A few weeks ago my daughter’s dentist told us the enivitable had come about. Rachel’s wisdom teeth were erupting and beginning to crowd her teeth. They had to come out. They gave us a referral to an oral surgeon and told us to do it sooner than later.
I knew the procedure is not cheap, but I also knew that under the ACA, dental is covered for children. I checked our regular dental coverage and noted that we only get cleanings covered, so I checked my daughter’s healthcare to see what was covered for dental. Carefirst’s website showed that oral surgery is covered under her Healthy Blue plan.
I called to check on the exact coverage. The first guy didn’t know what he was talking about and said there was no dental. I knew that was not true. I called again a few days later and was told exactly what I thought, Rachel would be covered! The plan paid 80% after a $25 deductible. Meanwhile, however, the oral surgeon called and was told no coverage. We were told we would have to pay 2800 out of pocket.
I knew this was not accurate and called carefirst a third time. They had not checked the box for coverage. I guess they forgot the law. Rachel has dental coverage on her healthcare plan until the end of the year when she turns 19. We will NOT be paying 2800 for her wisdom teeth.