network then you're out-of-luck and will have to pay up.

the dentist is in-network...

so it is like I thought, the dentist has different fees they charge depending on the insurance company....

[Mr. Big Dog 10,747]

Crown-Porcelain Fusion -

Original Bill - total cost for procedure $647.00 - Insurance covers $323.00

New corrected Bill - total cost for procedure $800.00 - Insurance covers $388.00

the dentist told him they thought he had the better dental insurance....

i do understand why what the insurance covers is different.. I am just wondering why the dentist charges are different

Check with the insurance company. If this is a PPN type deal and the dentist is part of the network, then what they are allowed to charge is agreed with the insurance company. The dentist cannot charge you more to offset the discount the insurance negotiated with him. If the dentist is out-of-network then you're out-of-luck and will have to pay up.

the dentist is in-network...

so it is like I thought, the dentist has different fees they charge depending on the insurance company....

Yes, they have rates that they negotiate with the insurance copmpanies. I'd still check with the insurance company to make sure that you're not being overcharged by the dentist.

[Marilyn. 340]

Crown-Porcelain Fusion -

Original Bill - total cost for procedure $647.00 - Insurance covers $323.00

New corrected Bill - total cost for procedure $800.00 - Insurance covers $388.00

the dentist told him they thought he had the better dental insurance....

i do understand why what the insurance covers is different.. I am just wondering why the dentist charges are different

Check with the insurance company. If this is a PPN type deal and the dentist is part of the network, then what they are allowed to charge is agreed with the insurance company. The dentist cannot charge you more to offset the discount the insurance negotiated with him. If the dentist is out-of-network then you're out-of-luck and will have to pay up.

the dentist is in-network...

so it is like I thought, the dentist has different fees they charge depending on the insurance company....

Yes, they have rates that they negotiate with the insurance copmpanies. I'd still check with the insurance company to make sure that you're not being overcharged by the dentist.

the second set of quotes I have there are from the Insurance site, so I think they are correct....

it just seems to me that there should be a flat rate for the procedures ....

[Flames9_RN 359]

One would sort of think that, but insurance is all different, thats why there are so many different types and companies out there. Hope it works out for ya.