does insurance cover dental implants

Are Dental Implants covered by Insurance?

It really depends on the specific insurance plan, whether or not Dental Implants are covered by Dental Insurance. Some Dental Insurance companies will pay for a percentage of Dental Implants and some will exclude coverage for Dental Implants. Dental Implant coverage depends on the quality of the Dental Insurance plan.

A typical Dental PPO insurance  will cover 50-80% of the cost of Dental Implants.  Most Dental Insurance plans have a annual maximum benefit such as $1500-$5000 at which point the patient will need to pay for 100% of the fee. Some Dental Insurance plans have a maximum allowable charge and others will pay on a pre-determined fee schedule. At Natural Dentist Associates, we have insurance professionals in the office who will contact your insurance company and determine how your Dental Insurance works in our office.

Dental Implants consist of the new root (the Dental Implant itself) and a Dental Implant Crown. Often times Dental Insurance companies will pay for the Dental Implant Crown, but not the Dental Implant. Sometimes both the Dental Implant and the Dental Implant Crown will be covered by insurance at different percentages.

There are also additional adjunctive dental implant procedures that may need to be performed such as gum grafting, bone grafting, PRF and Ozone therapy. Insurance may or may not cover these procedures. If there is a bad tooth to be extracted, most insurances will pay for 80% of the Dental Extraction.

Are some Dental Implants better than Others?

Not all Dental Implants are created equal- they come in different qualities. It is very important not to get a generic dental implant or an implant that is made by a finically unstable company. There used to only be 5 or 6 dental implant companies, and now there are literally thousands. The question is, which ones will be in business next year? You do not want to have a dental implant made by a company that goes out of business because parts will not be able to be purchased in the future, and instead of having the option to repair your implant should there be an issue with it, you may be forced to remove and replace the implant.

How much do Dental Implants Cost?

The fair market cost for a non-generic Dental Implant or one made by most financially stable companies in the Washington, DC area is $1,500-$3,000. The fair market cost of a Dental Implant Crown and dental implant abutment is $1,500-$2,500. A gross average to replace a single tooth with a dental implant is in the neighborhood of $4,000. If gum grafting or bone grafting is necessary, the patient could pay an additional $500-$2,000, depending on what needs to be done.

Call us today at 301-770-2270 in Rockville Maryland or 301-421-1996 in Burtonsville with any Dental Insurance questions.