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Health coverage generally does not cover dental work. But Susan Rice of Atlanta should have been the exception: She was hit by a speeding car, causing extensive damage to her own “grill.” She’s been fighting to get her oral surgery covered for 18 months and counting.
The “An Arm and a Leg” podcast connected Rice with University of South Carolina law professor Jacqueline Fox, who, when she was practicing law, fought insurers on behalf of patients. Fox said Rice has “done everything right.” Her insurer’s refusal to pay may be tied to a bigger problem in the Affordable Care Act marketplace … one that’s led to a class-action lawsuit.
“An Arm and a Leg” is a co-production of KHN and Public Road Productions.
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This story was produced by KHN (Kaiser Health News), a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.