Legal Question in Insurance Law in California

In May 2015 I fell on my mouth and had extensive dental work. My ins. co. is delaying a decision. They claim it's a dental problem. I don't have dental ins. but pay cash. My teeth were fine before the accident. In your opinion can I claim this as a medical insurance problem and/or a dental insurance problem. I don't want to pursue this if I have no control over their decision. I spent almost $3,000. and I still need more work done. When I call them I spend several hours on the phone with different reps and get all different stories. I find this stressful. I'm retired and my health ins. co. is Health Care Partners with United Health Care. Thank you.


Asked on 8/29/15, 1:37 pm

1 Answer from Attorneys
Steven Murray Steven W. Murray, APC

This is a medical, not dental, problem and your health insurance should cover it. An accident caused the dental damage, so it is a medical problem. Good luck.

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Answered on 9/02/15, 11:34 am


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