Medicaid does not cover root canal in NYS

Discussion in 'Dental Archive' started by JohnCM, Oct 2, 2005.

  1. JohnCM

    JohnCM Guest

    I'm disabled and on a limited income, in New York state.
    Unfortunately the right side of my mouth is in bad shape. I had a lapse
    of a couple of years that I did not go to a dentist, mainly because I
    couldn't find one that accepted Medicaid.
    Anyway, I am going to a dental clinic now. What brought me there (its a
    long trip but I had no choice) was both the wisdom teeth on my right
    side of my mouth were in severe pain. There had been advanced decay in
    both upper and lower right wisdom teeth. The upper one was tilted
    toward the back a bit, but was fairly easy for them to extract. The
    lower one was "mesioangular", it was erupted a pressing against the
    molar next to it. They had to pull that one as well.
    That got me some temporary relief from the pain. But the warned me that
    the last molar on the upper right side had advanced decay from the
    x-rays. It would not be able to be filled, but would need a root canal.
    The tooth can easily be saved by a root canal and the dentist did not
    advise extracting that tooth, as messing with the regular teeth can
    cause alignment problems.
    The bad news is Medicaid doesn't cover root canal in New York and I
    cannot afford the $900 or so it will cost. I barely make expenses for
    the month as it is. I wasn't too worried since that tooth wasn't
    hurting me. But it is starting to hurt me, and I see a brown area
    (decay) in the pit of the tooth, and unfortunately I see a little on
    the other molar as well. So what am I gonna do?
    Beg on the street for $$ for a root canal. It's an outrage it isn't
    covered. So I am asking is there anything I can do to "reverse" the
    effects of this decay so the tooth can "build itself up". Or am I gonna
    have to starting begging?
    I don't have any family or friends that can help me. Unless anyone
    knows a dentist in the Long Island area that can take a charity case.
     
    JohnCM, Oct 2, 2005
    #1
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  2. On 1 Oct 2005 20:02:25 -0700, "JohnCM" <>
    wrote:
    You need to find a g-g-g------g----o-oo-o-o-o-o-oo-o-o-d dentist who
    accepts medicaid.



    Yank 'em out ... ten minute job, after profound anesthesia of course!

    Move to Pennsylvania .....

    Standard advice will follow .... give up cable TV, ciggies, internet,
    prepared foods, MickyD's, and the like.
    I saw a guy with a sign by Wal-Mart,

    "I will work for root canal therapy."


    YUP, ask George Bush to raise the minimum wage.

     
    Joel M. Eichen, Oct 2, 2005
    #2
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  3. JohnCM

    Bill Guest

    JohnCM wrote:

    Medicaid doesn't cover root canal treatment for posterior teeth in my
    state either. Most states have cut it out of their budgets. In fact,
    under Medicaid, states are required to cover normal dental care only
    for children, so many states don't cover adults except for dire
    emergencies.



    Even when Medicaid says it "covers" any type of dental treatment, it
    only covers a fraction of the cost. The dentist who accepts Medicaid
    patients is already providing charity to each case. In the case of
    severe decay, you would need to find a dentist who can perform the
    extraction under the low Medicaid fee schedule.

    Under the Medicaid system in my state, when there is a severely decayed
    tooth, the choice comes down to extracting the tooth under Medicaid, or
    paying for the root canal yourself. And remember that when a back tooth
    has root canal treatment, it then needs a crown too. And Medicaid won't
    cover the crown. So it sounds like extraction is your cheapest
    alternative by far.

    - dentaldoc
     
    Bill, Oct 2, 2005
    #3
  4. JohnCM

    Stovepipe Guest

    Bill <> wrote:
    At least in your state you can choose to place compomers or composites
    or Am. Up here, we can only place Am in posterior teeth. The populace
    will pay for white fillings in permanent teeth perhaps, but not the
    deciduous ones. IMO, it should be the other way 'round, as it is in the
    early years that the nervous system develops.

    .... and so it goes...

    SP
    --
    Take out the TRASH to reply
     
    Stovepipe, Oct 2, 2005
    #4
  5. JohnCM

    JohnCM Guest

    "Medicaid doesn't cover root canal treatment for posterior teeth in my
    state either. Most states have cut it out of their budgets. In fact,
    under Medicaid, states are required to cover normal dental care only
    for children, so many states don't cover adults except for dire
    emergencies. "

    It's a real shame that in a supposedly developed country like the
    United States, dental care isn't considered neccesary. The safety net
    this country has is a joke.

    "Even when Medicaid says it "covers" any type of dental treatment, it
    only covers a fraction of the cost. The dentist who accepts Medicaid
    patients is already providing charity to each case. "

    That's probably why so few dentists accept it. The Medicaid program
    should pay out as much as any regular insurance program should.

    "Under the Medicaid system in my state, when there is a severely
    decayed
    tooth, the choice comes down to extracting the tooth under Medicaid, or

    paying for the root canal yourself. And remember that when a back tooth

    has root canal treatment, it then needs a crown too. And Medicaid won't

    cover the crown. So it sounds like extraction is your cheapest
    alternative by far. "

    I had no problem extracting my useless Wisdom teeth, but extracting
    regular teeth can cause alignment problems, and impair your ability to
    chew and speak. Not something I'm willing, or should even have to
    accept, in a country where every 3rd person drives a $60,000 Hummer H2
    that gets 8mpg. I'd rather beg. Especially here on Long Island, where
    there's plenty of rich people that can spare a few hundred.

