Noodleface
A Mod Real Quick
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Health Problems
- Thread starter Kuriin
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Guest, it's time once again for the massively important and exciting FoH Asshat Tournament!
Go here and give us your nominations!Who's been the biggest Asshat in the last year? Give us your worst ones!
yamikazo
Trakanon Raider
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Depends on the office. A reputable practice will want to make it right, re-doing the exam and re-doing your lenses at no cost. Policy may state 14 days, 30 days, or something, but what you're experiencing isn't uncommon.
Get ahold of them, explain the situation, and see what they'll do for you. If the office sucks, then yeah, you're SOL. Then again, if you had these issues with your current Rx and didn't discuss it during your exam, you kind of deserve it (or the doctor really sucks for not asking).
Loser Araysar
Chief Russia Reporter. Stock Pals CEO. Head of AI.
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Went to a specialist today that my dentist recommended to get a root canal taken care of on one of my incisors. They tell me its going to be $1100 after insurance.
I couldnt believe it. Went home and took a look at my benefit plan and the prices are nowhere near that. However they seemed to be pretty low in general so can someone with experience in insurance billing (especially dental) tell me what I'm missing or how I'm being fucked over, because its surely one of the 2 if not both
Here's my benefits summary from insurance company site (I have Blue Shield of CA)
Heres the summary for the root canal. Am I correct in reading this that these cocksuckers are allowing me one root canal EVERY 99 YEARS???
My plan is the Dental HMO for Blue SHield of California
I couldnt believe it. Went home and took a look at my benefit plan and the prices are nowhere near that. However they seemed to be pretty low in general so can someone with experience in insurance billing (especially dental) tell me what I'm missing or how I'm being fucked over, because its surely one of the 2 if not both
Here's my benefits summary from insurance company site (I have Blue Shield of CA)
Heres the summary for the root canal. Am I correct in reading this that these cocksuckers are allowing me one root canal EVERY 99 YEARS???
My plan is the Dental HMO for Blue SHield of California
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Noodleface
A Mod Real Quick
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Probably means one PER TOOTH ever
It says your copay there. Is it a high deductible plan? Call the insurance company and just ask.
It says your copay there. Is it a high deductible plan? Call the insurance company and just ask.
Loser Araysar
Chief Russia Reporter. Stock Pals CEO. Head of AI.
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Ive never heard of an insurance plan allowing one procedure per life. Especially one procedure on a part of your body that you have 32 of. Like teeth. It's like a Vision plan that covers only one eye.
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iannis
Musty Nester
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It's got to mean once per tooth.
And I don't see any reason immediately why you would be a grand out of pocket for this.
Something funky is going on with the billing office. If you have time, it will be better to go back and talk to her in person. Over the phone is more convienen t but it will be way easier to dodge you. Bring in the book from your plan with these parts emphasized and play dumb.g
It is entirely possible she entered the wrong coverage plan for you. Dumb mistakes happen.
And I don't see any reason immediately why you would be a grand out of pocket for this.
Something funky is going on with the billing office. If you have time, it will be better to go back and talk to her in person. Over the phone is more convienen t but it will be way easier to dodge you. Bring in the book from your plan with these parts emphasized and play dumb.g
It is entirely possible she entered the wrong coverage plan for you. Dumb mistakes happen.
Loser Araysar
Chief Russia Reporter. Stock Pals CEO. Head of AI.
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that was mny plan. i printed shit out, gonna bring my book and show it to her stupid, chubby, barely-above-minimum-wage paper shuffling ass
aaaaand then she's gotta bust out some shit that I overlooked and make me look stupid hence why im posting here to cover my bases
aaaaand then she's gotta bust out some shit that I overlooked and make me look stupid hence why im posting here to cover my bases
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sleevedraw
Revolver Ocelot
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They may bill additional codes besides D3310 which may lead to the cost being higher. For example, anesthesia may be billed separately. If you read the description of D3310, it excludes final restoration of the tooth, which would also be billed separately. And it could be that one of the codes that he's planning on billing doesn't have a waived deductible.
1) Ask the dentist for a list of procedure codes he's planning on billing for the procedure
2) Give that list to someone from the insurance company, and they should be able to give you a pretty accurate price.
Welcome to what we have to deal with as insurance nurses on a daily basis!
iannis
Musty Nester
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honestly it's a confusing fucking mess.
The entire procedure out there might be like five grand? Root canal here are only about what you're paying, but californiabux.
The percentage just seems weird.
Loser Araysar
Chief Russia Reporter. Stock Pals CEO. Head of AI.
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Yeah that 1100 didnt include the crown, just the root canal, so I already knew the restoration wasnt included
No anesthesia unless novocaine counts - presumably when they bill separately for anesthesia its general anesthesia, not local.
ill check with them to see if theyre billing any other codes but I dont see what they could bill to tack on an additional $1k on to the whole thing, especially since deductible doesnt apply on the root canal.
My plan doesnt even have a deductible.
You may want to check about the Root Canal price itself. In Florida, the price for the root canal was per root, so a molar having 3-4 roots would be more than a front tooth. if your price is $210 per root, versus $210 for the whole tooth, then that's where the discrepancy is coming from.
As far as the 1 per 99 years, I'm assuming it just means 1 Root Canal per tooth; which makes sense in that you shouldn't need a second on the same tooth, unless the dentist is a complete fuck up or something.
As far as the 1 per 99 years, I'm assuming it just means 1 Root Canal per tooth; which makes sense in that you shouldn't need a second on the same tooth, unless the dentist is a complete fuck up or something.
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Loser Araysar
Chief Russia Reporter. Stock Pals CEO. Head of AI.
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Oh youve gotta be fucking kidding me. Theyre charging by the root now?
The reason they sent me to the specialist is because my roots are extremely long (something like 40+ mm), maybe theyre charging me by the fucking length
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Yeah, that's something you need to check on to see how its listed in their prices.
As far as the specialist, when I had to have my two root canals done, I did have to go to an Endontist(sp?) since my dentist office didn't do the procedure themselves. Which was ok cause the guy was very good and professional about it. Numbed the whole area up and drilled/filled in just 30 mins, didn't even feel anything while he was working.
But yeah, the price for the root canals and crowns is shocking once you add it all up. My insurance at least covers new crowns every 7-10 years, to replace the old ones if they are worn down.
As far as the specialist, when I had to have my two root canals done, I did have to go to an Endontist(sp?) since my dentist office didn't do the procedure themselves. Which was ok cause the guy was very good and professional about it. Numbed the whole area up and drilled/filled in just 30 mins, didn't even feel anything while he was working.
But yeah, the price for the root canals and crowns is shocking once you add it all up. My insurance at least covers new crowns every 7-10 years, to replace the old ones if they are worn down.
Woefully Inept
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Well got another desmoid in my mesentary this time. Still very small and causing no issues but will be starting up chemo again after the new year. Going to be on just Navelbine this time around. Well time to stock up on some pot!
pharmakos
soʞɐɯɹɐɥd
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I just had my second dose of this new cycle of chemo yesterday. Looking at at least six doses, one every two weeks. So I'll be right there with ya brother.
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Loser Araysar
Chief Russia Reporter. Stock Pals CEO. Head of AI.
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but you're also completely disarmed and at total mercy of globalist cucks. was a cheap root canal really worth it?
And that most people in the world forget you people even exist until something reminds them.
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