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Medical Forum / General / Dentistry / June 2007dental insurance coverage for dental crown as part of implant procedure?
Hi, I understand that most dental insurance plans do not cover dental implant procedures, however I understand a dental implant procedure is divided into two parts 1) the insertion of the dental implant 2) the placement of abutment, and restorative dental crown on top of the abutment I know most insurance won't cover part 1. Does anybody know would most company dental plan cover at least the restorative crown part of the whole procedure? Thanks a bunch! > Hi, I understand that most dental insurance plans do not cover dental > implant procedures, however I understand a dental implant procedure is [quoted text clipped - 9 lines] > > Thanks a bunch! They're all different. I think we can assume that it will be harder and harder for a dental insurance contract to claim to be comprehensive without some kind of implant coverage. Yes, right now more cover the crown than the abutment, and more cover the abutment than the fixture placement. Steve On Jun 22, 10:29 pm, Steven Bornfeld <dentaltwinm...@earthlink.net> wrote: > > Hi, I understand that most dental insurance plans do not cover dental > > implant procedures, however I understand a dental implant procedure is [quoted text clipped - 19 lines] > > - Show quoted text - Hi I am in the process of an implant procedure myself. And, no, my insurance will not pay for the implants. However, it will pay at 50% for the crowns placed after the implant heals. Since I work in a dental office, I have found this to be rather standard that insurance will pay for crowns, but not implants. Behind the times, they are. Debbie > On Jun 22, 10:29 pm, Steven Bornfeld <dentaltwinm...@earthlink.net> > wrote: [quoted text clipped - 29 lines] > they are. > Debbie If you work in a dental office, you know there is no "standard" contract, and they change over time, too! One can hope they recognize that implants are now a routine restorative service. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 IME, if they don't pay for the implant, there is 'no tooth' to crown. Therefore no money for a crown for an implant. YMMV, Steve > Hi, I understand that most dental insurance plans do not cover dental > implant procedures, however I understand a dental implant procedure is [quoted text clipped - 9 lines] > > Thanks a bunch! > Hi, I understand that most dental insurance plans do not cover dental > implant procedures, however I understand a dental implant procedure is [quoted text clipped - 7 lines] > Does anybody know would most company dental plan cover at least the > restorative crown part of the whole procedure? See what your plan says. Remember the book your employer gave you when you signed on for insurance? That will answer most of these questions. If it says it doesn't cover "implants and related services", you are SOL, if it just says implants are excluded you might get coverage for the crown, which is usually 50% up to your calendar maximum. T >See what your plan says. Remember the book your employer gave you when you >signed on for insurance? That will answer most of these questions. It's a good place to start, but there may be more current information available directly from the carrier. My insurance started covering implants last year. (Progress!) SignatureMelinda Shore - Software longa, hardware brevis - shore@panix.com Prouder than ever to be a member of the reality-based community Good point, but the insured should get an updated plan book anytime changes are made. I realize this doesn't always happen. Speaking to someone is good, but don't take their word as gospel. I always prefer to read the book myself. I have had to point out pages and paragraphs to people at insurance companies when assisting my patients get what they should. T > >See what your plan says. Remember the book your employer gave you when you > >signed on for insurance? That will answer most of these questions. > > It's a good place to start, but there may be more current > information available directly from the carrier. My > insurance started covering implants last year. (Progress!) |
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