Can they get private dental insurance and not lose those benefits?
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Married lady I would have loved to answer your question, but I do not have enough information, therefore I will speak in general terms. I need to know what state you live in, and what treatment you will require, and your age. over or under 21? I will speak generally. Medicare part-B has a blanket exclusion for dental services, unless they are being done as a result of an existing condition, or accident. i.e., if you needed jaw reconstruction after an accident, or reconstruction after cancer in the mouth. Most states offer dental coverage for all medicaid recipients. You would have to find a dentist who accepts Medicaid, and get an estimate for the services. Another option you may consider is the local county hospital often they have indigent healthcare programs which will pay the residual costs after Medicare and Medicaid. Another source is a dental school most dental schools have clinic days where they offer assistance to the public. You also have to option of purchasing private dental insurance or buying a Medicare Supplemental policy that offers dental care. If you buy a Dental policy, it will not affect your medicare benefits. However, it will affect your medicaid dental benefits, as both companies would work together and coordinate care and payment for your services. Good luck.
Source
Thursday, January 6, 2011
How is a patient who has secondary insurance billed?
I need to know how to bill a patient who has both primary and secondary dental insurance. Is the patient's co-pay limited to the primary carrier's contracted amount or, because of the secondary, would they owe the full doctor's fee? If the secondary carrier's payment doesn't fully cover the patient's co-pay portion, what amount is the patient then responsible for? If the provider is bound to the primary carrier's contracted fee, regardless of what the secondary allows, does any remaining charge exceeding that contratced amount get written off? If the patient has deductibles on both plans, do they owe both deductibles? If I have left out any relevant questions, any and all pertinent information would be most helpful. Thank you.
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As "Zippy" suggests, you can bill the patient after you receive the primary's response to the claim. However -- you can ONLY do this if you don't participate with the secondary. If you're also a par provider for the secondary, you cannot bill the patient instead of billing the secondary. That would be a blatent violation of your contract with the secondary. Assuming you participate with both, your best tactic is to send the bill along with the primary's EOP to the secondary. Let the secondary tell you what the patient is responsible for. Some secondary contracts cover the primary's co-pay and others don't. You won't know what the patient is truely liable for until the secondary processes the claim. Your office's agreement to accept the primary's fee as payment in full doesn't prevent you from attempting to collect payment for the patient's co-payment from the secondary. However, if there is no co-pay remaining after the primary has paid, AND you're contractually bound to accept the amount the primary has paid as payment in full, there's nothing to bill the secondary, is there?
Source
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As "Zippy" suggests, you can bill the patient after you receive the primary's response to the claim. However -- you can ONLY do this if you don't participate with the secondary. If you're also a par provider for the secondary, you cannot bill the patient instead of billing the secondary. That would be a blatent violation of your contract with the secondary. Assuming you participate with both, your best tactic is to send the bill along with the primary's EOP to the secondary. Let the secondary tell you what the patient is responsible for. Some secondary contracts cover the primary's co-pay and others don't. You won't know what the patient is truely liable for until the secondary processes the claim. Your office's agreement to accept the primary's fee as payment in full doesn't prevent you from attempting to collect payment for the patient's co-payment from the secondary. However, if there is no co-pay remaining after the primary has paid, AND you're contractually bound to accept the amount the primary has paid as payment in full, there's nothing to bill the secondary, is there?
Source
Where in Austin,TX can I get affordable dental work done?
I have a cracked filling and a few possible cavities. I was wondering, A: Is there a dental school or some place like that that does cheap work? And B: If anyone knows a good place to get low-income dental insurance, that would be very helpful. Thanks, all.
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Go to ehealth.com to see about dental insurance. Lost cost also means discounted dental treatments, not really insurance. If you have a college near you that specializes in dental programs, call and make an appt. Other wise, just call around.
Source
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Go to ehealth.com to see about dental insurance. Lost cost also means discounted dental treatments, not really insurance. If you have a college near you that specializes in dental programs, call and make an appt. Other wise, just call around.
Source
In Texas, do you have to prove to your employer you have other insurance if declining?
I have insurance through my husband's company. My employer says we need to fill out the enrollment form and check "reject" if we are not wanting their insurance. This form also says if you are rejecting, it wants the name, addresses and policy numbers of my health and dental insurance from my husband's company. This seems like invasion of privacy to me. Is this legal?
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Are you sure you're not misreading the form? Generally, the form would ask for the policy information of other coverage if you are *accepting* your employers coverage. Also, just some advice. Double check that rejecting won't cause problems with your husbands coverage - many health insurance policies require that a spouse or dependant child accept coverage if available through their own employment. You "might" find, if you read the small print, that if you reject coverage through your work, your husbands insurer may drop you. Richard
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Are you sure you're not misreading the form? Generally, the form would ask for the policy information of other coverage if you are *accepting* your employers coverage. Also, just some advice. Double check that rejecting won't cause problems with your husbands coverage - many health insurance policies require that a spouse or dependant child accept coverage if available through their own employment. You "might" find, if you read the small print, that if you reject coverage through your work, your husbands insurer may drop you. Richard
Source
Wednesday, January 5, 2011
How much does a typical dental check up/cleaning cost?
I'm trying to figure out if the dental insurance my company offers is worth it. So I need to know how much a typical check up/cleaning costs, does anyone know what an average price would be?
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A cleaning is usually about $65. If the Dentist comes in when your done just to look in your mouth for 2 seconds it SKY ROCKETS. So you can always request not to have him/her look into your mouth. X-rays are obviously going to boost the price of your cleaning visit up.
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A cleaning is usually about $65. If the Dentist comes in when your done just to look in your mouth for 2 seconds it SKY ROCKETS. So you can always request not to have him/her look into your mouth. X-rays are obviously going to boost the price of your cleaning visit up.
Source
Dental Insurance/Cobra?
Right now I have pretty good dental insurance through Cobra. It will expire in December of 09. I plan on cancelling it before that because I have a new employer. I can't enroll for that dental insurance until September....and it is not as good as the insurance I have through Cobra. I'm trying to figure out when to cancel Cobra. I would like to have my 6 month check up with the Cobra insurance in August. If I cancel Cobra the day after my check up will it still cover it? I pay it at the beginning of the month and I'm thinking you are covered that entire month....but I'm not sure and I didn't know if I should wait for the claim to go through? I'm worried if I wait too long that I will be paying for 2 different dental insurances in September. Thanks in advance for the help!!
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healthplans.my-age.net - here is my health insurance plan. As I remember they can provide such a service.
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healthplans.my-age.net - here is my health insurance plan. As I remember they can provide such a service.
Source
No Dental Insurance?? Need Help!!!?
I am 22 years old and I need some dental work done. I don't have any insurance. I am looking for a good dental plan that will cover getting cavities filled (and hopefully some savings on braces). I am sort of on a budget. I was thinking about getting BlueCross BlueShield, but they have so many plans, I don't know which one to get and I'm not familiar with premiums and stuff like that. Can you help me?
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http://healthsavings.ourperfectcard.com I signed up online over 5 years ago now and they have saved me thousands of dollars. From Braces to fillings, xrays, exams...etc. All Services are included in this very affordable plan. I paid only $2000 for my braces which normally run around $5000. They even had my very affordable plan active in 2 hours and was able to use it the very same day. Good luck and check them out.
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http://healthsavings.ourperfectcard.com I signed up online over 5 years ago now and they have saved me thousands of dollars. From Braces to fillings, xrays, exams...etc. All Services are included in this very affordable plan. I paid only $2000 for my braces which normally run around $5000. They even had my very affordable plan active in 2 hours and was able to use it the very same day. Good luck and check them out.
Source
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