Agreed. My coworker got his approved. I would be curious to see the percentage approved and denied in the old plan. The new plan, Teamcare, Will have a 100% denial.
Bagels posted a picture from his UPS plan showing implants in the not covered column. My plan showed implants in the covered services column, granted it said prior approval is necessary. I would like to hear from any BC here that got an implant denied who was in the company plan.
Per TeamCare's website --
"Dental implants are generally not covered. However, if the patient has no teeth present in either the upper or lower jaw, they may be considered under your medical plan. Otherwise, alternate treatment may be considered. In these cases a pre-determination of benefits is required."
Per Teamcare SOB, under not covered --
Implantology (except for endosseous staple implants and subperiosteal to support full dentures)
UPS' language is much more ambiguous, but in listing implants under both covered & not covered columns followed with pre-approval notation, I'd imagine criteria would be similar. As I mentioned earlier, I had a tooth removed adjacent to a long gone wisdom tooth and UPS refused to cover an implant, even though it was clearly leading to medical problems as well as discomfort. Internet research shows UPS denying implants in several cases, including one in which somebody got into a motorcycle accident and lost a fair number of teeth.
I'm also interested in hearing about implant success stories, but overall, it doesn't appear there's any change in coverage here. Your co-worker probably got lucky... it happens.
Dentists/oral surgeons charge insurances $4000-$6000 for implants while the cash price is typically $1000-$1500. I just have a hard time believing UPS freely paid for them, based on this & my own experience/research.
. Because I fought to keep my medical, you actually got a better plan. Those in the C6 got moved to a better Enhanced C6 thanks to the "no" voters.
