Guest guest Posted February 18, 2004 Report Share Posted February 18, 2004 Thanks, arniejetfan, for the info. I'm glad this statute helped you. My problem is not that they don't cover the procedure, but that I had not demonstrated that it has functionally impaired me. They were hinting that I wanted it for cosmetic reasons, I think. The latest is that I have obtained photos of my molars from my orthodontist, and I'm taking them to my dentist tomorrow morning for her to examine and write a letter stating there has been excessive wear and damage to my back teeth (obviously, because I have an open bite and they've been banging together all these years). Even though I have a cracked molar, and have had at least two crowns and several fillings back there, when the dentist spoke to me on the phone, she was very hesitant and acted as if she didn't want to help me with it. This ticked me off, since all I want her to do is write a few sentences saying my teeth in the back have worn down and broken down more than most people my age who dont' have the open bite. I'm not asking her to lie, just look at my teeth and be honest about it. I persisted, and she agreed to look at my teeth tomorrow morning and write a letter if they appear to be worn (duh! why else would I have cracked teeth and crowns?). So, with any luck, she'll do the decent thing and help me out. She kept saying over and over that she didn't see how it would do any good with the insurance, but I know she just didn't want to get involved. If she wants to keep my family's business, she'll write the letter. Anyone else have ideas about other ways to document " functional impairment " ? The eating difficulties are something I'll stress, but I don't know how to " prove " that eating has become difficult for me. Thanks, Amelia Franz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 18, 2004 Report Share Posted February 18, 2004 fillings back there, when the dentist spoke to me on the phone, she was very hesitant and acted as if she didn't want to help me with it time to get someone who's on your team. if she's not willing to go to bat for all it takes then take your business elsewhere. Maybe you should see about getting some supporting documentation from someone who's had success on the board? There should be someone sort of local. And sometimes a doc who's been referred will do more, maybe its the flattery! Shiloh > Thanks, arniejetfan, for the info. I'm glad this statute helped you. > My problem is not that they don't cover the procedure, but that I had > not demonstrated that it has functionally impaired me. They were > hinting that I wanted it for cosmetic reasons, I think. > > The latest is that I have obtained photos of my molars from my > orthodontist, and I'm taking them to my dentist tomorrow morning for > her to examine and write a letter stating there has been excessive > wear and damage to my back teeth (obviously, because I have an open > bite and they've been banging together all these years). Even though I > have a cracked molar, and have had at least two crowns and several > fillings back there, when the dentist spoke to me on the phone, she > was very hesitant and acted as if she didn't want to help me with it. > This ticked me off, since all I want her to do is write a few > sentences saying my teeth in the back have worn down and broken down > more than most people my age who dont' have the open bite. I'm not > asking her to lie, just look at my teeth and be honest about it. I > persisted, and she agreed to look at my teeth tomorrow morning and > write a letter if they appear to be worn (duh! why else would I have > cracked teeth and crowns?). So, with any luck, she'll do the decent > thing and help me out. She kept saying over and over that she didn't > see how it would do any good with the insurance, but I know she just > didn't want to get involved. If she wants to keep my family's > business, she'll write the letter. > > Anyone else have ideas about other ways to document " functional > impairment " ? The eating difficulties are something I'll stress, but I > don't know how to " prove " that eating has become difficult for me. > > Thanks, > Amelia Franz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 18, 2004 Report Share Posted February 18, 2004 fillings back there, when the dentist spoke to me on the phone, she was very hesitant and acted as if she didn't want to help me with it time to get someone who's on your team. if she's not willing to go to bat for all it takes then take your business elsewhere. Maybe you should see about getting some supporting documentation from someone who's had success on the board? There should be someone sort of local. And sometimes a doc who's been referred will do more, maybe its the flattery! Shiloh > Thanks, arniejetfan, for the info. I'm glad this statute helped you. > My problem is not that they don't cover the procedure, but that I had > not demonstrated that it has functionally impaired me. They were > hinting that I wanted it for cosmetic reasons, I think. > > The latest is that I have obtained photos of my molars from my > orthodontist, and I'm taking them to my dentist tomorrow morning for > her to examine and write a letter stating there has been excessive > wear and damage to my back teeth (obviously, because I have an open > bite and they've been banging together all these years). Even though I > have a cracked molar, and have had at least two crowns and several > fillings back there, when the dentist spoke to me on the phone, she > was very hesitant and acted as if she didn't want to help me with it. > This ticked me off, since all I want her to do is write a few > sentences saying my teeth in the back have worn down and