    I guess what it comes down to is begging, so that's what I'm gonna have
    to do. I should be glad there's ANY dental coverage under Medicaid.
    This country truly is a joke. I guess after how they treated New
    Orleans one can't be suprised at the ignorance of the government toward
    those who are poor and disabled.
     
    JohnCM, Oct 2, 2005
    #5
  6. JohnCM

    JohnCM Guest

    I am not so sure if the pain is coming from the upper right molar as I
    previously thought.
    It seems to be coming from the extraction site of the lower right
    wisdom, because when I brush around the site it hurts ALOT. They had to
    suture that site, but with dissolvable stitches. But I still feel the
    stitches in there even though it's been almost 3 weeks since the
    extraction. It feels very sore as well, and the pain may be radiating
    to other teeth. Because my 1st molar which has no cavity is also having
    pain. Should the stitches dissolved by now? It seems to bother me at
    most when I'm sleeping, and there's pressure on my head.
    The first few weeks after extraction went fine but I'm noticing the
    site is very sore now.
     
    JohnCM, Oct 2, 2005
    #6
  7. >
    You are free to leave anytime you choose.

    You may begin the flame war at any tine.

    Amatus




    On 2 Oct 2005 10:09:17 -0700, "JohnCM" <>
    wrote:
    ...

    Amatus
     
    Amatus Cremona, Oct 2, 2005
    #7
  8. JohnCM

    letsconnect Guest

    Where's Flab when you need him?
     
    letsconnect, Oct 3, 2005
    #8
  9. On 2 Oct 2005 17:51:39 -0700, "letsconnect" <>
    wrote:
    Flab be working on his blop .......
     
    Joel M. Eichen, Oct 3, 2005
    #9
  10. On 2 Oct 2005 06:41:19 -0700, "Bill" <> wrote:
    PA ~ yes.
     
    Joel M. Eichen, Oct 3, 2005
    #10
  11. On Sun, 02 Oct 2005 22:53:48 GMT, Amatus Cremona <>
    wrote:
    You may want to move to the city ... .things are better here.


     
    Joel M. Eichen, Oct 3, 2005
    #11
  12. JohnCM

    Stovepipe Guest

    JohnCM <> wrote:
    You may have some undissolved stitches in there. Have it looked at and
    irrigated if necessary. Sleep with an extra pillow to aid drainage. Use
    ice on the cheek wrapped in a towel. It's been a while, but if there's
    infection there, you may need it to be looked at. You may have a small
    piece of bone that has broken off and is irritating the area.

    Hope this clears up soon.

    SP
    --
    Take out the TRASH to reply
     
    Stovepipe, Oct 3, 2005
    #12
  13. JohnCM

    Stovepipe Guest

    Joel M. Eichen <> wrote:
    "Things go better with Coke-a-Cola,,,,
    Things go better with Coke. "

    Just down memory lane a bit there....
    SP

    --
    Take out the TRASH to reply
     
    Stovepipe, Oct 3, 2005
    #13
  14. True, but their reimbursment is only

    270 for molar
    225 for premolar
    180 for anterior.
     
    dr shad j lewis (via google), Oct 3, 2005
    #14
  15. JohnCM

    letsconnect Guest

    Joel M. Eichen wrote:
    Is "working on his blop" another euphemism for "going full osseous"?
     
    letsconnect, Oct 3, 2005
    #15
  16. JohnCM

    JohnCM Guest

    Yes I have made an appointment to have it looked at on Wednsday. I have
    a feeling it has gotten re-infected. After the extraction I took
    Pennicillin for 10 days. I am using an extra pillow, it helps. That and
    the ibuprofen. :)
    I guess I am one of those "lucky" few that have trouble with
    dissolvable stitches.
     
    JohnCM, Oct 3, 2005
    #16
  17. JohnCM

    Bill Guest

    Stovepipe wrote:

    For years, we couldn't place composites in posterior teeth under
    Medicaid.

    Now, they allow it, but it doesn't mean they pay the cost. They simply
    pay the same that they pay for amalgam (which is only about 30% of the
    normal amalgam fee).

    This is the state's method of discouraging the placement of posterior
    composites, while still being able to claim that they "cover" it.

    - dentaldoc
     
    Bill, Oct 3, 2005
    #17
  18. JohnCM

    Bill Guest

    shad wrote:

    True, but their reimbursment is only


    270 for molar
    225 for premolar
    180 for anterior.
    ____________________________



    270 would be passable for the molar, but what about the second and
    third canals? Shouldn't they be filled too? ;-0

    - dentaldoc
     
    Bill, Oct 3, 2005
    #18
  19. JohnCM

    breanne Elizabeth

    Joined:
    Dec 3, 2017
    Messages:
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    Hi. I had a root canal that Medicaid paid for. You should submit a claim to them. Be firm and tell them to be kind and pay for it.
     
    breanne Elizabeth, Dec 3, 2017
    #19
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