DENTAL COVERAGE TERMINATED 1 YEAR AFTER TREATMENT, INSURANCE COMPANY WILL NOT FINISH PAYING FOR TREATMENT BALANCE

I had dental insurance coverage with Delta Dental that from 2015 through 2024, this coverage included adult orthodontics coverage. In November of 2022, I started Invisalign and finished in April of 2023.

I paid my portion of the balance up front and Delta Dental was to cover the remaining portion. In April of 2024, my coverage was terminated due to changing employers. My dental office just contacted me to let me know that I have an outstanding balance on my account of approx. $500 due to Delta Dental stopping payments for their portion. (This is approx. 20% of the coverage amount).

After speaking with Delta Dental, they are refusing to finish paying the remaining 20% balance, because the policy is no longer active. I explained that all of the dates of service are within the time of coverage and the policy was active for over a year after the service ended. They are still refusing to pay the balance.

Is there anything I can do? Or is this legal?

submitted by /u/DealMakerFL
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