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Getting clear answers about what’s covered by health insurance and dental coverage can be confusing, especially for specialty procedures like dental implants. Patients often ask whether their insurance will cover the cost of dental implants, but it all depends on what insurance you have and what type of implant treatment you receive.

East Lancaster, CA dental provider Smile Dental Group will work with you and your insurance to create a treatment plan that will compliment your needs and your budget.

UNDERSTANDING DENTAL INSURANCE COVERAGE

Many insurance companies consider dental implants purely a cosmetic, and therefore not medically necessary procedure and will not cover them. But anyone who is missing teeth knows that replacing the missing teeth is critical to their health and general wellbeing.

Covering your dental implant procedure may require using both medical and dental insurance coverage, depending on the reason you need them. It is a good idea to take some time and review your insurance policy to see whether it is listed in the insurance information you were given when you started the policy. Before beginning treatment, it’s important to ask the insurance company questions to ensure there are no unpleasant surprises:

Does your plan cover implants?

What percentage of the procedure does the policy cover?

What is my annual maximum out-of-pocket cost?

Do I need a referral before receiving dental implants?

The staff at your dentist’s office will be able to work directly with your insurance company to determine your coverage based on the treatment plan.

ARE IMPLANTS COVERED BY MY INSURANCE?

To determine whether your insurance covers implants, it’s important to understand the different parts of the treatment and how much mouth preparation is needed for the implant. The amount of coverage also depends on whether you are receiving a full restorative arch or just replacing one or two lost teeth.

Tooth Extraction: The need for this is dependant on whether you are already missing teeth or if the tooth is damaged and needs to be extracted before it is replaced. If the damaged tooth is still present, this procedure will be part of your dental implant treatment and it is covered by most insurance companies in full or at least in part.

Bone Grafting: Some patients need their underlying jawbone reinforced prior to the implant procedure to ensure the implant will be stable and secure. This part of the procedure may not be covered, despite it being a crucial step in the implant procedure.

Placing the Implant: The implant placement procedure is deemed a “major” dental procedure. Don’t be afraid of the word “major,” though — this is a term insurance companies use that relects cost more than the intensity of treatment. Some dental insurance plans cover up to 50 percent of major procedures.

Placing the Artificial Tooth: The artificial tooth — called a crown in dental parlance — that provides the appearance and functionality of a natural tooth is also considered a major procedure. However, some insurance plans consider this the same as crowning a to halt tooth decay and may cover more of the cost, so check directly with your insurance company.

DENTAL IMPLANTS IN EAST LANCASTER, CA

We understand that working with insurance and a budget can be challenging. The Smile Dental Group staff will work with you, your dentist, and your insurance company to offer you the best treatment based on your needs and budget. Schedule a consultation online or call (661) 302-4416 today.

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Related Questions

Insurer dental implants?

Depending on your insurance company and the type of plan you've selected, you may be eligible to have some if not all of your implants covered by insurance. Before consulting your dentist about getting implants, reach out to your insurance provider to see what is included in your plan.


How use dental insurance dental office?

Coverage for dental implants varies from one insurance company to another. Most of the insurance policies provide some coverage for the restorative procedure. You can ask your insurance provider if dental implants are covered or not.


I have fibrocystic breasts will my insurance company pay for implants?

No, Breast reconstruction is only covered following a Mastectomy


My friend wants breast implants for her birthday what place has the best deals to do so?

If you want to have breast implants, you should check if your insurance covers it. The cheapest deal with be the offices covered by insurance. The cheapest places in your area can be found at www.docshop.com


Does uniform medical dental pay for dental implants?

I found that implants are covered once every seven years but there seems to be many limitations associated with the implant procedure. Always contact your dental insurance provider to double check what is covered and what is considered a limitation.


Does bcbs cover dental implants?

Most insurance policies do not cover dental implants. Although, it depends on what state you live in. In North Carolina, 50% of the cost is covered. I would check with your provider in each state.


Do AARP cover dental implants?

AARP itself does not provide dental insurance, but it partners with various insurance companies to offer dental plans that may include coverage for dental implants. Coverage for dental implants varies by plan, so it's important to review the specific details of the insurance policy or speak with a representative to understand what is included. Generally, dental implants may be partially covered, but patients often need to pay out-of-pocket for a significant portion of the costs.


Does insurance cover a large portion of the cost of dental implants?

According to WebMD, dental implants aren't currently covered under most dental policies. However, some medical policies will cover the procedure. Check with your insurance provider and your dentist. Dentalsite.com can give discount ideas.


Does Met Life Dental Insurance Cover Dental Implants?

Ah, dental insurance can be a bit tricky, but remember, there are different types of coverage for different plans. It's always best to check directly with Met Life Dental Insurance to see if dental implants are covered under your specific policy. Don't worry, it's all part of the process of taking care of your beautiful smile.


How much do implants typically cost?

Implants vary in price on the actual type of implant being purchased. Breast implants are the most expensive and range from $5 to 10 thousand dollars and are not covered by most insurance plans. Dental implants are typically $1000 to 3000 for a single tooth but can get much more expensive if major work is needed.


Does health insurance cover replacement of deflated breast implants?

Typically no. It is an elective procedural (likely) that was not covered under insurance, and as such they do not pay for complications that arise from them. This may not be true in the case where the augmentation was secondary to mastectomy. There may be a warranty on the implant itself.


If one of your breast is two cup sizes bigger than the other one would your insurance cover breast inplants?

No. Breast implants are not covered by insurance. Its considered to be cosmetic unless related to post masectomy breast reconstruction