COLUMBIA, SOUTH CAROLINA -- I went to the dentist for preventative care (x-rays, cleaning, exam) and in the BlueCross handbook it stated it paid 100% for those services. I called to ask BlueCross and they confirmed this to be true, and I also asked if I had to go to a network provider, and the agent said there weren't any network dentists, and I could go anywhere.
So I had a booklet stating 100% would be covered and a verbal agreement that 100% would be covered. About a week after I went to the dentist I received a bill from the dentist and it stated that the insurance had only paid 37% of my claim.
This is what BlueCross paid $21 on a $73 exam, $31 on a $75 cleaning, $40 on a $93 full mouth x-ray, and $12 on a $38 bite-wing x-ray. Leaving me to pay $175 on a $279 bill, which I thought would be 100% covered.
I am angry because I checked the booklet and with the agent, and thought I was safely covered. In today's economy people can't afford surprises, and that is why I am filing this complaint as a warning for others.
I believe they should pay the rest of my bill and will complain and post on sites until they do.