16 doctors weighed in:

Will insurance cover full sedation for dental work on an uncooperative child?

16 doctors weighed in
Dr. Mark Patterson
Pediatrics
5 doctors agree

In brief: It depends

Specific insurance coverage depends entirely of your particular insurance plan.
You would need to check with your company to find out the answer to your question.

In brief: It depends

Specific insurance coverage depends entirely of your particular insurance plan.
You would need to check with your company to find out the answer to your question.
Dr. Mark Patterson
Dr. Mark Patterson
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Dr. Ronald Achong
Surgery - Oral & Maxillofacial
2 doctors agree

In brief: Depends

Depends on the insurance and on the procedure that is being performed.
A predetermination of the dental codes being used will tell you if the dental or medical insurance company is willing to cover the sedation.

In brief: Depends

Depends on the insurance and on the procedure that is being performed.
A predetermination of the dental codes being used will tell you if the dental or medical insurance company is willing to cover the sedation.
Dr. Ronald Achong
Dr. Ronald Achong
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Dr. Allan Hawryluk
Dentistry
2 doctors agree

In brief: Maybe

The only way to know for sure is to do a predetermination with your insurance company.

In brief: Maybe

The only way to know for sure is to do a predetermination with your insurance company.
Dr. Allan Hawryluk
Dr. Allan Hawryluk
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Dr. David Rosenfeld
Pain Management
2 doctors agree

In brief: Sometimes

Obviously every plan is different.
In general it is a covered expense.

In brief: Sometimes

Obviously every plan is different.
In general it is a covered expense.
Dr. David Rosenfeld
Dr. David Rosenfeld
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Dr. Benjamin Sanidad Jr
Anesthesiology
2 doctors agree

In brief: Yes

It all depends what insurance coverge you have.
However, uncooperative child usually requires anesthetic greater than sedation which means general anesthesia. Of course, a registered nurse anesthetist or anesthesiologist can administer such.

In brief: Yes

It all depends what insurance coverge you have.
However, uncooperative child usually requires anesthetic greater than sedation which means general anesthesia. Of course, a registered nurse anesthetist or anesthesiologist can administer such.
Dr. Benjamin Sanidad Jr
Dr. Benjamin Sanidad Jr
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Dr. Richard Pollard
Anesthesiology
1 doctor agrees

In brief: Call company

The easiest way to check is to call the insurance company.

In brief: Call company

The easiest way to check is to call the insurance company.
Dr. Richard Pollard
Dr. Richard Pollard
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Dr. Janice Vaughn
Anesthesiology
1 doctor agrees

In brief: Should

This depends on the terms of your policy.
I would certainly check with them. The ability of the child should have nothing to do with reimbursement.

In brief: Should

This depends on the terms of your policy.
I would certainly check with them. The ability of the child should have nothing to do with reimbursement.
Dr. Janice Vaughn
Dr. Janice Vaughn
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Board Certified, Pediatrics
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