Before I start to rant about my dental insurance, I want to make two things very clear. I know that I am lucky to be able to afford both the paltry insurance that I have and the cost of the dental work that my insurance has denied. It is a tragedy that so many people in this country can’t get adeqate dental care (or health care in general). I am also not mentioning the name of my insurance company. Why? Mostly because I think that they are not alone in their treatment of clients. But also because I am planning on following up with them, and on the off chance that someone reads this, I don’t want it to come back to haunt me. That all being said…
I think I might have the worst dental insurance in the world. The last time I checked, the point of having dental insurance is so that when something goes wrong in your mouth, you can afford to get it fixed. When you take into consideration the recent news that good dental health leads to overall good health, it seems even more important. Which is why I have dental insurance. That is, at least, what I thought.
I recently had enough pain in my tooth that it was keeping me up at night. I have the best dentist ever, but even so, I hate going. So, as you can imagine, it must have been pretty bad for me to head over to have him look at it. A couple of x-rays later, I found that I had both a nerve infection (ouch!) and a cavity under an old filling (double ouch). I left the office a few minutes later, armed with a prescription for antibiotics and an appointment to get the old filling replaced. All good, right? Well, that’s until my insurance company denied the claim. Turns out I have exceeded my allowed oral exams. That’s right. Because I had a check-up in February, they would not cover an emergency appointment in July. Really.
So, this bothers me for a few reasons. First and foremost, why do I pay for insurance that won’t cover me if I have a problem? According to the unhelpful rep that I spoke with today, they only cover one oral exam in any 6 month span. If you’re like me, you get 2 check-ups a year. So anything else won’t be covered. That’s right. I can either get 2 check-ups a year or get 1 a year and have an extra appointment available in case there is a problem (of course, if my once-a-year appointment is in February and my emergency appointment is in July, it won’t matter because of the 6 month rule). Sigh…
I know that insurance is a business. The people who work there want to support their family just like I do. But this is ridiculous. If you are only going to cover 2 exams a year (at $84 an exam), why should I pay you? I am losing money by having insurance. Even with 1 or 2 emergency appointments a year (they did cover 20% of my filling…gee, thanks…), I still come out ahead to pay on my own.
