Patient Advocate (old timer, 2000 posts) Joined: May 2002 Posts: 2,152 | Sorry guys, I missed a lot of posts in mid January about insurance not paying to replace my teeth after they had paid to remove them.
I have dental insurance also. I had my 16 rear teeth removed surgically in hospital as medical necessity prior to radiation. This was paid for by medical coverage. Had they not agreed to that, I would have had to have them pulled by a dentist in his office. When I went for the partials to replace them which cost $15000, they refused to cover them under medical and said it had to be covered under dental. My dental has a $1800 max per year so I got to pay the rest. I did try Amy's lead mule and got no where. Granted I did get the best dentures available but even if I had not gone the less expensive route, the bill was $7500. If it was a covered as medical to take them out, they should have covered it as medical to replace them. Maybe if I hadn't had dental coverage, they would have. Who knows.
Take care, Eileen
---------------------- Aug 1997 unknown primary, Stage III mets to 1 lymph node in neck; rt ND, 36 XRT rad Aug 2001 tiny tumor on larynx, Stage I total laryngectomy; left ND June 5, 2010 dx early stage breast cancer June 9, 2011 SCC 1.5 cm hypo pharynx, 70% P-16 positive, no mets, Stage I
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