Metlife Dental Customer Service Issues

To whom it may concern, I am writing to address ongoing difficulties with submitting two dental claims while being stationed overseas. These claims have been attempted to be submitted since April [redacted], with various attempts made, including faxing the claim initially and then mailing the paperwork with a letter and receipt to the address provided by a MetLife representative at 1-[redacted] in August [redacted]. Unfortunately, the claim paperwork was returned by the postal service as undeliverable to the address provided, causing further frustration and delays in resolving this matter. I have encountered challenges with coverage for my spouse under the dental insurance we have paid for, leading to out-of-pocket expenses. The prolonged process has become more complicated as it seems that MetLife is no longer handling claims. I am reaching out for guidance on the appropriate steps to address claims under the current circumstances as this is my final attempt to resolve this matter before exploring other options. Sincerely, D. Delgado, PharmD, MBA|MAJ, MS|

I had extensive dental work done last year while being insured with MetLife dental. However, the dental office convinced me to take what they called a short-term loan for a premium upper denture costing $[redacted]. They split the bill between two loan companies, one for $[redacted] and one for $[redacted] based on a June [redacted] pre-estimate. They required an additional $[redacted] on my debit card to cover the total cost of $[redacted]. After signing the agreement, I experienced severe headaches. When I requested the denture, they insisted I complete all crown and cap procedures first, which took an additional twelve months. Although I received eight crowns, MetLife only covered 40% of the cost and the dental office overcharged me for the premium denture. They also wrongly billed MetLife dental and denied three of my crown procedures. I'm puzzled by their billing practices and the discrepancy between the pre-work estimate and actual charges.

Yesterday, I visited the dentist and learned that I need to replace a crown that was initially placed by another dentist two years ago. I have experienced discomfort due to a gap between the crown and gum line where bacteria is accumulating. Dr. Goad, my current dentist, mentioned that a new crown might not be covered since it falls within a five-year timeframe. I am considering revisiting the initial dentist to rectify the issue, but I have relocated and prefer not to have them perform the corrective work. I am exploring the possibility of having the initial dentist cover the expenses. I am unsure if your legal team could assist in this matter or if I should seek legal advice independently.

Hello, I am having trouble accessing my Metlife Dental Insurance benefits online. I was able to log in after an hour on the phone with support on Monday, but today the same login details are not working. I need to speak to my dentist about paid benefits. Unfortunately, Technical Support was not helpful and hung up on me when I reached out. Could you please provide me with contact information for resolving this issue promptly and permanently? Thank you for addressing this quickly. I hope to hear from you soon. Thanks, Scott E.

I recently visited the dentist and was given a referral to see a periodontist. When I contacted the periodontist, they mentioned that they might not be in-network with my insurance. They explained that they would submit the claim to the insurance, and I would be responsible for any costs not covered. The price of the surgery can vary significantly, ranging from $[redacted] to over $10,[redacted]. I underwent a similar surgery a year ago with a different periodontist and ended up paying for the portion not covered by insurance. I'm curious if there is a difference in coverage between in-network and out-of-network periodontists. Thank you for your assistance.

I am reaching out to address an issue regarding my dental benefits. Due to the closure of dental offices by Governor Newsom due to Covid-19, I have been unable to utilize my benefits for several months. As someone over 60 with an immune disorder, I am at high risk and couldn't visit the dentist. My [redacted] benefits are set to expire on 9/30/20, and I kindly request an extension for a few months so I can fully use my benefits this year. Given the circumstances beyond anyone's control, I hope you can understand my situation. I have been a member of this plan for 11 years. Your prompt attention to this matter is greatly appreciated. Thank you, Danette Pedron.

I visited the dentist after breaking my tooth last night. An examination revealed I need a root canal and crown for tooth #20. Surprisingly, my insurance doesn't cover endodontic therapy, though my husband, a Verizon retiree, had coverage for a root canal in January [redacted]. I'd appreciate a copy of the contract coverage for clarification. Thank you.

I need to file an insurance claim because I believe there is an issue with the financial aspect at the dental clinic I visit. The information provided regarding the payment amounts is confusing. I am being told my payment responsibility is $[redacted].20, but then the total amount paid is $[redacted].00, with the clinic indicating I should pay $1,[redacted].90. There seems to be a discrepancy that needs addressing. It's crucial to clarify if there is an error in their practices or if incorrect information is being relayed to me. It's important for me to understand the situation clearly. This concerns both my wife and me, and my wife is the primary insurance holder. I would appreciate communication in Spanish to resolve this matter effectively. If there is a contact number where I can reach you, please provide it.

