NewsWhat Insurance Covers Dental Implants

May 26, 2024

Dental implants have been shown to be an excellent choice for patients who are missing one or more teeth. They provide the most effective alternative to dentures and bridges. This has been the case for a considerable period; however, even though dental implants are an excellent option, many patients are concerned about the expense.

This article will examine dental implants in Houston, which are comparable to those in any other city in the United States. It will also provide a better understanding of how dental insurance plans cover them, how to benefit from them, and what to look for in a policy.

What is a Dental Implant?

It is essential to have a solid understanding of dental implants before investigating insurance specifics. The implant is a post made of titanium that will be surgically placed in the jawbone by the treating dentist. Given that it is intended to replace the tooth that has been lost, the implant assumes the role of the tooth root. Through osseointegration, the crown, also known as the replacement teeth, is supported by the titanium implant once absorbed into the bone. After that, an abutment is positioned on top of the implant to function as the missing tooth’s root. People are drawn to dental implants for various reasons, one of the most important of which is that they are incredibly long-lasting. Other reasons include the fact that they help preserve the jawbone’s health.

Protection Provided by Dental Implant Insurance

  • Various Kinds of Insurance Policies that Might Cover for Implants

As a result of the fact that dental implants are classified as cosmetic procedures by many insurance companies, they are more likely to affect coverage. But there are a few different kinds of insurance policies that will cover dental implants, and they are as follows:

    • Traditional Dental Insurance: Some private dental insurance policies cover implants. There is a significant variation in the coverage provided by these insurance companies. Some cover the implant operation but not the crown, while others may pay a portion of the overall cost.
    • Medical Insurance: If the implant is a medical requirement, such as in the case of an injury or a condition that affects your ability to eat, then the treatment may be covered by your medical insurance. This is the case if the implant is a medical necessity.
    • Medicare and Medicaid: Medicare usually does not cover dental implants, but Medicare Advantage Plans offer additional benefits that might cover them. Medicaid coverage varies from state to state but usually funds implants under specified conditions.


  • Considerations to Make When Selecting a Dental Insurance Plan

When searching for dental insurance in Houston that covers implants, it is essential to take into consideration the following factors:

    • Annual Maximum: Most dental insurance policies include a yearly amount coverage limit. If dental implant costs exceed this limit, you will be personally responsible for paying the additional costs.
    • Waiting Period: Some dental insurance plans require you to wait a certain amount of time before they cover costly operations such as dental implant surgery. Verify that there is a specific time frame before you can claim this benefit.
    • Coverage Percentage: Consider the amount of money the plan will reimburse for the dental implant treatment. This is referred to as the percentage of coverage. For some plans, it could be up to fifty percent, while for others, it could be less or more.
    •  Network Restrictions: Specific dental insurance plans, known as network restrictions, will restrict you to seeing only certain dentists. Determining whether the dentist of your choice in Houston will be included in that network is essential.

Making the Most of the Benefits Your Dental Insurance Provides in Houston

To get the most out of your dental insurance coverage for implants in Houston, make sure to follow these tips:

  • Pre-treatment estimates: Before receiving the procedure, you must provide your insurance company with a pre-treatment estimate. This will help you better understand the aspects of the treatment covered by insurance and the amount you will be responsible for paying out of pocket.
  • Financing Options: Talk to your dental office about the various payment alternatives. Several dental offices in Houston offer payment plans to assist patients in spreading out treatment costs, and some even collaborate with third-party financiers.
  • Secondary Insurance: Suppose your primary insurance offers limited coverage. In that case, it is advisable to consult a representative to determine whether a secondary dental insurance policy can help cover some additional expenses.

Finding the Right Dentist or Oral Surgeon in Houston for Your Implants

Finding the right professional to handle your implants is the most critical stage in the process of getting implants. In the Houston area, you should look for a dental professional who has several years of experience performing implant surgery and outstanding evaluations and comments from prior patients. They should also be prepared to assist you in utilizing your insurance benefits and provide open and honest pricing.

We ask that you contact us if you are considering getting dental implants in Houston but are still determining whether or not your insurance will cover them. We are prepared to be of assistance. Please arrange an appointment for a consultation right away, and our emergency dentist Houston, will walk you through the process of verifying your insurance, assist you in comprehending the benefits you are entitled to, and go over all of the available choices to make your treatment as reasonable as possible for you. Our professional treatment will help you regain your smile and your self-confidence.

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