A Dentist Fights for His Patient When Insurance Denies Care
A Colorado dentist is taking a stand after an elderly patient’s insurance claim was denied for a necessary dental procedure. The case highlights ongoing concerns about how insurance decisions impact patient care and the challenges dental professionals face when advocating for their patients.
A Pueblo West, Colorado dentist is raising concerns about the impact of insurance claim denials on patient care after a local elderly man was denied coverage for a critical dental procedure. The dentist, who has been in practice for years, was shocked when the patient’s insurance provider, Humana, rejected a claim for treatment deemed necessary to preserve the patient’s oral health.
The 83-year-old patient presented with significant calculus deposits and required a prophylaxis. The dentist and his staff noted that the man was not able to effectively perform oral hygiene. Despite providing documentation supporting the medical necessity of the procedure, the insurance company refused the claim, leaving the patient with limited options.
This case underscores a broader issue that many dental professionals encounter: the challenge of navigating insurance policies while ensuring patients receive the care they need. The dentist argues that these denials not only jeopardize patient health but also erode trust in the healthcare system.
Dental professionals frequently advocate for patients when claims are denied, but the process can be arduous and frustrating. As the dentist continues to fight on his patient’s behalf, this case serves as a stark reminder of the need for greater transparency and accountability in dental insurance decisions — particularly when they affect vulnerable populations like the elderly. Click here to read more.
