Man denied dental coverage under national plan says insurer 'playing games' with Canadians (www.cbc.ca)

submitted 4 days ago by Wudi@feddit.uk to c/canada@lemmy.ca

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[-] avidamoeba@lemmy.ca 7 points 3 days ago

Insurance provider Sun Life administers the CDCP and processes claims.

In case you were not aware. The public dental insurance program is done by a private firm. 🥹

[-] SaveTheTuaHawk@lemmy.ca 4 points 3 days ago* (last edited 3 days ago)

My insurer is Sunlife. They have hundreds of people employed, that you cannot directly talk to, that move the goalposts around on large claims, making arbitrary rule changes to try and deny claims. Then they bizarrely cover naturopaths and chiropractors and other bullshit pseudo-medical providers, likely because it's a hospital and they know no one wastes time with those clowns.

[-] melsaskca@lemmy.ca 14 points 4 days ago

My wife had a tooth that needed pulling years ago. We were young and broke and had no insurance. We went to a dentist, explained that, and he charged us $30 for pulling the tooth. If we had insurance, the amount would have been over $400. This was in Canada around 1990. Also, "referrals" are a big money maker for the medical and dental industry.

[-] doomhauer@lemmy.ca 4 points 2 days ago

might just have been that the dentist did you a solid. even in 1990 dollars, $30 isn't profitable.

[-] NotMyOldRedditName@lemmy.world 6 points 4 days ago* (last edited 4 days ago)

For anyone in a similar situation - If you don't think you'll be able to get it covered even with this dental plan option, if it is actively a problem and needs pulling, you can get it done at the hospital for free. They won't do it for preventative reasons though like a wisdom tooth that will cause problems over the next couple years, it needs to be a problem right now causing issues.