Talk of The Villages Florida - View Single Post - UHC The Villages Medicare Advantage FL-004P (HMO-POS) $5000 Dental Benefit
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Old 07-22-2025, 01:19 PM
kingofbeer kingofbeer is offline
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Quote:
Originally Posted by Rainger99 View Post
I have the same plan. The website says under plan benefits:


You pay a $0 copay for all other covered comprehensive services, including crowns, fillings, root canals, extractions, general anesthesia, IV sedation, occlusal guards and modifications and adjustments to dentures and bridges from network providers

Network dentists have agreed to provide services at a negotiated rate.

I am not an insurance expert but it seems like there is no copay.

When I had the crown in 2023, the dentist billed $1378.00 and UHC paid $753. There was no coinsurance, copay, or deductible.

What did UHC say when you called?
I figured it out. The dentist needs to resubmit the estimate they coded something wrong. In network should pay 100% for the crown.