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Behind Smiles: A Patient's Nightmare with MetLife Dental Insurance
Part 1: My Battle with MetLife Dental. The Toothache that Morphed into a Financial Migraine. My fateful journey through the MetLife Dental Insurance labyrinth began in February 2023 when an everyday occurrence turned into an exasperating ordeal. I needed a routine replacement crown on Tooth 18 and anticipated no issues, given my dental insurance with MetLife Dental. As I would soon discover,…

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#BBB#Better Business Bureau#claim appeal#claim denial#claim frustrations#claim process#claim rejection#claim resubmission#coding error#complaint filing#consumer rights#consumer warning#crown reimbursement#Delta Dental#dental billing#Dental Care#dental claim#dental cleaning#dental cost#dental coverage#dental crown#dental emergency#dental expense#dental experience#dental finance#dental hassle#dental health#dental implant#dental insurance#dental insurance comparison
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The California insurance thing is adding on to my established belief that insurance is inherently a bad mitigation for any risk that affects large swaths of the population who will very likely need it at some point.
The point of insurance is for the collective to pay an affordable regular fee, and the few who are affected by a given risk are compensated. Ideally, the EV of insurance would be 0, but in practice the EV is negative, but since we are broadly risk averse* we want it anyway.
But that only works if the fee is affordable and the risk is low. Fire insurance in California was a bad idea because everyone was at a major risk, the full cost of premiums would have been immense. California made it worse by making it illegal to charge for the real cost, but even if they hadn't, the premiums would have simply ballooned and many people would have been priced out of insuring their homes, and would still be in this situation.
Similar thing happens with healthcare. Everyone wants their insurance to cover everything, including very common, every day medications for long term medical problems. Needing my ADHD medication isn't a risk, it's not at the tail end of the probability distribution. My insurance shouldn't cover it, because covering it means that the company has to raise everyone's premiums, and raising the premiums prices people (myself included) out of being able to afford insurance for actual tail risks that could ruin their lives.
"But I need my ADHD medication to live a good life, it would ruin me to not get it" yeah, I hear you, same here, but insurance is just a bad system for dealing with that. It just isn't a risk, it doesn't fit well with the "small affordable fee to avoid unlikely disaster" model. If insurance pays for everyone's lifetime medications, then it has to raise premiums by the average of the cost of everyone's lifetime medications, and everyone breaks even, except now insurance is just more expensive and some people are priced out.
I think anytime insurance starts to sail out of the price range of the target demographic, it's a sign that something is deeply wrong and some intervention, likely government intervention, is needed. If people can't afford the fire insurance, it's because the fire risk is way too high and your forest management strategy should be overhauled. If people are struggling to pay their health care insurance, their insurance probably covers way too much because too much of every day health care is also out of reach of people.
Insurance companies aren't the good guys, you have an adversarial relationship with them. They will try to screw you over and lie to you and scam you and all the rest. But you can't get blood from stone, and you can't get a policy of "pay me money if my home built on top of kindling burns down" without paying for it somewhere, and instead of getting mad at the insurance company you should probably start asking why your home is built on kindling.
*Or, well, more complicatedly the full cost of some disasters is much worse than than strict accounting cost. Losing your home is far more destructive than losing the market price of the home's value, because it means spending weeks to months homeless and opening you up to other risks.
#this is not a new thought by any means#sometimes i just think about like#insurance covering yearly dental checkups#something that everyone should get every year#which means the cost of the check up is priced into the premium#meaning im just paying for my check ups as well as a bunch of middle men in between
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It's such a huge scam that medical and dental are separate insurances. Assuming my insurance doesn't pull a last minute 'fuck you', I'll be at deductible after my surgery, so my physical therapy should be covered, but if I need any fillings or gum grafts or other dental repairs from all the damage the braces and surgery have done? Nope those are on a different insurance and dental doesn't have a maximum out of pocket
#honestly I should have kept track but this whole ordeal is going to cost over 10k out of pocket#even with insurance and assuming nothing dental-wise goes wrong#5k for the braces 4k for my deductible and then a whole bunch of surgeons appointments the cat scan etc#at least said 10k has been spread out over 4 years because this shit is DRAGGING but still#could've done other things with that money
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Emergency dental procedure wisdom tooth disintegrating many thoughts
#gatto#the sick horror feeling of looking at private dental practice costs when you are on disability benefits
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Did/does Jimmy/Sheriff want to catch a bullet in his teeth? like how some westerners were seen to do (i know they were fake but they were still awesome)
He'd probably do that for like,, a photoshoot but asdghdkjfkd as U said the movie scenes were fake and he doesn't know if catching bullet is even possible
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Luca is in for a dental today. He needs to get at least one tooth pulled and the rest cleaned.
