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Garold
July 22, 2009
Coverage refusal
I pay my premiums on time, and I comply with the requirements of my plan. I had dental scaling on both sides of my mouth, which AARP Delta Dental pre-certified as covered. I complied with their plan requirements as stated in my manual. After I had the scaling, AARP Delta Dental reversed itself and is now refusing to cover $100 toward the scaling. On June 1 2009 I filed a complaint with the Pennsylvania Insurance Department against AARP Delta Dental about this refusal. When I spoke to the Insurance Department agent handling the case on July 7, 2009, she said that AARP Delta Dental had requested, and been granted, an "extension" on the deadline for responding, saying they needed the extra time to gather their information to present to the Insurance Department. I am entitled to have this procedure covered. Through my dental provider's office, I have been told that AARP Delta Dental is claiming that I had scaling twice on the left side of my mouth, according to their records, and that's how they're justifying their refusal to pay. My provider, U of Penn Dental Clinic, says that they have provided AARP Delta Dental with accurate information, reporting that I had the scaling on both sides of my mouth, and that AARP Delta Dental pre-certified the treatment.
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kathygee
March 19, 2009
Excessive Costs
I spoke to an Delta Dental rep about dental coverage for my 81 yrs. old mother. I was told the best price was thru AARP. I enrolled her in the AARP Delta Dental program and as of January 2009 she has coverage. Imagine my surprise when I was on line, looking for dental coverage for another family member, that regular dental coverage thru Delta Dental is $123.00/yr. with better coverage than what I bought for my mother for $588.00/yr. thru AARP Delta Dental. When I called Delta Dental, they said they had nothing to do woth AARP Delta Dental and that we could cancel her AARP Delta Dental coverage but there would be no refund or pro-rating because there was a clause stating no refunds after 30 days.
After her year is up, we will be seeking coverage elsewhere since apparently AARP and Delta Dental have rep's working for them that are liars, don't know their job, and sell their higher priced services by telling us that's t he best and onlky coverage one can get.
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