Does Dental Insurance Cover Implants

You should check with dental insurance provider to understand your dental implants coverage. Once you have reviewed dental implants and determined if they are suitable for you, think through the treatment alternatives. For most people, the determining factor is whether their insurance will cover the dental implant. Everyone’s treatment solutions and plans are different, so you’ll require insurance before coming up with a final decision.

To learn more about financing options on dental implant, you might require to go through the insurance coverage. So, will insurance cover dental implants? To kick you off, we will enlighten you on what you should know about insurance and dental implants in the guide below.

Does Insurance Pay For Dental Implants?

Regular dental insurance policies do not insure dental implant procedures. You will have to consider coverage for cosmetic dental procedures, which insures part of the dental implants.

Dental implant insurance procedure may be up to 50% of the total cost, which means the insurance covers half of your treatment. Remember how much you pay for the procedure before insurance coverage may apply based on other dental requirements.

Your health insurance might also take care of your dental implant procedures. However, that may vary depending on the policy. If you do not have coverage or dental insurance with your current insurers, you may search for a policy that will cover your dental implants or seek membership with cheap dental plans.

When Does Insurance Cover Dental Implants?

If you have dental and medical insurance, confirm your plan to determine whether they cover cosmetic dental procedures or dental implants. If your plan covers implants or tooth replacement cost, you will need to verify information regarding the following.

Annual Maximum

Insurance firms usually use a year calendar in measuring your annual maximum. That implies the amount your insurance policy may pay for the dental care received (by you or your family) annually. If you are near or at the annual maximum, you will be liable for your treatment’s full cost.

Pre-existing Conditions

You will want to confirm for pre-existing conditions in the insurance coverage to ascertain your coverage availability. If a tooth was missing before the insurance coverage’s operative date, the insurance might not cover it. They will think of it as a pre-existing situation since you had it before signing up with them.

Expected Cost of Dental Implants

You will possibly need to pay some extra coins out of your account for the dental implants cost. That may change depending on your needs, the insurance policy, and other dynamics. Remember to visit your insurance provider and your Omega Dental Specialists to figure out your dental implant cost, and consider the following.

  • Your deductible for the dental implant procedure
  • Copayments or coinsurance
  • Your annual insurance maximum

Together with those insurance aspects, you will need to reason about the definite medication needs. Whether you have insurance or not, these dynamics will affect your expected price of a dental implant procedure.

  • Location of your doctor’s office and your location
  • The dental implants that you need
  • Dental implants that your Periodontist in Houston uses
  • The number of teeth you want to replace
  • The necessity for processes, like an extraction, before your implant
  • What alternatives, if any, does your Periodontist in Houston suggest?
  • The nature of artificial teeth that your Omega Dental Specialists uses

Questions to Pose to the Insurance Company Concerning Dental Implant Insurance Policy

To learn about your particular insurance coverages and plans, you may need to visit the insurance provider. You may use a list of queries below to ease your conversation. You may as well use these questions when seeking dental insurance coverage, particularly for dental implants.

1. Who are the Dental Professionals In the Insurance Network?

Researching who is around your network assists you to know where you might have the dental implant procedure. You will know whether there are any limitations or restrictions on who to visit for treatment.

2. Is It Permissible to Choose Your Doctor?

You can find the response to this query once you ask about the dental expert in your cover network. Some insurance plans do not allow members to choose their doctor while others do.

3. What Is the Possibility of a Less Expensive Alternative Treatment (LEAT) Clause?

A LEAT clause implies that insurance can only cover the cheapest treatment option available. This mainly happens when you have more options to treat the dental condition.

4. What Is the Coverage Structure?

Some insurance policies may cover up to 50% of your dental implant cost; however, this percentage differs for other treatments. Your insurance may also cover 80% of your dental extractions and 100% of exams. Those might be essential phases of the dental implant procedure. Please ensure you know all your policy factors.

5. What Are The Dental Implant Procedure Aspects Covered By Your Insurance?

Your insurance possibly will only insure for the artificial teeth used by your doctor or dental implants themselves. Some insurance plans might not be covering these aspects, only an extraction or exam.

6. What is the Possibility of Dental Visits at Your Convenience?

Find out if there are any restrictions regarding when you can plan for dental implant appointments. Probably you don’t like limitations on when you wish to schedule an appointment.

Refund Options

Reimbursement for health care means that the insurance provider covers the expenses after you have paid them directly. You can also have some refund options via your employer through an HRA (Health Reimbursement Agreement).

With a Health Refund Agreement, you will need to receive an authorized health medication and provide the expense proof to your boss. Check your HRA to determine whether dental implant treatments qualify and the refund offers available to you.

There are two means you can use to receive a refund from the insurance provider.

• Work with the doctor to file your claim

• Complete and submit the claim for a refund yourself

After filling out the refund or claim forms yourself, you will require to give a lot of information. This includes your insurance plan number, dual coverage, whether you hold a coinsurance, and the purpose of your visit.

You can also consider whether dental indemnity plans stand as a possible solution to you. With an indemnity plan, you will get a refund after you pay for the treatment. And does insurance pay for dental implants? Well, certain policies cover implant procedures. You will require to review the plans’ conditions to see if you will choose your own all on 4 dental implants specialist.

Learn More About Cost of Dental Implants With Us

Being among the best dental implant practice in Houston, Texas, Omega Dental Specialists offers innovative and safe implant solutions. We also offer low monthly payments, as low as $65 for patience without dental insurance. Contact us today to learn more about dental implant cost per tooth. In addition, we can help you understand how much your dental insurance will cover the cost of dental implants.


Through research, expert input, and extensive testing, we develop a high-quality implant that our patients and doctors trust. You will benefit from our assurance of convenient, aesthetic solutions and shorter healing times. Contact us today to learn more about dental implant insurance coverage.