Doral Dental has been operating as the administrator for the MassHealth Dental Program for just over a year now - so how are they doing?
In January 2008, the prior authorization system was streamlined – for children, this means that the majority of services no longer require a prior authorization. Faster service with less paperwork means healthier kids. (A flyer from Health Law Advocates [PDF] explains the changes to MassHealth Dental.)
Prior authorizations for adults have also gotten easier, but there are still many times when a MassHealth member needs Doral Dental’s "Intervention Services" to help shuttle them through the prior authorization or appeals process. Working with this part of their Boston office, members (and advocates) are able to submit documents in support of medical necessity and make sure approved services are processed.
There is, however, potential for this department to get overwhelmed with the 1.3 million MassHealth members trying to access care. Have you encountered any difficulties, or great success, with the "Intervention Services" office? What are you hearing from MassHealth members?
i need work on mt theeth and
i need work on mt theeth and masshealth wont pay fo it they denind me i did a appeal and i havent heard from them yet will win the appeal
Does anybody know of any
Does anybody know of any good Masshealth dentists in the Cape Cod area? Or Boston area? Or anywhere in between? Reading through the reviews on this page has made me wary of Masshealth dentists. I can't find enough dentist reviews online in order to pick a dentist.
govt dental plan
Try this idea, PAY FOR IT YOURSELF. Why should I pay for your rotten teeth ? Since when is the population entitled to have healthy teeth on my dime. We working people who pay for our own treatment are sick of paying for those who do not. That is the next civil war. The healthcare debate did not bring this up but it is a boil under the skin that will pop. The govt is broke, so there is no money left to suck from. Wait until you find real limitations with the medical plans coming down the pike. hey, change you can beleive in..........hope you enjoy it.
teeth
Oh boy.. these stories... i have heard all before... I had 3 teeth pulled recently and MASSHEALTH WILL NOT COVER BRACES... my teeth have a huge gap in the front and now they starting to get crooked.. what to do keep my mouth closed when i work in retail so embarassing!!
MassHealth COVERS partial dentures BUT DORAL IS DENYING
I lost a lot of teeth along the way and recently the gaps are resulting in teeth sliding everywhere. All I really wanted was a SPACER to retain the space, but they don't approve that. The dentist tried to get me the dentures I need, but now they turned down the request at DENTAL QUEST, saying it isn't covered by MassHealth, but to me looks like it IS and they just deny it is. Having gone for YEARS with NO DENTAL WORK contributed to the problems I have today.
YES! WE NEED A PUBLIC OPTION! ONE THAT COVERS DENTISTRY.
LETS CUT OUT THESE MIDDLE MEN AND HAVE THE GOV PAY THE DENTIST DIRECTLY WE WOULD HAVE MORE SERVICES COVERED AND NOBODY RAKING IN MORE ON OUR SITUATIONS THAN EVEN THE PROVIDERS DO!
oh yea, i just found this
oh yea, i just found this great info!!
Doral Dental care
This has to be told.
America, this is why we need the PUBLIC OPTION for all health care! I have Doral Dental Care. I went in for a dental cleaning today and I've had four cavities that were filled along time ago. Now the fillings are old and need to be replaced. Doral covers the cleaning but not the filling for cavities. The cost quoted to me to repair the cavities was eight hundred dollars. Oh, and Doral dosen't cover X-rays. This is what's happening to American's in grassroots America. Our insurance companies are not working for all of us.
Please America, start fighting for what is right!
All we have left is our government!
If all you have left is the
If all you have left is the gov't you are bleep out of luck, pal!
Competent Dentist Needed
I have been looking for most of this year to find a dentist in Western Ma area that I feel comfortable enough to trust doing my teeth. Not that I am all that picky but there has to be a certain amount of trust, for myself anyway, and after reading these horror stories around this area with BMC ins. I am not sure I want to go. I have gone to get exrays, and have been told I need 3 or 4 teeth pulled(thats all they cover) (NO root canals).. and I am scared to death to have a tooth pulled. So I would like to find somewhere in between, where I can keep my tooth but not have to pay a lot of money. If any one knows where I can do this, it would be much appreciated. I dont care even if I have to drive a couple hours to go there. Thanks.
Loosing teeth because of bad care
Between having a dentist who takes masshealth, working on the easy ones and letting the difficult ones go, then telling me months later, oh that one has to be pulled, or filling half the tooth and forgetting the other half, which was drilled and left empty. Then going to get the tooth pulled and wondering why there was 5 girls standing around me in the room, until the shot went in and immediately the molars where pulled , before I was numb, and then I found the five girls holding me down till it was done. I have lost 6 teeth in this cycle of nightmarish incompetency, while getting a partial that was so bad that it cut the roof of my mouth and caused a huge infection, which this partial does not work anymore because of the lovely molars I just had pulled out that was not filled completely. I went to school to be a Massage therapist, I am licensed, yet can not find work because I look like a hillbilly instead of a professional. I feel like my education has been wasted, and I am stuck, again!! Now I need to find out if I can get a new partial and where I can go to possibly get a good one! Have any ideas!! This is horrible!!!
Post new comment