It says it covers "dental treatment, made necessary by injury to sound, natural teeth" what does natural teeth mean?? and second it says it covers 80% U&C, what does this mean, Would this insurance cover my wisdom teeth being removed??
2007-12-18 20:37:36 · 8 answers · asked by coalman280 2 in Health ➔ Dental
Yes, wisdom teeth are considered natural teeth. They are the teeth you were grew on your own, rather than false teeth or bridges or crowns put in by the dentist.
U&C means usual and customary, which means the normal charges that dentists charge for doing this work. You pay anything the dentist charges above that.
However, your wisdom teeth coming in may not be considered an injury. You need to check with your medical insurance company on that.
By the way, I strongly recommend you have all four of your wisdom teeth removed at once. It is not a pleasant operation, and you will not want to go through it again. I made the mistake of having one removed and then a year later the other three. One was as bad as three.
2007-12-18 20:44:51 · answer #1 · answered by Seminarian 2 · 0⤊ 1⤋
Natural teeth. The ones that grew in your head. Not dentures, false teeth or dental implants.
Yes, it would cover wisdom teeth under that description.
Sound natural teeth are the ones that grew with you... not some false teeth that you might need if you're real teeth should fall or be pulled out.
2007-12-18 20:42:37 · answer #2 · answered by bakfanlin 6 · 1⤊ 0⤋
It means it covers your own teeth that you grew into your mouth but will not cover artificial dentures and bridges, cap, etc.
80% of U&C - means it will pay 80% of "usual and customary" charges. In other words, they have established what the cost should be for dental services and these costs are considered usual and customary. If your dentist charges over that they won't pay the difference between their usual and customary fee schedule and what your dentist charges. For instance: If they think the "usual" fee should be $50.00 for filling a cavity and you're dentist charges $65.00 for this procedure, they will pay 80% of $50.00 which is $40.00 - they will not pay 80% of $65.00. So, you'll end up paying the difference.
2007-12-18 20:47:28 · answer #3 · answered by mollyflan 6 · 0⤊ 0⤋
Well, I honestly don't know what the "80% U&C" means, but the other part means that it doesn't cover any work on dentures and false teeth or implants, so it should cover having your wisdom teeth removed. You can call the office and ask their insurance clerk about the other part. I'm sure she will tell you what you need to know for sure.
2007-12-18 20:54:18 · answer #4 · answered by froggsfriend 5 · 0⤊ 1⤋
Natural teeth means no false teeth. and no it won't cover your wisdom teeth as it says it only covers INJURY to teeth.
2007-12-18 20:42:57 · answer #5 · answered by eilatan_t 2 · 0⤊ 0⤋
Have your Dentist submit a DX that mentions that you cannot chew properly and that the wisdom teeth are causing jaw problems etc. They know the code to submit. Then the insurance will pay.
2007-12-18 20:48:47 · answer #6 · answered by The Scouser 6 · 0⤊ 0⤋
A tooth can be false (dentures, prosthetics) or natural (biological). You would ed to look at the specifications again and look if impaction cases are included.
Hope this helps.
2007-12-18 20:45:45 · answer #7 · answered by Anonymous · 0⤊ 1⤋
It means you have a shitty dental plan.
2007-12-19 09:33:19 · answer #8 · answered by Bill 7 · 0⤊ 0⤋
your real ones not the false teeth
2007-12-18 20:46:53 · answer #9 · answered by Home Is Where The Heart Is 4 · 0⤊ 0⤋