broken down > more than most people my age who dont' have the open bite. I'm not > asking her to lie, just look at my teeth and be honest about it. I > persisted, and she agreed to look at my teeth tomorrow morning and > write a letter if they appear to be worn (duh! why else would I have > cracked teeth and crowns?). So, with any luck, she'll do the decent > thing and help me out. She kept saying over and over that she didn't > see how it would do any good with the insurance, but I know she just > didn't want to get involved. If she wants to keep my family's > business, she'll write the letter. > > Anyone else have ideas about other ways to document " functional > impairment " ? The eating difficulties are something I'll stress, but I > don't know how to " prove " that eating has become difficult for me. > > Thanks, > Amelia Franz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 18, 2004 Report Share Posted February 18, 2004 fillings back there, when the dentist spoke to me on the phone, she was very hesitant and acted as if she didn't want to help me with it time to get someone who's on your team. if she's not willing to go to bat for all it takes then take your business elsewhere. Maybe you should see about getting some supporting documentation from someone who's had success on the board? There should be someone sort of local. And sometimes a doc who's been referred will do more, maybe its the flattery! Shiloh > Thanks, arniejetfan, for the info. I'm glad this statute helped you. > My problem is not that they don't cover the procedure, but that I had > not demonstrated that it has functionally impaired me. They were > hinting that I wanted it for cosmetic reasons, I think. > > The latest is that I have obtained photos of my molars from my > orthodontist, and I'm taking them to my dentist tomorrow morning for > her to examine and write a letter stating there has been excessive > wear and damage to my back teeth (obviously, because I have an open > bite and they've been banging together all these years). Even though I > have a cracked molar, and have had at least two crowns and several > fillings back there, when the dentist spoke to me on the phone, she > was very hesitant and acted as if she didn't want to help me with it. > This ticked me off, since all I want her to do is write a few > sentences saying my teeth in the back have worn down and broken down > more than most people my age who dont' have the open bite. I'm not > asking her to lie, just look at my teeth and be honest about it. I > persisted, and she agreed to look at my teeth tomorrow morning and > write a letter if they appear to be worn (duh! why else would I have > cracked teeth and crowns?). So, with any luck, she'll do the decent > thing and help me out. She kept saying over and over that she didn't > see how it would do any good with the insurance, but I know she just > didn't want to get involved. If she wants to keep my family's > business, she'll write the letter. > > Anyone else have ideas about other ways to document " functional > impairment " ? The eating difficulties are something I'll stress, but I > don't know how to " prove " that eating has become difficult for me. > > Thanks, > Amelia Franz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 18, 2004 Report Share Posted February 18, 2004 Do you have any digestive troubles? are you underweight? those might be two clues. Is your surgeon helping you at all with this? I would hope that either he or someone in his office would have some suggestions. I'm not saying lie, either. Just think honestly about your situation. And I agree. Assuming your dentist believes the ortho is a good idea, and the ortho believes the surgery is part of your treatment, I can't imagine why she'd be unwilling to do a letter either, so long as it's true! Cammie > Thanks, arniejetfan, for the info. I'm glad this statute helped you. > My problem is not that they don't cover the procedure, but that I had > not demonstrated that it has functionally impaired me. They were > hinting that I wanted it for cosmetic reasons, I think. > > The latest is that I have obtained photos of my molars from my > orthodontist, and I'm taking them to my dentist tomorrow morning for > her to examine and write a letter stating there has been excessive > wear and damage to my back teeth (obviously, because I have an open > bite and they've been banging together all these years). Even though I > have a cracked molar, and have had at least two crowns and several > fillings back there, when the dentist spoke to me on the phone, she > was very hesitant and acted as if she didn't want to help me with it. > This ticked me off, since all I want her to do is write a few > sentences saying my teeth in the back have worn down and broken down > more than most people my age who dont' have the open bite. I'm not > asking her to lie, just look at my teeth and be honest about it. I > persisted, and she agreed to look at my teeth tomorrow morning and > write a letter if they appear to be worn (duh! why else would I have > cracked teeth and crowns?). So, with any luck, she'll do the decent > thing and help me out. She kept saying over and over that she didn't > see how it would do any good with the insurance, but I know she just > didn't want to get involved. If she wants to keep my family's > business, she'll write the letter. > > Anyone else have ideas about other ways to document " functional > impairment " ? The eating difficulties are something I'll stress, but I > don't know how to " prove " that eating has become difficult for me. > > Thanks, > Amelia Franz Quote Link to comment Share on other sites More sharing options...
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