Dental Insurance

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Category: Lifestyle

Contact Information
Newport News, Virginia, United States

Phone number: 757-838-9191

Dental Insurance Reviews

Catalunga January 7, 2011

Policy Issues

My son went to the dentist for a regular cleaning and was told that he had some cavaties, so we scheduled him to come back few weeks later to have the work done, the work cost over the $1000 yearly limit, so we ended up paying out of pocket. We scheduled him back in 6 months later to have his regular cleaning done, and several weeks later we received a bill for the cleaning. I checked the policy under the coverages, it stated that all "preventative work was covered 100%". I called Metlife, got through to a call center, the guy was polite however he said the reason why we got the bill was because our son exhaused his yearly limit of $1000. I told him that this was NOT stated anywhere in the booklet under the terms and conditions "small print' I asked him to tell me what page it states that all preventative work is only covered 100% subject to the yearly limit? He could not tell me, i told him this is because NO where in this book it tells you. He admitted it was very unclear this booklet. I asked for a fax # or tel # so i could sent a writen complain, he said they have to have me speak to supervisor first then if still not resolved then i can write in. I was on hold for several minutes, for the guy to come back and say all the supervisors were on calls and would return my call back within 24-48 hours, now its 51 hours later and still NO call back. Now i have a cleaning bill for $145, which i think is unfair, because their manual was unclear in stating this information to us, how are we supose to rely on good information if this information isnt accurate! I am now going to find an address to Metlife's corporate office to file a complaint.

Martha Boykins April 27, 2009

Processing Claims

I had dental work done on February 18, 2009. The claims were mailed. Today is April 27, 2009 and I still have not been reimbursted. It's as if this insurance company could care less about reimbursting their clients. When I called to check on the status of my claims, I'm always told, more paperwork is needed from the dentist. My dentist immediately mail the paperwork they needed and CIGNA do nothing! I have called serveral times asking what is the status of my claims? I get the same answer, "we need more paperwork from the dentist. They say this so much until they get caught up in their own excuses. Just last week, I called and I was told the usual, "they were waiting on paperwork from my dentist." Well, I had already spoken to my dentist and they got the notice from CIGNA and the paperwork was sent to CIGNA IMMEDIATELY. When the customer service rep told me they were waiting on the paperwork from CIGNA, I told her I knew my dentist had sent the paperwork and CIGNA should have it. I was put on hold and she comes back to tell me, "Oh, yes, we have it. I will post it so the claim can be processed and it will take 8 - 1o days to process the claim." I said ok. Today I logged onto CIGNA to check the status on my claim and once again, "PENDING, waiting on paperwork from my dentist." I called and spoke to a customer service rep and she stated to tell me CIGNA is waiting on paperwork. I told her NO, the paperwork was sent to them and they had received it. Once again I'm told it will take 8-10 for processing. Due to economical times, I need my money just as the doctors and dentists need theirs and as CIGNA needs theirs. I paid up front because this what I had to do with CIGNA. Now it's a hassel to get my money. I'm a single mother with 2 children in college, money is tight. Please, if something can be done to let CIGNA and other insurance companies know they have to pay the claims in a timely manner. I have to pay my insurance premiums every months or will not have insurance. I would like be treated the same.