[pubmom]

Sadly, your current situation with Tenn Care is not the first I've seen regarding tooth extractions. Several months ago, another poster had a very similar problem. She has a progressive disease that put her at risk for further complications if her teeth were not extracted. She too was denied, and I'm not sure what she did about it.

[cva66snipe]

Their own policy they send out states basic dental coverage is not covered to those over 21 Unless it is a medical necessity and with prior approval. We provided such documentation Here's the burn. We are also being denied an appeals process which is supposed to be before an Admin Judge. They won't let it progress that far. It's being stopped in the lower portion of the chain.

I know a healthy person on Tenn Care who had impacted teeth and had them taken out with no problem. But the person is not on Tenn Care through disability nor a Medicare patient. It is a lack of employer provided insurance that got him on Tenn Care. It's the Medicare patients Tenn Care has by our lawmakers it seems been relieved of paying any claims but medication. IOW in most cases Tenn Care HMO's are making a mint off of us as the drugs are generic.