
Quoting
arimpact
Hi, I'm wondering if someone can help me understand if I'm responsible for a dental/medical bill. I had a wisdom tooth pulled in July this year that cost around $800. Prior to the operation, the receptionist at the dental office called my insurance and told me the insurance will cover 85% of the fee, and printed out an estimation of coverage and my due fees. Based on that estimation, I went ahead with the operation, 2 months later i get a bill for that 700$ which apparently was rejected by my insurance company. I called both the insurance and the dental office and from what i can gather, there was a mis-communication when the dental office asked about the coverage. My teeth were impacted and apparently impacted teeth doesn't get covered under dental (where there wouldn't be a deductible) it would be covered under medical(where there will be a deductible) The insurance have no phone log of how the question was specifically asked. I'm wondering if this can be considered a case of detrimental reliance. I have the printed estimation as dispute evidence, does that count for anything?
Thanks for your help in advance!