Dental Insurance - RANT

Maybe the WWE would have been a better career if you’re 6'5" 270lb.

Just kidding. ☺️

Very nice of you to do pro bono work and help kids. (y)
I can even put up +300lbs for reps benching and +400lbs for reps squatting too!

However, I'm pretty good pediatric dentist and I much prefer the niceties of an AC office or OR to rolling around with sweaty men. ;)
 
Recently got a root canal. Dentist is "insurance friendly" meaning that file the insurance claim, but expect full payment from the patient at time of service. This makes the dentist "our of network".

Insurance pays 50% for this kind of dental work to a max of $1000 per year.

If your dentist is out of network then they pay 50% of the negotiated fee an in network dentist would accept.

My dentist charged $2000 for the root canal. They had a range of $1600 to $2000 and my root canal ended up being a little more complex and costly.

So the dental insurance company has a negotiated rate for a root canal of $484. They cover 50% or $242.

With a rare of $484 for a root canal it's no wonder they have few in network dentists.
I guess I got lucky. I had to get a last minute root canal and the insurance company made me pay $575 and covered the rest of the $1300 or so.
 
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