What is the name of your state?What is the name of your state? South Carolina
I was diagnosed with Sjogren's disease secondary to Lupus in 1986. Sjogren's causes severe dryness in the mouth, which then causes tooth decay. My teeth have been filled until they can be filled no more. Since 1988 I have had 13 teeth crowned due to this severe decay and have more pending. I wrote a letter to Blue Cross/Blue Shield of SC asking that these crowns be paid for under my health insurance and was denied. My primary care physician and dentist also wrote letters attesting to my condition.
I can appeal their decision. Where would I find if any precedence exists in this matter? I am sure other folks have the same situation and know there must be a way to prove to BCBS the error of their ways. I just need someone to point me in the right direction.
Thanks for your help.
I was diagnosed with Sjogren's disease secondary to Lupus in 1986. Sjogren's causes severe dryness in the mouth, which then causes tooth decay. My teeth have been filled until they can be filled no more. Since 1988 I have had 13 teeth crowned due to this severe decay and have more pending. I wrote a letter to Blue Cross/Blue Shield of SC asking that these crowns be paid for under my health insurance and was denied. My primary care physician and dentist also wrote letters attesting to my condition.
I can appeal their decision. Where would I find if any precedence exists in this matter? I am sure other folks have the same situation and know there must be a way to prove to BCBS the error of their ways. I just need someone to point me in the right direction.
Thanks for your help.