Dental bill after being told in writing that everything was covered?
I had a few visits to the dentist recently and at this location, they do a pretty good job of telling you exactly what to expect financially, or so I thought. When you come in, you sit down and see the dentist and he/she decides what you are going to have done that day. The dentist leaves and the billing lady comes in and tells you again what is going to be done and if your insurance covers the procedure or not. There is a printed list of the procedures to be completed, and at the bottom on the paper is a small sentence basically saying "I agree to pay ____X____ amount of dollars for the preceding procedures" with a spot for my signature. Now I had a few things done throughout about a month and the only time I signed a paper stating I would owe ANY money AT ALL was once when I had a root canal done. Every time other than this, when I went in, I signed a paper stating I would owe ZERO dollars. The billing lady would always tell me that the procedures would be 100% covered (I am covered under two separate PPO plans and 1 HMO), AND she would tell me how much more of my laundry list of procedures should be able to be covered before I would have to pay out of pocket. Now a few weeks after my last visit I got a call from the same billing lady stating there was a "mistake" and "insurance might have denied something" and that I owed over $1,000. She also stated that since they made a mistake they would be "willing to work with me" on the bill. I do not receive copies of the paper stating what I would owe, but they must keep these things on file. Since I always agreed to pay nothing, in writing with my signature, do they have any backing for forcing me to pay this bill? How should I go about clearing this up? If I knew any procedure I had done would have cost me this amount of money, I would have refused the service as I don't have the money.
Asked By: Cinthia - 12/8/2012
Best Answer - Chosen by Asker
Thumper is correct. I would add that, as these insurance policies belong to you, it is your responsibility to understand what they will pay by doing your own research. Your dentist's office gives you an estimate of your part as a courtesy as they can never guarantee what your insurance will pay. The paper you signed... More
Answered By: Alice - 12/9/2012
Additional Answers (2)
No since you signed a paper that said zero then no they cant. How ever next time you go there you would have to pay for that visit and they cannot deny you service! And if they make you pay sue then
Answered By: Juan - 12/8/2012
I have worked for a dentist for 13 years and have never seen a dental insurance company pay 100% of major services. Ever. They'll pay 100% on preventive services like cleanings and xrays and a few will even pay it on Basic services like fillings or extractions. But since you are covered by 2 ppo plans...and provided... More
Answered By: ☆thumper203☆ - 12/8/2012
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