Facebook Pixel

What can you do when insurance companies refuse to pay for treatments procedures you think should be paid?

By Expert HERWriter July 3, 2014 - 10:27am
Rate This

I am so tired of paying for insurance only to learn something is not covered. Today it was a bone graph for my daughter Amanda. Humana basically said... too bad Amanda. You can go without a front tooth. A lot of people do. We don't pay for cosmetic procedures. Really??? You can't be serious??? 6,800. later and she can't afford it. How do you insure you have the right coverage so things like this don't happen? As a women's health advocate and mother , I am absolutely furious with the lack of not only caring about the patient but what "they" consider to be cosmetic or not. THIS IS NOT FAIR!! Why have insurance if they are just going to pay for teeth cleaning. That's pretty much what it covers. Furious..MKR

Add a Comment1 Comments

HERWriter Guide

Hi Michelle

It's really frustrating dealing with an insurance company. Such a David and Goliath situation. I can't believe needing a front tooth is considered "cosmetic"!  This surely is a medical condition. 

Have you talked to your the dentist about writing a letter stating that this is a medical need, not a cosmetic need? This often works - if there is damage to the gums or anything that could lead to an infection or permanent damage, the insurance company can sometimes reverse their decision, but it's all based on the information given by the dentist. 

Has the dentist sent any addition information on your daughter's behalf? 



July 4, 2014 - 7:47am
Enter the characters shown in the image.
By submitting this form, you agree to EmpowHER's terms of service and privacy policy
Add a Comment

All user-generated information on this site is the opinion of its author only and is not a substitute for medical advice or treatment for any medical conditions. Members and guests are responsible for their own posts and the potential consequences of those posts detailed in our Terms of Service.

Dental & Oral Health

Get Email Updates

Dental & Oral Health Guide

Have a question? We're here to help. Ask the Community.


Health Newsletter

Receive the latest and greatest in women's health and wellness from EmpowHER - for free!