Modesto, CA asked in Consumer Law and Insurance Bad Faith for California

Q: My Root Canal Dentist overcharged me 15 months ago. Am I entitled reimbursement plus interest?They earned interest on it

I told my dentist I had a Root canal dentist I knew was in the plan but they insisted I go to their guy who was their sister office; it turned out he was not in the plan and they tried to make me pay the full amount. I appealed and my dental plan paid the claim. It was then that we discovered that I was overcharged > Am I entitled to reimbursement plus interest?

1 Lawyer Answer
Maurice Mandel II
Maurice Mandel II
Answered
  • Consumer Law Lawyer
  • Newport Beach, CA
  • Licensed in California

A: There is a law on the books since 2017 that says if you are being treated by a provider under a plan and get additional treatment from a non plan provider that the non plan provider must take the amount allowed by the plan. Consult with an attorney about this and google this for the California law that protects you. I think it is in the Insurance code.

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