Why Would Dental Insurance Deny a Claim for Cosmetic Dental Work?

"Why would dental insurance deny a claim for my missing tooth?" You may ask. The reason why would dental insurance deny this claim is because of two main reasons: The patient does not have an insurance policy. The patient does not have the money to pay for the full treatment in the hospital or at the very least, the hospital will not accept their insurance claims. The dentist says it is an accident or that the tooth cannot be saved. The patient files a claim and then, in frustration, why would dental insurance deny a further claim?

If you are in pain and you have an existing dental condition or plan that is causing your pain to worsen, you are probably suffering from a loss of bone around your hip area. In this case, your dental insurance company will most likely deny any claim filed against the loss of bone. This happens because the dental insurance company will require proof of loss of bone and then will want you to undergo expensive surgery that will supposedly correct the problem. While many patients are willing to suffer through painful dental procedures, your insurance company has all the right to reject your claim.

Did you know that most Americans are not aware that they are entitled to dental insurance? In addition, even those who are aware of the fact that they are entitled to dental insurance coverage may find that they are not covered for certain types of dental work. The Affordable Dental Care Act, better known as the COBRA act, was passed in 1997 by congress and revised in 2002. The aim of the COBRA act was to keep people from being denied necessary care because of their financial situation. As of now, it offers reimbursement for services received regardless of your current or past financial state.

If you work for a dental insurance company and you have an injury or a pre-existing condition, you are required by law to notify your dental insurance company. Failure to do so will result in fines or in some cases suspension of your dental insurance. If you are denied a claim, the first thing you should do is call your dental insurance company and discuss the matter with a supervisor. Often these types of things are resolved amicably, but it never hurts to ask. You may discover that your dental insurance company is not covered for a particular procedure.

Some dental providers will allow patients to file a personal injury claim against their provider if they have been injured due to the negligence of their provider. This can often be resolved without filing a claim with your dental provider. If this does not resolve your issue, you may be able to file a class action suit against your provider. Class action lawsuits are usually more successful and cover a wider variety of issues than do personal injury claims. This can be particularly useful if you have been badly injured in an accident.

Why would dental insurance deny claim for cosmetic dental work? There are a few reasons. For instance, the dental provider may consider the price of the procedure is "modest" compared to their other offers on the market. This means that they may outsource the work, which means less money in their pocket. They may feel it is not a high enough risk to outsource the work and therefore decline the request.