I have not received information about the new plan, and it appears that my coverage has been canceled. I have been a loyal Met Life subscriber for years and would like to maintain my coverage. I am uncertain why the cancellation occurred. Recently, I experienced banking fraud and have been attempting to update my banking information without success in reaching a customer service representative. At 80 years old, I prefer speaking with a human rather than being directed from one website to another. Assistance is greatly appreciated.

Hello, I am a representative of the Veterans Administration at the West Consolidated Patient Account Center in Las Vegas, NV. We have received an Electronic Funds Transfer (EFT) Trace # [redacted]70 dated 3/7/23 for an amount of $[redacted].00 for medical services provided to ESTRADA, DALLANA Palomino. The patient is not a member of the VA, and we are unable to locate her record in our system. We would like to return the payment to you, but the U.S. Treasury remits through a third-party agency called Financial Management Services with your Taxpayer Identification Number and bank account information. Before we can return the check to you, this process must be completed. If you are willing to proceed, please contact me via email at [redacted] or call me at [redacted]. I will send this notification two more times as a reminder.

The VA Department at West Consolidated Patient Account Center in Las Vegas occasionally receives checks for medical and dental services not intended for VA patients. These checks must be returned, but the US Treasury requires a third-party remittance through the Financial Management System. To proceed, the insurance company needs to complete VA Form [redacted], Vendor File Request Form with their tax ID, bank details, and checking information to obtain a unique Tax ID Number. Despite three attempts to contact MetLife Dental for registration, this is the fourth non-VA patient whose check needs to be returned. Following the third unsuccessful contact, a voucher is processed and forwarded to the US Treasury for payment using a non-vendorized address. In this specific case, the non-VA patient is D.P. Estrada with MetLife number [redacted], service date 1/1/23, EFT/Trace number [redacted].48/[redacted]70 dated 3/7/23. For further assistance, contact via email: [redacted] or phone: [redacted].

This is my third attempt to reach you. We received a check for Dellana P. Estrada, a non-VA patient, with Electronic Funds Transfer (EFT) trace number [redacted]70, dated March 7, [redacted], in the amount of $[redacted]. We would like to return the same amount through the US Treasury remittance, but it requires using the Financial Management System (FMS) where your Tax ID number is registered. If you agree, we need to register you in the FMS to facilitate the return of $[redacted]. I am Emilio Ayonon, a Refund Technician at the Department of Veterans Affairs, West Consolidated Patient Account Center, located at [redacted] Palms Airport Drive, Las Vegas, NV [redacted]. You can reach me at [redacted] or email me at [redacted] We have received checks from other non-VA patients on your behalf and have been unsuccessful in contacting you through this method. We will wait another week before proceeding with the return, preferring to utilize the FMS method. Thank you.

I have been experiencing issues with missing molars, some on the right side and all on the left side. The gap on my right side has caused food to get stuck between my teeth, and recently a nut got jammed into the gap, leading to gum pain for three weeks. I have struggled with choking on food and drinks while trying to maneuver the food for chewing. My Dentist at Rice Family Dentistry will be sending you a couple of different options for me. I hope you can help provide a solution that is both effective and affordable to enhance my eating experience and prevent any choking incidents. Thank you for your assistance. Please excuse any grammar mistakes in my message.

I have been unable to reach you by phone. Here is my concern: On 4/4/[redacted], I spoke with Nicholas regarding additional information needed for a claim dating back to November [redacted]. After confirming that all required information had been submitted, Nicholas assured me that the claim would proceed, and a check would be issued. However, it has been almost a month since our conversation, and we have yet to receive the check. Can you provide an update on the status of Claim # [redacted] 99 [redacted] for patient Domenick Mucci, with a date of service of 11/30/[redacted]? We kindly request expedited processing of this payment, or we may have the insured party reach out to you directly.

As a dental provider, I need to contact the provider relations department regarding issues I've been experiencing. I've observed that x-rays are being requested for fillings with 2 or more surfaces, and I want to confirm if this is a new requirement for all patients. Additionally, I would like to discuss fee schedules. Could you please guide me on how to proceed? I have been unable to get assistance using the customer number as it requires a social security number or member ID, and my questions are not related to a specific patient.