Dental implants are an investment in your oral health with a big payoff: a beautifully restored smile that looks and feels more like your own teeth than any other option. Not to mention that implants can last for decades, if not a lifetime, with basic care and maintenance. But what can you expect when it comes to insurance coverage? And if you prefer sedation beforehand, will that be covered? Although implants are an excellent replacement option for missing teeth, dental insurance can raise a lot of questions. Get answers to those questions below!
Are Dental Implants Covered By Insurance?
There are two main types of insurance: dental and medical. In rare cases, if the cause of tooth loss is trauma or an accident, some medical plans will cover implants.
In most cases, however, implants aren’t covered, but it’s always worth it to check your plan. While some won’t cover the implant, they will cover the crown that’s attached to it. There’s no clear answer that applies to everyone because there are thousands of insurance plans out there, so the best way to know what your plan covers is to contact them directly.
Many dental offices will help you with this process and can file a pre-authorization, which is a formal estimate from an insurance company that outlines what they’ll cover for a procedure.
Unfortunately, dental insurance is a for-profit business, which means that it usually covers the lowest-cost procedures – whether that’s the best treatment for the patient or not.
Having said that, spending a little time researching your insurance plan is well worth it. That way you can make an informed decision beforehand – with fewer surprises down the road!
Is Sedation Necessary and Is It Covered?
Getting implants requires a minor surgery that takes around 2 hours, which can be compared to having a tooth extracted (and is much easier than most people anticipate).
In fact, it’s not uncommon for people to undergo the procedure with anesthetic only and not need any sedation. However, some patients prefer some type of sedation beforehand, which is always a personal decision. While dental insurance rarely covers sedation, in some cases it will be covered by medical insurance.
Despite the (usual) lack of insurance coverage, implants are an excellent option for replacing missing teeth. They’re well worth the investment – and the only regret most patients have is that they didn’t get their implants sooner!
About the Author
Dr. Terry Rigdon has a successful track record of placing dental implants for over 30 years. He knows what a wonderful replacement option they are but also understands that insurance can be overwhelming, so he and his staff always do their best to help their patients navigate their coverage. If you have any questions about dental implants, he can be reached via his website or at (918) 494-8666.