Q: My insurance company failed to provide a dentist covered in network in time to save teeth do I have a case?
I started a multiple root canal and crowns with my insurance last year in December, the max time to finish the procedure safely was 21 day, it took 114 days for them to provide a dentist that was in network and had not dropped them. I find this excessive and unreasonable, because the failure to complete this procedure caused two teeth to need to be extracted soley due decay caused by the root canals not be being crowned, and 5 other teeth to require being re rooted due to this delay. This aetna medicare dsnap, there are multiple options that aetna/medicare could have used to provide a provider that even if last minute the provider dropped them to cover this under emergency and time sensitive issues. So now at 37 despite doing my best to take care of my teeth my mouth looks like a road map, and I need dental implants. I would like some compensation for my pain both physical and phycological and I want them to be penalized as I have other less harmful things like this they have done.
A: A Florida attorney could advise best, but your question remains open for two weeks. For this type of matter, an attorney could require a dental/oral surgery professional's opinion in terms of the impact of the delays. That's why the question is difficult to answer. You could reach out to law firms that handle health care/med mal claims to discuss. There is a narrow niche of law firms that specialize in dental claims. I hope you are able to rectify the matter. Good luck
Justia Ask a Lawyer is a forum for consumers to get answers to basic legal questions. Any information sent through Justia Ask a Lawyer is not secure and is done so on a non-confidential basis only.
The use of this website to ask questions or receive answers does not create an attorney–client relationship between you and Justia, or between you and any attorney who receives your information or responds to your questions, nor is it intended to create such a relationship. Additionally, no responses on this forum constitute legal advice, which must be tailored to the specific circumstances of each case. You should not act upon information provided in Justia Ask a Lawyer without seeking professional counsel from an attorney admitted or authorized to practice in your jurisdiction. Justia assumes no responsibility to any person who relies on information contained on or received through this site and disclaims all liability in respect to such information.
Justia cannot guarantee that the information on this website (including any legal information provided by an attorney through this service) is accurate, complete, or up-to-date. While we intend to make every attempt to keep the information on this site current, the owners of and contributors to this site make no claims, promises or guarantees about the accuracy, completeness or adequacy of the information contained in or linked to from this site.
