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  #1  
Old 03-22-2009, 10:25 AM
Junior Member
 
Join Date: Mar 2009
Posts: 2

Dentist office misquoted insurance coverage


The receptionist at my dentist's office misquoted my procedure by about $2,000. I had already signed a form explaining the procedure and how much it was going to cost me out of pocket. One day before my procedure, they called to let me know about the misquote. It was explained that the guy who drew up the figures looked at the wrong percentages for my coverage, and instead of me only having to pay 10%, it was going to be 40%. Is this not like false advertisement, especially since I had already signed something stating the price? Do I have any recourse?What is the name of your state (only U.S. law)?
  #2  
Old 03-22-2009, 01:02 PM
cbg cbg is offline
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Join Date: Nov 2001
Location: Massachusetts
Posts: 23,599
Where on EARTH did you get the idea that your doctor's office was responsible for obtaining information on YOUR insurance

False advertising, my foot. Your doctor's office does not have any responsibility for your insurance. It was YOUR job to call the insurance company. If they did so it was as a courtesy to YOU.

Yes, you have recourse. Your recourse is to pay the bill and next time make your own phone calls to the insurance carrier instead of trying to stiff the doctor because he offered you a courtesy.
  #3  
Old 03-22-2009, 03:06 PM
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Join Date: Mar 2009
Posts: 2
Unhappy

Kinda harsh


I posted my question here in the hopes that I would better understand the situation, not to be scolded like a child. Just to set the record straight, I did what the dentist office said to do. I called the insurance company to set them as my primary dentist office. The office manager said they do not file against my insurance, that Aetna just pays a percentage. And since when I got there, they weren't sure what I needed to have done, calling the insurance company would have done no good. In addition, the dentist does not even submit the bill to the insurance company, so again calling the insurance company would not have helped in this situation. I posted my question on here just to get some idea as to what to do next time. Especially since this was also my first time using dental insurance. And thanks to you, I will never come to this website again. I was expecting a little more tact in my responses. But thanks anyway for "nothing."
  #4  
Old 03-22-2009, 11:49 PM
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Join Date: Feb 2006
Location: Philadelphia, PA
Posts: 17,310
You were advised before you had the procedure done. You were given the opportunity to cancel. Did you? You should have looked for a dentist that participates with your insurance. Remember it is always the patient's responsibility to confirm coverage with his/her insurance company prior to receiving treatment.
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