Archive for the 'Complaints' Category
I really think my dentist is charging me twice for the same dental service render. A while back I moved to far to keep the dentist I always had. So I pick another dentist that was part of my PPO plan that I get though my work.
I went to there office and had a root canal and crown down. Under my plan my co-pay is 50% I was told at the time I only had to pay the $50 deductiable and they would bill me for the balance once the insurance company paid. From what they did tell me the total cost for everything was $1285.00.
Yet into days mail I got a billing statement for $900.00 this is like $260.00 more then what it should be. I called the dental office and they like that what is left after the insurance company paid. This does not add up to the 50 percent that would have gotten paid. How do I get this corrected?
I need some advise. A few months ago I bought a dental insurance plan for myself and my daughter who is ten. I picked the plan I did because it had my daughter’s dentist in their PPO network. Now my daugheter needs to have a two large size fillings done.
However the dental office staffing just told me that I do not have coverage for the filling needed for anoher three months. Do to some waiting periods. I did not know about any waiting periods. So I called my dental insurance company and was told that I have six motnhs on basic dental services and a twelve month waiting period for majors.
That means my daughter will not be able to get her filling for about another three months. Unless I pay for the cost out of my pocket. I am upset what is the point of having dental insurance if they make you wait for all your important dental needs. Who can I complain to about this?
I have WellPoint Dental Insurance offer to me though work. I went to a dentist that offer a free oral exam. He filed a claim for approval to WellPoint for a deep cleaning. I waited for the approval which I got stating they would cover up to $227.00. So I was fine with that and proceeded the have the work done.
I had to pay for the dentist in full for the work and then I submitted the claim to WellPoint. This was the way the dentist had me do it. Now it has been like pulling teeth from WellPoint to pay me the $227.00 they said they would cover. It was over a month later when I called Wellpoint and was told they missed placed the claim. I had to fax it to them. I was told they would have the check in the mail….. Still waiting another two weeks since I faxed the claim in.
I have not gotten my $227.00 which at this point I could really use. The dentist I went to told me that is why he had me pay in full since this kind of thing happens all the time. If I did not get this plan though work I would cancel it I am so upset. How much longer should I give them to get me back my money? And then what should I do if I do not still get my $227.00? Advise please.
I do not like going to the dentist
I have to go in for m six month cleaning. Is it me but I hate having my teeth cleaned by my dentist. After the cleaning I want to wash my mouth out with some water and they will not let me. When I ask for water they say no. I just hate the taste of paste that they use, it makes me sick. Why can I not just wash my mouth out afterwards. I hate waiting 20 to 30 minutes.
I need braces but my dentist says not now
My dentist says that I have to lose all my baby teeth before I can have braces. They baby teeth I have left are not even lose. What can I do about this? I want braces now not when I am in my thirties. I know you are not supposed to just take out your own baby teeth but the dentist is not leaving me much choice.
So if anyone has any advice please go ahead and answer. However if you are just going to tell me not to do it and to wait then do not bother cause you are waisting my time.
Got braces now have headaches
I am 24 and fairly new to having braces. I went with the plain metal ones for cost fact reasons since I paying for them myself and the other types would just be too expensive for me. I had them in now for a little over a month. My teeth are find they are sore sometimes but for the most part braces do not bother me in that way. I have been getting headaches though ever since I got braces.
Is that normal? I have headaches in the morning when I wake up and sometimes after school. I started to get headaches the same time I got the braces so I am pretty sure that is the cause of them. You think I will continue to have the headaches until I am out of braces or what?
I live in California and had to move upstate because of a job change. For me to stay with my original dentist, I would need to drive at least three hours one way. I was not keen on having to find a new dentist but I felt I had no choice. A few days ago I went in to see the new dentist for a check up and cleaning that I was due for. After the X-rays were taken he then tells me that I have four cavities. Three small ones and one that should be taken care of as soon a possible.
My previous dentist never saw any cavities in fact I have not had a cavity since my baby teeth. I take care of my teeth by brushing and flossing the required amount. I saw my previous dentist about 8 months ago. I was running a little late on my 6 month check up because of the move. I do not believe I could go from having no cavities, to having four in 8 months when nothing changed other then the dentist. At this point I have not had anything done.
Can anyone advise me if they see this as a scam too, or give me advise on why this may be possible.
Bad Breath – What are the Natural Treatments?
Having bad breath is a common complaint that afflicts many people. It is caused by the presence of bacteria in the oral cavity. Bacterial growth can occur due to many reasons, and in many places that may cause a foul odor to emanate from your mouth. Usually the most common reason is infrequent brushing leading to bacterial decomposition of leftover food particles in your mouth and in between your teeth.
Also, certain kinds of food like garlic and onion tend to make your mouth smell as they themselves have strong odors. The disintegrating food particles may cause foul odors to emanate from your mouth, from the skin of your tongue, the gaps in your teeth from under the gums.
