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Medical Forum / General / Dentistry / September 2005

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Tooth Cleaning =?windows-1251?b?lg==?= Finish the Job or Time Limited?

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Tony Sivori - 18 Sep 2005 03:14 GMT
After more than a decade with no health insurance, now I have coverage
including Delta Dental.

The last tooth cleanings I had (long ago), I felt I was shortchanged. Both
times, the hygienist cut it short. Once, because she could see she was
hurting me. The discomfort was minor, and I did not want her to stop.
Another time, I was outright told it "was taking too long". In other
words, since it had been a long time since the last one the cleaning was
taking longer than the hygienist felt it should.

Both times, I let it pass without making a fuss.

These days, I'm more likely to stand up for myself. On the other hand, I
intend to be reasonable. I want what I (or rather my insurance) is paying
for. Nothing more, and nothing less.

When I get an appointment (it will be with a dentist who I have seen but
has never cleaned my teeth) for a cleaning, and if I inform them at the
time I make that appointment that it has been a long time since my last
one, am I entitled to a thorough and complete cleaning no matter how long
it takes?

Or is it accepted, not just by dentists and hygienists but also Delta
Dental, to limit the time, even if the job remains uncompleted?

My insurance pays for one cleaning per year, so I assume that coming back
for another visit would not be covered. Or will Delta Dental pay for a
cleaning that is spread over more than one visit?

Signature

Tony Sivori

Bill - 18 Sep 2005 04:04 GMT
> After more than a decade with no health insurance, now I have coverage
> including Delta Dental.
[quoted text clipped - 27 lines]
> --
> Tony Sivori

I have been a member of Delta Dental (California) for over thirty years
and I have never seen a true Delta program that limits cleanings to
once per year.

I have seen state welfare programs (which were administered by Delta)
that were limited to once a year, but never regular Delta programs.

Which Delta program do you have, and from which state's Delta? You
might want to check with them to see if there was a mistake about the
number of cleanings per year.

I attended a Delta seminar earlier this year, and was told by the
California Deltal representative that cleanings could indeed be spread
over two visits, and the dentist was entitled to charge for each visit.

Check with your own Delta organization.

- dentaldoc
Tony Sivori - 18 Sep 2005 17:45 GMT
>> The last tooth cleanings I had (long ago), I felt I was shortchanged.
>> Both times, the hygienist cut it short.
[...]
>> Or is it accepted, not just by dentists and hygienists but also Delta
>> Dental, to limit the time, even if the job remains uncompleted?
[quoted text clipped - 11 lines]
>
> Which Delta program do you have, and from which state's Delta?

I have three coverage options. "Preferred Provider" which pays 100% for
"Diagnostic / Preventive Services"; "Premier Provider" which pays 80% for
"Diagnostic / Preventive Services"; and "Non-Delta Dental Provider*" which
pays 80% for "Diagnostic / Preventive Services ...  *Provider may balance
bill."

I can't find the paper I have that says how often they will pay for x-rays
and cleanings. But I am sure it was once a year for cleanings and an even
longer period for full mouth x-rays.

I'm located in Louisville Kentucky.

> You might want to check with them to see if there was a mistake about
> the number of cleanings per year.

I emailed them with another question about my coverage and they ignored
me. I got on the phone, and was put off by the fact that you have to put
in your social security number before you can speak to any one. I don't
like that.

> I attended a Delta seminar earlier this year, and was told by the
> California Deltal representative that cleanings could indeed be spread
> over two visits, and the dentist was entitled to charge for each visit.

Thank you for that. I'm required to work a lot of overtime, including
weekends, and I'm penalized for missing work even with a doctor's
statement. So even though multiple visits for a cleaning would be
very inconvenient, hopefully it will apply to my state and plan.

Signature

Tony Sivori

Joel M. Eichen - 19 Sep 2005 13:48 GMT
>After more than a decade with no health insurance, now I have coverage
>including Delta Dental.
>
>The last tooth cleanings I had (long ago), I felt I was shortchanged.

I agree. Tooth cleaning ~ ~ no good.

I believe more in tEEth cleaning ~ ~ better.

>Both
>times, the hygienist cut it short. Once, because she could see she was
[quoted text clipped - 21 lines]
>for another visit would not be covered. Or will Delta Dental pay for a
>cleaning that is spread over more than one visit?
Tony Sivori - 19 Sep 2005 21:55 GMT
>>The last tooth cleanings I had (long ago), I felt I was shortchanged.
>
> I agree. Tooth cleaning ~ ~ no good.
>
> I believe more in tEEth cleaning ~ ~ better.

But I have only one tooth left.   :-)

Signature

Tony Sivori

W_B - 19 Sep 2005 22:43 GMT
>>>The last tooth cleanings I had (long ago), I felt I was shortchanged.
>>
[quoted text clipped - 3 lines]
>
>But I have only one tooth left.   :-)

You must be from Ar-kansas.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Tony Sivori - 20 Sep 2005 02:12 GMT
>>> I believe more in tEEth cleaning ~ ~ better.
>>
>>But I have only one tooth left.   :-)
>
> You must be from Ar-kansas.

Close. I live in Kengummy. I mean Kentucky.

Signature

Tony Sivori

W_B - 20 Sep 2005 02:43 GMT
>>>> I believe more in tEEth cleaning ~ ~ better.
>>>
[quoted text clipped - 3 lines]
>
>Close. I live in Kengummy. I mean Kentucky.

At least it ain't Ten I See...

--
W_B

wubbabubbazG@RBAGEyahoo.com
Take out the G'RBAGE
 
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