Dental implants are the most effective restorative treatment available in dentistry to replace missing teeth. Dental implant procedure is usually costlier than other teeth replacement solutions, but in the long run it proves to be a healthier, more cost-effective and sustainable treatment option.
Many patients want to know at the outset whether the dental implant procedure would be covered by insurance. The staff at the dental office will offer any possible guidance and assistance in this matter. Leading cosmetic dentist Dr. Rob Strain will discuss all aspects of dental implants and their potential costs with the patient. Dr. Strain provides implants to patients in Rancho Mirage, Palm Springs, Palm Desert, and other locations.
Dental implant insurance coverage may be possible under the patient’s dental plan depending on the terms of the insurance plan and/or the cause of the missing tooth. The patient should discuss the insurance aspect with the insurance provider well in time so that they are in a better position to make an informed decision. Any questions in this regard from the dental office should also be cleared preferably at the first appointment.
Coverage of Specific Implant Procedures
A dental implant usually involves five separate procedures, and the insurer may cover each one differently. To replace a failing tooth, the following procedures are typically involved:
- Tooth extraction
- Grafting of the bone
- Placing dental implant into the bone
- Placing the abutment
- Placing the crown to complete the tooth structure
Each of these procedures has a different insurance code, and will be covered differently. Some procedures are covered under “BASIC” coverage, while others are covered under “MAJOR.” Some procedures may not be covered at all.
All of this will depend on the patient’s dental plan and coverage offered by the insurance provider. Experienced cosmetic dentist Dr. Strain receives patients from Rancho Mirage, Palm Springs, Palm Desert, and nearby areas for dental implants.
This procedure is typically placed under BASIC dental services by most dental insurance plans. Almost every plan will cover this cost relatively well. The coverage will usually be about 60 to 80 percent of the total cost of extraction.
Bone grafting may be necessary to preserve the bone for the dental implant. However, a majority of dental insurance plans may not offer coverage for this procedure when it is performed in conjunction with the implant procedure.
This procedure involves placement of the actual implant into the bone. The bone fuses with the implant over a period of a few months. Some of the dental insurance providers will cover at least 50 percent of the cost of implants under MAJOR, but most will not.
Abutment Retained Crown
Some dental insurers may not cover any prosthetic procedure related with dental implants, while others may cover it just the same as they would do for crowns on natural teeth. If covered, it would be paid typically at 50 percent under MAJOR. In absence of insurance, patients may consider various financing options to pay for the procedure in easy installments.
If you would like to learn more about the dental procedures and treatments performed by cosmetic dentists Dr. Rob Strain, DDS and Dr. Laura Wittenauer, DDS please call us at 760.568.9494 or click here. Serving new patients in Rancho Mirage, Palm Springs, Palm Desert and surrounding areas.