I took my two daughters for a “Free Consultation” to an Orthodontist. They said the doctor may need to take x-rays, Panoramics. These are not included in free consultation.
I checked with my insurance company before I go to make sure I know what I can get done. I thought I had everything covered.
We go to the Free Consultation visit, get the Panoramics, dentist checks their teeth. He tells me both my daughters need spacers and night guards. The ortho office said I have to wait for insurance. Not sure why they couldn’t tell a price. They dance around saying we have to wait for insurance.
A month later I get information from insurance pretty much confirming what I knew. My daughters each gets covered for $3k a lifetime dental treatment. It also provides the Phase 1 treatment [spacers and guards] costs; almost the entire $3k per child.
The orthodontist office refuse to tell me an approx for Phase 2.
I am not sure I want to move forward without knowing the total cost. They can’t even give an Approx cost...say $2k to $5k would help. Without this info I decide not to proceed with them.
Four months later I get a bill for $165 per child from Dentist office. I was surprised as this was Free Consultation with insurance for anything extra panoramics, x-rays, etc.
I call the office and go back and forth with them over whether an x-Ray was taken. I believe it set the tone for them treating me like garbage.
I later realized; it didn’t matter whether an x-ray or a panoramic were done that day, they were both covered under my plan. What the dentist office charged me for is a “pre-orthodontic treatment” which is not. If I was moving forward the cost would have been lumped in with the spacers/night brace. I wasn’t moving forward so how can they charge me for pre-orthodontic when all I was told was I would have to cover the cost of those other items.
I get on a 3 way call with insurance, me and the ortho office manager to figure out coding on the bill. The lady at the office wanted no part of it. She felt attacked, went on a rampage about how awful I was. We hung up.
The insurance rep said she’s never seen such rude behavior. The insurance rep's supervisor is waiting for my approval to file a complaint against the office manager for rude behavior.
The ridiculous part is the x-rays and Panoramics are covered by my plan. I signed a contract saying I would be responsible for fees not paid for by my insurance. Thinking that I had done my homework and made sure it was covered.
The insurance says they just have to change the code, but they refuse. What can I do? I can’t hire a lawyer for a $330 bill.