Quote:
Originally Posted by Ace
It's only the $42 portion that gets rejected. It seems like a pretty expensive cost, especially when its foam stuff they just put in two trays and leave you there for 2 minutes. My assumption is the whole bottle of foam probably costs about the same and would be good for lots of applications (maybe pointless if the stuff expires though)
With that said, i think our dentist is likely on the high end of charging. Like i said, it use to be a bit of an eye raiser at $20, but $42, seems pretty high. Just to put it in perspective, my family is paying about $500/yr for fluoride (12 applications) - the insurance pays the kids portion so obviously not my actual cost; but if we were paying for everyone out of pocket a pretty substantial number, when perhaps one $40 bottle might cover those same applications.
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Have you tried negotiating with the dentist? Some dentists have an individual out of pocket rate and a rate when charging to benefits. If the dentist doesn't budge, nothing changes, DIY fluoride. But if the dentist is willing to drop the price to something reasonable to you, then it's worth considering.
I mean, I'm not going to go into ethics or anything, but I'm going to assume that some dentists would say, "I'll chuck it in for free!" then bump something else up by the same amount and benefits rubber stamps the claim. They're not supposed to do things that way, but I know that there's plenty of dentists that push the envelope in terms of what they can charge to benefits for work done without getting the individual in trouble.