We understand the disappointment when insurance doesn't cover a treatment you expected. If you find yourself in this situation, there are several steps you can take to address the issue.
First, contact our Augusta dental office at (706) 738-8070. Our experienced team can review your insurance policy details and help determine why the claim was denied. Common reasons include waiting periods, frequency limitations, annual maximums, or the procedure being classified as cosmetic rather than medically necessary.
Consider requesting a written explanation of benefits (EOB) from your insurance company if you haven't received one. This document explains their decision and outlines your appeal rights. Most insurance companies have an appeals process that allows you to contest their determination.
We're Here to Support You
Our staff can help prepare documentation to support your appeal, including clinical notes, x-rays, or a letter of medical necessity from your dentist explaining why the recommended treatment is appropriate for your specific condition.
If your appeal is unsuccessful, ask our office about alternative payment options. We offer flexible payment plans with CareCredit and will work with you to accommodate your budget for dental care.
Remember that insurance policies vary significantly in their coverage details. We're committed to helping our patients navigate these challenges and access the dental care they need. Don't hesitate to reach out to us at (706) 738-8070 with any insurance questions or concerns.