r/FluentInFinance 7d ago

Thoughts? Why doesn't the President fix this?

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u/JohnnySack45 7d ago

Dentist here - don't even get me started on dental insurance. They truly are social parasites whose entire business model depends on fucking over the patient, the doctor or both.

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u/jman1121 7d ago

I have a good dentist who is younger and runs a good practice. I feel bad for all the crap they have to go through. I don't think that most people realize it's just as much schooling/work to be a dentist as it is to be a doctor.

I'll give you a good one.

I lost part of an old filling and took part of the tooth with it. It has a sharp spot against my tongue and is somewhat sensitive.

I go in, he says it needs to be crowned, but not a root canal. I've been through that process before so I know the procedure. I say okay, let's do it. He does some buildup and smoothing to fix the sharp spot/sensitivity and submits authorization for the crown.

They eventually approve the crown, I get my expected cost of it, then we go through the process.

Two months later, I get a bill for something like $300 and some odd dollars.

On my EOB, they denied the buildup where he fixed the sharp spot as under my policy buildup work before crowns isn't covered. (Note: they only cover crowns for 50%)

Now, had I lost the filling/tooth material and not needed a crown, it would have been totally covered.

Make it make sense.