• Report: #1085854
Complaint Review:

MetLife Dental

  • Submitted: Thu, September 19, 2013
  • Updated: Thu, September 19, 2013

  • Reported By: Morvin407 — Ocala Florida
MetLife Dental
PO Box 14589, Lexington, KY. 40512 Ocala, Florida USA

MetLife Dental MetLife Dental Do Not Want To Pay Legitimate Claim Ocala Florida

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I received a deep cleaning or scaling and root planning in March 2013 and my claim was denied for insufficient pocket depth.

When I called MetLife they said the service was not need because the pocket depths are not above 6 millimeter. However, my perio graphic chart shows more than 4 pocket depths above 6 millimeter.

When ask about the chart MetLife said they did not have a chart that show these depths and I should fax it to them, which I did July 16, 2012.

Thirty days later the claim is still denied but now the reason is no apparent loss of attachment (bone loss).  I called MetLife today and ask if both loss of attachment and pocket depths above 6 millimeter are required for the scaling and root planning and was told no.

But now they want evidence of loss of attachment before paying the claim of over $300. This is my second appeal and I feel MetLife simple do not want to pay the claim so another appear is a waste of time.


This report was posted on Ripoff Report on 09/19/2013 02:52 PM and is a permanent record located here: http://www.ripoffreport.com/reports/metlife-dental/ocala-florida-34471/metlife-dental-metlife-dental-do-not-want-to-pay-legitimate-claim-ocala-florida-1085854. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year.

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