Exclusion for dentists?
Some friends and I were talking the other day. Apparently, one friend had gone to the dentist and had had some dental work done. She has insurance with a $10 copay. She had assumed that she would only be resposible for the $10 since the procedure was covered by insurance. She received an additional bill from the dentist saying that she owed an additional $62 above what her insurance company paid for the procedure. Normally, if you visit a doctor the additional amount would be written off. She called the dentist and the insurer and was told that, unlike doctors, dentists do not have to write off the amount over which the insurance company has agreed to pay.
My friend paid the difference, but won't be going back. There were several others in the room who won't be going there or taking the kids either. This dentist is new in town and I would assume this practice isn't going to help retain patients. Has anyone else heard of this type of practice being legal?