Health insurance and dental coverage can be complicated and confusing, especially when it comes to how much and what parts of a specialty dental treatment like dental implants are covered. Our patients regularly ask us if their dental insurance will cover implants, and the answer is dependant upon your insurance provider and type of implant treatment you receive.
Kingsland, GA dental provider Lassiter Family Dentistry will work with you and your insurance company to create a treatment plan that fits your needs and budget.
Understanding Dental Insurance Coverage
Many insurance companies consider the installation of dental implants to be purely a cosmetic procedure, and therefore not medically necessary. However, as anyone living with missing teeth can tell you, missing teeth are detrimental to their oral health as well as their self-confidence and sense of well-being.
Getting your dental implant installation covered may require using both your medical and dental coverage to cover your implant procedure, depending on the reason that you have been recommended to have implants placed.
The informative materials on dental coverage that you were provided upon your enrollment may list whether it is covered at least in part and which part. Before agreeing to any dental procedure, it’s important to inquire with your insurance company questions about coverage to ensure there are no surprise costs:
- Does the 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 Lassiter Family Dentistry or your area dentist’s office will be able to work directly with the 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 procedure and how much mouth preparation is needed for it. The amount of coverage will also depend on if you are receiving a full arch of restored teeth or just replacing one or two missing teeth.
Tooth Extraction:If you have a damaged tooth that is beyond repair, this procedure will have to proceed your dental implant treatment. Most insurance providers will cover all or most of a tooth extraction whether it is part of an implant treatment plan or not.
Bone Grafting: Some patients need their underlying jawbone tissue strengthened prior to the implant procedure so that the implant will stay securely in place. This part of the procedure may not be covered, although it is a crucial step in the implant procedure.
Placing the Implant: The implant placement procedure is considered a “major” dental procedure. Don’t be afraid of the word “major,” though — this is a term insurance companies use that does not always reflect the intensity of treatment. Some plans cover up to 50 percent of major procedures.
Placing the Implant: The implant placement procedure is considered a “major” dental surgery but don’t let the word “major” scare you. This term is commonly used by insurance companies but does not always reflect the intensity of treatment. Some dental insurance plans cover up to 50 percent of major procedures.
Dental Implants in Lassiter, GA
We understand that working within a budget with your insurance provider can be confusing. The Lassiter Family Dentistry staff will work with you, your dentist, and your insurance company to offer you the best treatment based on your needs and budget — and a long-lasting smile. Schedule a consultation online or call (912) 576-4011 today.