He is very overweight, I need to get him on a diet. It's so hard when my other two dogs are such fussy eaters and he is there ready to pick up anything they discard faster than I am. 😫
#Luca#I was unexpectedly given $5k at the end of last year#and it means I can afford to get some vet stuff done for all of them#that's why the girls are getting spayed now and Luca is in for a dental#everything that isn't covered in their pet insurance#the dental will cost the most by far#hopefully he only needs the one tooth pulled because each extraction brings the bill up
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Good morning from the lady
#she had her first of many vet journeys last week and that heart murmur gonna cost us $$$$$#before I begin bringing her in for her dentals#expensive ass bitch#but her cardio is in june!#they also re-aged her from 5 to 10 which tracks#pers#pix
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1/2 ☆ My lovely bitched I need some advice about a bill. I recently had a consultation with a periodontist for a procedure that's considered cosmetic. I knew the procedure itself wouldn't be covered and I did ask about it. But I was really surprised to receive a $215 just for the consultation.
(continued) 2/2 ☆ While I'm not opposed to paying a consultation bill, this seems like really large amount, and I wasn't informed I'd have to pay that much just for a consultation. I don't know if I can fight this, but is there a way to get them to lower the amount?
Oh honey that SUCKS! I'm so sorry you were surprised with a dental bill.
We think it's utterly unethical how so much of medical care is secretive about billing. Dentists and hospitals should literally have a menu board with uninsured prices for procedures listed. And yet!
Anyway, here's our guide on how to lower that bill for yourself. Good luck!
How to Pay Hospital Bills When You’re Flat Broke
Did we just help you out? Say thanks on Patreon!
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#Jesus#God#Holy Ghost#dental care#vision care#At no cost#Everywhere#No cost everywhere#Hot and cold running water#heated and cooled shelter#News#World News#Food at no cost for everyone#vision and glasses and dental for animals#plants
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Fwd:like jesus, God and the Holy ghost pointed out they should make glasses, vision, dental, and health care at no cost everywhere across earth to animals from every walk of life, plants, people, and any of God, Jesus, and the Holy Ghost's creations, and feed all at no cost, heated and cooled shelter at no cost, hot and cold clean running water for all at no cost. I personally love Jesus as king of kings and lord of lords through God his father, Messiah, Christ-annointed, and he is my savior hope he is yours as well. 2 kings chapter 5, John 9, Luke 8:46, Luke 9:1-6, Luke 9:13-17, Luke chapter 14:12-13, Luke 18:40-43, John 5:36-40, John 6:7-13, John 6:30-58, John 7:36-39, John 8:31-32, John chapter 10:24-42, John 11, John chapters 12 and 13, John chapter 24, John 15:17-27, John chapter 16, 17, 19, 20, and 21. Mark and Matthew the books and Luke 12.
Fwd:like jesus, God and the Holy ghost pointed out they should make glasses, vision, dental, and health care at no cost everywhere across earth to animals from every walk of life, plants, people, and any of God, Jesus, and the Holy Ghost's creations, and feed all at no cost, heated and cooled shelter at no cost, hot and cold clean running water for all at no cost. I personally love Jesus as king of kings and lord of lords through God his father, Messiah, Christ-annointed, and he is my savior hope he is yours as well. 2 kings chapter 5, John 9, Luke 8:46, Luke 9:1-6, Luke 9:13-17, Luke chapter 14:12-13, Luke 18:40-43, John 5:36-40, John 6:7-13, John 6:30-58, John 7:36-39, John 8:31-32, John chapter 10:24-42, John 11, John chapters 12 and 13, John chapter 24, John 15:17-27, John chapter 16, 17, 19, 20, and 21. Mark and Matthew the books and Luke 12.
#God#Jesus#animals#plants#healthcare#dental care#hot and cold running water#heated and cooled shelter#Vision#Vision care and glasses for animals#No cost#News#World News#Holy Ghost#Everywhere
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Pet insurance exists and is very helpful. Vets are some of the lowest paid doctors in the U.S. and clinics are struggling to afford equipment and pay a livable wage to the few employees they have. They're not trying to extort you; imagine if you went to the dentist without insurance and got a full cleaning plus teeth removal plus meds for less than $1000? It'd be a miracle. Vets don't want to charge so much, they and the rest of us in the industry are drowning :(
i wasn't talking about individuals. I was talking about companies, the whole building, the entire practice and industry. not the individual vets that work inside, i have no doubt that the individual veterinarians DO care an incredible amount and I'm sure that they do wish that they could be paid fair wages and do their job for free at the same time, because they went into it for the love of animals not the money. just because individual veterinarians aren't intentionally extorting sad or desperate people doesn't mean that the industry/business they work for isn't
#also dont even get me started on how extortionate and misleading pet insurance is#they dont cover 80% of stuff#also dental care shouldn't cost that much either nerfed argument#callieupdates
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i'm really getting so concerned abt my dental health, i cant read this rn
#personal#also i just learned apparently i've been brushing at a wrong time. the hygienist said to brush after eating but this doctor online says it#weakens the enamel. so :/#i fucking hate republicans. and america. whys dental costs have to be so much . whys insurance tied to my employment#whys there a wait time aaaa
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two little pieces of my tooth broke off so that's fun. same tooth that has been broken for a while so at this point it's more broke than tooth
#i love that it costs thousands of dollars to get dental care#i love not having good dental insurance#yay
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okay so as someone who has had a Number of medical procedures in their life i still think mouth pain might be some of the worst
#coming from someone who basically had a c-section at 11 yrs old#the amount of dental work ive had is WOOF#im glad im getting back on track but at what cost
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