Bad breath is caused by a variety of factors, the primary one being the breakdown of proteins from food particles in the mouth by bacteria. Certain kinds of food and drink are also responsible as they have strong smells as well, like onions, cheese, tobacco, and garlic.
Bad breath may also be caused by throat infections, dental decay, worms in the intestinal tract, constipation, gum diseases, gastritis, and accumulation of food between the teeth. In short, any sort of bacterial build up in the gastrointestinal tract can lead to bad breath.
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As Congress debates creating insurance “exchanges” as part of a health-care overhaul, the failure of a similar effort in California may offer important insights, former participants in the program say.
From 1993 to 2006, small businesses in California could buy health insurance through an exchange run initially by the government, and later by a nonprofit group.
The plan was undermined when some businesses with relatively healthy workers bought policies more cheaply directly from insurers, bypassing the exchange. That left the exchange with a shrinking pool of less-healthy workers, forcing rates higher and prompting many insurers to withdraw. Managers chose to shut the program in 2006 when one of three remaining insurers withdrew.
“There are definite lessons to be learned,” said John Ramey, who as former head of the Managed Risk Medical Insurance Board helped implement California’s exchange. “We learned them the hard way out here.”
Among those lessons, he and others said: Employers and individuals who qualify must be required to obtain health insurance through the exchange. Failing that, John Grgurina, who ran California’s exchange from 2002 until it ended, said government must impose rules governing rates and eligibility to protect the exchange from attracting a disproportionate share of high-risk people.
An exchange aims to get better prices for coverage by banding together businesses and individuals. Insurers would have an incentive to join an exchange because they would gain access to more potential customers. Individuals and employees of businesses that participate in an exchange would be able to chose from the available plans and pay the same rate.
Exchanges, either on a regional basis or a single national one, are likely to be a part of any final health-care legislation. Late Friday, the House Energy and Commerce Committee approved its health-care bill, though a full House vote won’t come until the fall.
President Barack Obama on Saturday praised the House committee’s action and urged lawmakers to “build upon the historic consensus.”
The compromise proposal agreed to in the House Friday exempted more businesses from the mandate to provide coverage to their employees and offered subsidies to fewer individuals to buy insurance through an exchange, which would shrink the number of potential participants.
Each of the three major bills — one in the House and two in the Senate — would create one or more exchanges. The specifics vary, but most of the proposals would impose more regulations than the failed California program, which analysts say would help the exchanges compete.
Despite California’s struggles, insurance exchanges are still the most effective way to expand coverage, said Elliot Wicks, a health-care consultant who wrote a report on the California program. The report, released last month, was commissioned by the California HealthCare Foundation, a private independent nonprofit.
Veterans of the California effort said the ultimate effectiveness of any exchange would rest on details that have yet to be worked out. They said the pool of people in an exchange should be as broad as possible, to spread both risk and administrative costs.
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A common thread is emerging in the right wing response to healthcare reform. Its opponents aren’t claiming that public healthcare will be bad. Rather, they are terrified that the new system will be so good that no citizen would buy expensive private insurance–or vote for politicians who wanted to take public insurance away.
The Obama team is sending clear signals that healthcare reform is a core economic issue, and the health insurance industry is becoming increasingly anxious by the future administration’s determination to bring healthcare costs under control. Some Americans are seeing their healthcare premiums rising at four times the rate of inflation, if they have insurance at all. Healthcare reform is a pocketbook issue for all of us, according to the Obama team.
In tough economic times it might be tempting to postpone healthcare reforms, but Obama is adamant that delay would be a false economy.
In the American Prospect, Joanne Kenen and Sarah Axeen support claims about the high cost of doing nothing:
A recent report by the New America Foundation’s health-policy program estimates that the cost of doing nothing about health care, including poor health and shorter lifespan of the uninsured, is well above $200 billion a year and rising. That’s enough to cover the uninsured and still have some left over for other public-health needs.
If healthcare costs continue to rise at their current rates, it will cost $24,000/yr to insure a family of four by 2016, an 84% increase from today. At these rates, half of American households would have to spend at least 45% percent of their income to be insured.
In the Nation, Willa Thompson describes how a bicycle crash made her appreciate the connection between healthcare and politics. Thompson was 21 years old when she suffered major injuries after a collision with a truck. Luckily, she was covered by her parents’ medical insurance until she turned 22. She later realized that if she had been just a few months older when the accident happened, she wouldn’t have been able to pay for her medical care.
We all agree that something needs to be done. Let’s briefly review the options that have been proposed so far. Obama wants to provide healthcare for all by requiring private insurance companies to cover everyone and creating a public health insurance plan to compete with private insurers. The second part of his plan is the public option that Republican opponents are so scared of.
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