Dental implants needed - any chances of getting medical insurance to cover it?

Medical insurance: We do bill medical insurance for dental implants. We do it for our patients and also provide medical billing servicesfor other dentists. Please ask your dentist to call our office so we can guide them on how to work with medical insurance for dental plants.

Depends: That will be determined on the "why" the implants are needed. For instance if an accident cause the loss, of a tooth the implant is usually covered. Insurance companies are getting better at covering for them, but some still not with it. Use a predetermination with your insurance company to be sure prior to starting work if you can not afford the implant without the insurance.

Little chance: It depends on your particular policy. Almost 99% of medical insurance plans do not cover what they consider dental procedures, however it's best to ask your insurance policy. Billing medical insurance is different than billing dental insurance, so you need to ask if your dentist has experience billing medical insurances.

Yes: Some dental insurances have started covering dental implants.

Can be challenging: Usually, if there is a history of an accident or a jaw cancer/cyst was removed from the jaw bones, then the medical may cover dental implants. A pre-authorization for dental implants to the medical insurance may be something to consider.

Yes: Some surgical offices have had success in getting medical insurance to cover dental implants because of jaw atrophy determined by the patient's physician.

Depends: All depends upon whether or not you are able to establish a "medical need" for the implants. Very hard to do, but does rarely get covered. You need to be very aggressive with the insurance company and have solid ground to base your need upon. Few people have conditions severe enough to establish this "need". More often it is a desire or want or preference.