It all started when we tried to make a regular check up appointment for me, at which point I was told they no longer could accept me because of my new insurance coverage. So, I called my insurance company to find out what was going on. (and here begins the adventure! Hold on tight!)
After calling my insurance, I discovered that although Molina Healthy Michigan, my new plan, didn't include Delta Dental (time to throw out my Delta card!), I could still get my teeth cleaned here because I was receiving out-of-network benefits for 6 months. In other words, I had Delta Dental for the meantime, which is what this clinic will accept. They do not accept Medicaid. Which is perfect, because I'm thinking I can get my teeth cleaned her one last time before I have to find a new provider.
But when I called the clinic, I was told by Cathy that because I'm over 18 now my health care plan changed, and that's why I can't come see them anymore. Which contradicts what I was being told from the insurance company, who told me that aaactualllly as long as I was between 18 and 64, I'd be fine. (I'm not 64 yet!) Under my new plan, I will still be covered to get work done from Cohen.
Anyhoo, this dentist can clearly take me if they want, since I have out-of-network benefits. But after the kind insurance lady called this clinic for me, to explain the benefits I had and that it was simply a matter of transfer, I was told by her that essentially, Gary A. Cohen would rather not take me as a patient. Weird, right? I've been coming to this guy for at least a year now. What's up?
I asked, "Did I annoy them or something? (I called like 2 times) Or is it about benefits?" You can guess what the real answer was (cough benefits cough), although I can imagine now being told by Cathy that I was 20 was probably because she wanted me to get off this case, get off the phone, and never call again.
So in other words, Gary A. Cohen doesn't want to accept patients who come through the Molina Healthy Michigan plan because he will receive a smaller benefit compared to when they are insured by Delta Dental (I was formerly insured through the Molina Healthcare of Michigan plan). Sucks, but money makes the world go round!
Time to find a new dentist! read more