For kids who need general anesthesia for dental work

[Anonymous]

My DC had an invasive dental procedure done under general in the OR due to medical condition. Our health insurance covered the facility/OR fees but has denied the anesthesiologist charges because they are for a dental claim. I'm hoping this is just a coding error but it's our first time having to do this. Wouldn't this be a medical expense not dental? It was a regular hospital anesthesiologist.

Anyone have any experience with this?

[Anonymous]

I have United. My portion of the medical bill was just my deductible for the hospital. They covered the anesthesiologist. We had the work done at Shady Grove.

[Anonymous]

Appeal. If necessary, get a letter from the anesthesiologist and dentist explaning the need for a general.

Appeal, appeal, appeal.

[Anonymous]

DC had his 7 years ago and we just had the deductible to pay too. Our dentist office was really good about getting precertification for everything.

[Anonymous]

Doing this now and apparently BCBS Fed has been denying all claims unless they arise from an injury lately. $8000 to walk in the hospital door. Freaking out.

[Anonymous]

Anonymous wrote:Doing this now and apparently BCBS Fed has been denying all claims unless they arise from an injury lately. $8000 to walk in the hospital door. Freaking out.

oh, wow! Thank you for sharing this info because we are heading this way for DS it seems. Do you have basic or standard?