General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsDentists now charging more for PPE?
I received a letter from my dentist saying he's charging more for visits because of the required PPE. What? Haven't they always been using PPE (or should be)? Isn't that a sunk cost?
I called my brother, a dentist in another state, and he said that many colleagues are trying to recoup costs from the shutdown and are telling patients "up front" so they're not surprised when they get the bill, as most insurances won't cover increases due to usual & customary care (U&C) but are using the PPE excuise to force everyone to pay the higher prices. My brother thinks it's ridiculous and unethical and he won't do it but others are.
Is that a thing now?
Thanks
Loki Liesmith
(4,602 posts)The market is tight and prices have gone up. I know one ortho who has had to buy his on the black market
keepthemhonestO
(252 posts)I got the letter too, here in Georgia. Interesting that you point that out, so they aren't going to be needing anything different? It does seem like they are usually in a full get up of PPE, so then why the charge?
Now I am pissed.
hlthe2b
(102,141 posts)This is a really inappropriate assumption. I'm not a dentist but a direct care HCW and this level of misunderstanding frustrates me and quite frankly pisses ME off.
keepthemhonestO
(252 posts)oh sorry I didn't memorize the masks they were using all this time, give me a break!
So condescending.
hlthe2b
(102,141 posts)accuse them of bilking the public because you haven't bothered to consider how being inches from someone's open mouth and secretions would put them at risk and thus their PPE requirements would have changed every bit as much as for an in-line ER HCW? Really? No, better to assume they are just enriching themselves off of some added charge for PERSONAL PROTECTION.
If I'd seen this promoted on other websites or tv programs I won't mention I would be less surprised, but on DU?
keepthemhonestO
(252 posts)I meant you are condescending, not they dentists.
Try actually reading what I wrote, I said I never noticed that they use or didn't use n95 before.
hlthe2b
(102,141 posts)Response to hlthe2b (Reply #15)
Post removed
hlthe2b
(102,141 posts)SHAME ON YOU. I'd never expect that from DUers, but of course....
As Hekate says, "condescending my ass".
keepthemhonestO
(252 posts)A poster posted a statement, I responded with a series of questions to his post but according to you I accused a whole slew of health care workers of something? Ok.
Hekate
(90,565 posts)...about the changing nature of dentistry. The same modern equipment that makes procedures faster and less painful also aerosolizes everything being drilled onto every surface in the office.
Condescending, my ass.
PCIntern
(25,491 posts)Proper PPE is now very hard to come by. Im back to work and rationing PPE
That being said, it does not cost an enormous amount of money per patient to provide PPE. The stipulations are widely interpreted, but by and large the patient is extremely well protected with judicious use of PPE. That does not mean that everything has to be fully changed between patients. Believe me, you are much more likely to be infected by The coronavirus when coming up in the elevator to my office then at the office itself. As far as our health and safety, as Ive said in many posts its a real crapshoot. However, its what we do for the community and of course as a living. Im very happy to be helping many of the people who were in real trouble while I was out. Hospital emergency rooms are incapable for the most part of Managing these cases and short of full-blown facial abscesses there is no treatment available to alleviate dental pain and suffering at the hospital. The exceptions of course, are hospitals affiliated with dental schools which have residency programs. But those are few and far between.
Hekate
(90,565 posts)I was due for a routine cleaning in January, then total knee replacement in February. However, was sternly informed by the surgeon's assistant that the knee would have to be postponed for 5 months if I did that. He also said I'd have to take antibiotics before any dental procedures -- forever.
On balance, I am glad I did not postpone the knee, as I was barely able to walk and was one of the last elective surgeries the hospital did.
Even so, my dental history is such that I've been very conscientious about having my teeth seen to, and really appreciate the advances in techniques and equipment over my 72 years. I'm still waiting for that cleaning and X-rays appointment to be allowed.
Stay safe, PCIntern!
PCIntern
(25,491 posts)And the surgeon IS ABSOLUTELY CORRECT about the premedication.
Stay well!!
rampartc
(5,388 posts)hlthe2b
(102,141 posts)So to replace them has been a real struggle for dentists offices--many which have delayed reopening for that reason alone.
The cost of N95 masks has gone up exorbitantly-- if they can find a supply at all.
This does not strike me as unreasonable. In fact, I'm surprised at the malign implication you make.
