Friday, May 21, 2010

Does anyone know if this is right about elimination periods with dental insurance?

because I thought an elimination period was when you could get dental work done before the elimination period was over and they would cover the procedure you had done once you elapsed the elimination period even though the procedure was done before the elimination period expired...


as long as you maintained the same insurance

Does anyone know if this is right about elimination periods with dental insurance?
In over 17years of selling Health Insurance, I have sold less than 1% of Dental Insurance- why? because most plans have fee schedule or wait periods that I think are ridiculous. Most agents don't realize this, so how can the public.





Here is my advice, prior to going in for any procedure- 'GET PRE-AUTHORIZATION".. in writing is best!!!
Reply:If the plan states that an item is covered once every 6 months, and you get work done before the six months have passed since the last service, then the plan will not cover that work.





In order for the plan to maintain its tax exempt status, it must adhere to certain rules and it must apply those rules consistently to all members of the plan, or it risks disqualification.
Reply:Elimination period has nothing to do with when they pay it has to do with when the service is performed.


No comments:

Post a Comment

Note: Only a member of this blog may post a comment.

 
vc .net