Dental insurance - Disagree with recommendation
Who is your issue with?
Resolver is free. No adverts, no hidden costs. Just raise a case and leave feedback after. Simple! We’ve helped millions of people find a resolution. Get started now and let’s get this sorted.
Know your rights
There’s no jargon in our rights guides. Instead, they’re full of the info you need to get things sorted. We’ll always be on hand with guidance and support to help you get the results you’re looking for.
Get your voice heard
You can be certain that you’re talking to the right person at the right time. We automatically connect you to contacts at thousands of household names, ombudsmen and regulators to find a resolution.
If your insurer disagrees with your dentist as to the appropriate treatment for you and whether it should be covered, you should look into the details of your policy and see whether the policy makes it clear either was as to whether your treatment can be covered. If it is unclear you should write to your insurer giving clear details of your requirements and why you believe they are within the policy. A copy of a supporting letter from your dentist or specialist should be enclosed if possible.
If you disagree with the claim findings you should contact your insurer and write giving clear details of your case - such as what happened, when, and why you think you think the conclusion is inaccurate. You should enclose within this letter copies of all receipts for treatment upon which you will be relying. Their customer services team should assure you that they will contact you within a reasonable time with an update regarding your dispute.
As a last resort you can contact the Ombudsman, which will act as a mediator in your case. resolver recommends that you submit your concern in writing, and resolver can assist you in submitting, recording and reminding you when and who to escalate to.
Resolver can help you resolve this issue quickly, free of charge and without the hassle. We can also help you with the next step of writing your complaint. Click on the link below to create your email.
You should know
- If you’re making a complaint about making an insurance claim rather than a mis-sold policy, check your documents to see who the “underwriter” is. You’ll need to make a complaint to that organisation.
If you cannot resolve your issue you cannot raise your case to the Ombudsman until 8 weeks after you have first raised your complaint with your supplier, or you have received a ‘letter of deadlock’ from the company stating that they cannot resolve the issue as you have asked. Your complaint must also not be older than 9 months. For an accurate decision by the Ombudsman you should provide a detailed file of your communications and supporting documentation. In addition make sure you explain what you want as an outcome as this will help assess your case.
Find the best rights for you
We have 5,191 pages of rights advice for you covering 6,984 companies and organisations across 17 public & private sectors. Feel free to browse companies for this specific issue - they're all listed below - but the quickest way to find the best rights for you is by using our unique Rights Finder to access our extensive database of advice.
Start by telling us the name of the company or organisation you have an issue with.