It depends on what the agreement was between the patient and the dentist prior to the procedure.
When you first came to the office, you filled out and signed a lot of paperwork. If you signed an agreement that you would be financially responsible for any fees not paid by the insurance, then you are on the hook for the balance.
"I thought someone else (the insurance company) was going to pay for my dental work," will not stand up in court, and you run the risk of hurting your credit if the dentist obtains a judgment against you.
The only time the dentist is required to refund the insurance company, is after the specific company has already made payment to the dental office and inadvertently was an overpayment for services renderred. In the event that the dentist is a participating provider with the insurance company and has other patients with the same plan, the insurance company reserves the right to deduct the overpayment from any future payments owed to the dental office whether it is for the same patient or not.
It depends on what state you are from. Go to www.deltadental.com, choose your state, and on the main home page it will have a link to choose a provider in your area. If you already have an General Dentist, simply call the office and ask! :)
Dental insurance plans are very important in maintaining the cost of a dental procedure. In fact, studies have shown that a consumer with dental insurance will go to see a dentist more frequently for preventative measures.
If the dentist is part of the insurance company's network, he or she is contracted NOT to balance bill the patient for the discount negotiated as part of the contract. The dentist can charge for the difference between the discounted rate and what the insurer pays. For example, if the usual charge for the procedure is $100 but the discounted amount is $60 and the insurer pays half; then the dentist can charge you $30. But the dentist should NOT be charging you the $30 PLUS the $40 discounted amount. If this happens you should contact your insurance company as the dentist may be in violation of his or her contract.
No, not unless you take the dentist. You can go to a new dentist in the other country. I would cancel the procedure and get a new dentist in Australia. You may be covered there by the government health insurance. I think they may model after the English health systems. If that is true it could be cheaper or nothing.
no...
Sure he can if his practice does not take that particular insurance.
Your insurance provider should provide a list of dentist. Otherwise you can call and ask your dentist office.
See your dentist ASAP.
Companies that offer insurance that covers dentist visits include Delta Dental, United Concordia Insurance, Cigna Dental Insurance, Ameritas Group and MetLife.
Some Mexican dentists do accept Delta dental insurance from America. To find out if the dentist would be covered, you would need to contact Delta, and then contact the dentist to make sure that they would accept the insurance.
AnswerIf you have a co-pay and the dentist does not accept it (only accepts payment from insurance as full) then the dentist is committing insurance fruad. This can lead to revokation of license, fines and prison.