7 doctors weighed in:
Can soft tissue grafting get paid by medical insurance instead of dental, since it's oral surgery?
7 doctors weighed in

Dr. SCOTT HARWOOD
Surgery - Oral & Maxillofacial
2 doctors agree
In brief: Depends
It depends on your particular plan.
Most "dental" procedures such as grafting are covered under dental plans and not medical. The only way to definitively find out would be to send in for a predetermination.

In brief: Depends
It depends on your particular plan.
Most "dental" procedures such as grafting are covered under dental plans and not medical. The only way to definitively find out would be to send in for a predetermination.
Dr. SCOTT HARWOOD
Dr. SCOTT HARWOOD
Thank
Dr. Gregory LaMorte
Dentistry - Periodontics
1 doctor agrees
In brief: Not likely
Most medical plans simply role out dental procdures.

In brief: Not likely
Most medical plans simply role out dental procdures.
Dr. Gregory LaMorte
Dr. Gregory LaMorte
Thank
Dr. James Bates
Surgery - Oral & Maxillofacial
1 doctor agrees
In brief: Not very likely
If it's a true skin graft, it might be covered by medical insurance.
But if it's a gum (gingival) graft or a subepithelial connective tissue graft, it's a strictly dental procedure and should not be covered by medical insurance. However, dental insurance should cover it. Don't forget you'll still be responsible for your deductible, coinsurance and for non covered services.

In brief: Not very likely
If it's a true skin graft, it might be covered by medical insurance.
But if it's a gum (gingival) graft or a subepithelial connective tissue graft, it's a strictly dental procedure and should not be covered by medical insurance. However, dental insurance should cover it. Don't forget you'll still be responsible for your deductible, coinsurance and for non covered services.
Dr. James Bates
Dr. James Bates
Thank
Dr. Jason Cataldo
Dentistry - Periodontics
In brief: Not usually
Soft tissue grafting is classified as "periodontal surgery.
" most soft tissue grafting in the mouth is performed by a periodontist to help repair and replace lost of damaged gum tissues. It can be "covered" on dental plans at either 50% or 80% levels, but it is usually not covered by medical insurance. I hope this helps!

In brief: Not usually
Soft tissue grafting is classified as "periodontal surgery.
" most soft tissue grafting in the mouth is performed by a periodontist to help repair and replace lost of damaged gum tissues. It can be "covered" on dental plans at either 50% or 80% levels, but it is usually not covered by medical insurance. I hope this helps!
Dr. Jason Cataldo
Dr. Jason Cataldo
Thank
Get help from a real doctor now
Dr. Buck Parker
Board Certified, Surgery
13 years in practice
467K people helped
Continue
108,000 doctors available
Read more answers from doctors