Access to the necessary services of a trained dentist is critically important for both your comfort and your health. Proper dental care is an essential treatment – one that has been proven to increase your lifespan, reduce pain, and potentially improve mental health and nutrition.

Yet quality dental care is also not entirely in the hands of your dentist. Dental work can be pricy, which is why most patients have dental insurance as a way to offset the costs. Unfortunately, over the past several years, dental insurance companies have been injecting themselves into the dental treatment process, “disallowing” and otherwise preventing necessary dental services even if they are strongly recommended by the patient’s dentist.

Third Party Control Over Your Health

When an insurance company prevents a patient from receiving a necessary dental treatment, they are essentially saying that they – the insurance company – knows more about what your teeth and gums need than the dentist that examined your mouth. This is, of course, absurd.

Thankfully, the American Dental Association, or “ADA,” is trying to fix this. The ADA has sent a letter to one of the most well-known insurance agencies, Delta Dental, describing their deep concerns over the insurance company’s policy of disallowing legitimate claims, and some of the standards that they continue to put in place that prevent patients from receiving their ideal care.

The ADA has recently sent a letter to the CEO of Delta Dental letting them know that this practice will not be tolerated in the long term, and pushing them to consider alternative ways of creating revenue that doesn’t impact your oral health.

It is too soon to say whether or not the letter will have an impact, but those in the ADA have warned Delta Dental that if they do not reconsider this policy, the ADA is prepared to continue the battle through legal or other means.

Proper Care From Your Third Party Payer

Quality dental care can only be determined by a thorough examination from a trained expert. We at Esthetic Reflections in Dentistry in Folsom have seen how problematic it can be when a third party payer, like a dental insurance company, decides that a treatment is unnecessary even though they did not perform any of the assessments.

So while right now the ADA is only in the letter writing stage, we will continue to monitor this issue and push when we can for all of our patients to receive the treatment that they need and deserve.