Many health insurance questions revolve around the question: “when does my health insurance cover dental work?” This question is commonly asked by patients without a dental plan. Your health insurance may pay for oral work only when it’s deemed medically necessary, but you have to ask yourself, what does “medically necessary” actually mean? The definition of “medically necessary” can include an array of dental care: non-biting accidents, certain diseases, and other treatments deemed integral to other services included under your specific plan.
When Health Insurance Covers Prosthodontics
A Prosthodontist specializes in improving the comfort, function, and appearance of your teeth. Your medical plan most likely doesn’t deem “comfort, function, and appearance” as medically necessary, meaning it won’t cover the cost of any prosthodontic work you have done. You’ll need to look for help elsewhere for paying for these procedures, especially for dental implants.
Will Your Health Insurance Cover Dental Implants?
Health insurance will never cover the cost of dental implants, no matter what plan or provider you have. Since implants are primarily for comfort and appearance, and they are far more expensive than any other prosthodontics options, health insurance won’t cover it. You can think of it this way: health insurance companies see that you have other, less expensive options that they can and sometimes will pay for. If you want the comfortable, more expensive option, you have to figure out a way to pay for it yourself. Supplemental dental programs cover implants. If you don’t want to settle for the less expensive, removable denture option which requires adhesives and may slip while speaking, you may want to explore these supplemental programs. They can help you make a permanent solution more affordable. To find out more about the denture procedure and other financing options, please call Advanced Prosthodontics today at (610) 865-4222.