Baclava
(12,047 posts)BadgerKid
(4,549 posts)hlthe2b
(102,141 posts)and others. As you SHOULD.
Zing Zing Zingbah
(6,496 posts)It is ridiculous considering how few cases of COVID-19 Maine has and practically all other states have allowed dentists to resume with their regular appointments. Gov. Janet Mills is strictly adhering to the CDC recommendations that have not changed since March. The dentists in Maine are clamoring to open up shop again. Many of the dentists have purchased the necessary safety equipment, but they still aren't allowed to open up. I think this response is short-sided because we can't just indefinitely delay dental work. I don't like how COVID-19 is the only thing anyone cares about anymore. People are suffering with other medical conditions that have been going untreated these past few months. Maybe it is getting a little better in that I believe the regular doctor appointments and non-emergency procedures can now resume, but dentists are excluded. I'm sure the doctors have huge back log now. Also, the hospitals around here have been laying people off. The governor ordered that they do nothing but emergency and COVID-19 procedures and as a result they've had very little business because we have hardly any COVID-19 cases.
This topic is actually front page news today at the Portland Press Herald.
https://www.pressherald.com/2020/05/11/maine-dentists-criticize-mills-administration-for-not-reopening-routine-dental-care/
7wo7rees
(5,128 posts)Before I was allowed inside I was informed.
On the invoice it is itemized as:
PPE/Sterilization Fee
I went this morning to 2nd optometrist for help (been going to this one for 22 years but not for last 3-does not take ins). I recv'd help, saved $310 and set up appointment for 2nd opinion, insurance be damned.
Because of question posed by OP, I just called their office to ask if they were charging a fee. No, they are not. Difference between two offices is night and day.
So no, not everyone is doing it.
Alex4Martinez
(2,193 posts)However, I feel we need a single payer M4A program that includes dental, such that extra needs by providers would be met.
I like my dentist, if he and staff need extra gear I'm not expecting it to be provided at their own expense.
It just doesn't work that way.
Horse with no Name
(33,956 posts)Now they are over $7
Thats just the mask. The gloves have gone up. The gowns have gone up. Goggles have gone up.
You are probably looking at something that cost $3 bucks pre-Covid now about $30 when you include the PPE for the Dental Assistant and the Dentist.
Not to mention the risk of dealing with potential Covid infected saliva?
I think the cost is justified although I do believe the insurance company should be covering those costs.
Ms. Toad
(34,004 posts)They have been using universal precautions - but those are not the same. My dentist and hygienist wears a surgical mask - I'm not sure the assistant who works with the dentist when he fills cavities wears a mask at all (she's out of my line of sight).
PPE costs more.
If you have a dentist with a contract with your insurer, your out of pocket should remain the same per the existing contract between the two - the agreements generally prohibit the dentist from tacking on extra costs. If you are like me (my dentist is not in network), the cost will come out of my pocket.
hlthe2b
(102,141 posts)Anyone that close to the mouth of an individual not tested negative is at every bit as much risk as the HCW intubating or suctioning a patient. Prior to COVID-19 one could get by with it even though a minimum of gloves and surgical mask has always been the CDC guideline; now, it is irresponsible as hell not to be wearing N95 and providing further protections to both staff and other patients.
Ms. Toad
(34,004 posts)before COVID 19, but now felt free to add a surcharge for doing something they were already doing.
I was not describing what they are doing now - I was distinguishing pre-COVID universal precautions (including surgical mask, gloves, and more), implemented in the wake of the HIV crisis, from the new - significantly increased requirements for PPE.
Response to Paula Sims (Original post)
Mosby This message was self-deleted by its author.
Fla Dem
(23,593 posts)I would think that has easily gone up $5,000 to $10,000 in the past 11 years.
https://www.huffpost.com/entry/why-a-trip-to-the-dentist_b_4992826
Response to Fla Dem (Reply #28)
Mosby This message was self-deleted by its author.
trof
(54,256 posts)She told me that under the ADA guidelines she, her partner (other dentist), and their assistants must wear clean/new PPE from head to toe FOR EACH PATIENT.
Head cover, mask, gown, gloves, etc.
All that is now scarce and much more expensive.
She and a couple of others in the office sew, so they had a sewing party last Saturday to make PPE.
I told them about buying gloves at Harbor Freight.