Millions of Americans suffer from mild to severe conditions that stop them in getting dental care they need. Some patients have sensory issues, some have a fear of dental offices, and others have medical issues. Whatever the reason, many of these patients could be helped with sedation dentistry. But will dental insurance cover the costs? Continue reading to learn more.
What Is Sedation Dentistry?
Sedation dentistry is the use of sedative medicine along with dental treatments. There are multiple levels of sedation, ranging from mild to deep. Depending on your needs and the complexity of your procedure, your dentist may recommend a specific kind to help you. Common sedation types include nitrous oxide given through a small nose mask and oral sedatives taken before the appointment.
Will Insurance Cover Sedation Dentistry?
Coverage for sedation dentistry can vary widely depending on your dental insurance provider, plan type, and policy details. While some insurance plans may offer a little coverage for sedation, others may consider it luxury and provide limited or no coverage. It’s rare to see full coverage for the treatment on most dental insurance plans.
Insurance Coverage Considerations
However, a few insurance providers may cover some of the costs of sedation dentistry under certain conditions, such as:
- Dental Anxiety or Phobia: If you have an official diagnosis of dental anxiety or phobia, some insurance plans may cover sedation. This diagnosis may mean sedation is considered essential for your comfort and oral health.
- Medical Necessity: Insurance coverage may be more likely if sedation is deemed medically necessary. This is especially likely if you have underlying health conditions or disabilities that make traditional dental care impossible.
- The Type of Procedure: Insurance companies may be more likely to cover sedation for complex or invasive dental procedures compared to routine cleanings or fillings.
While insurance coverage for sedation dentistry may vary, it’s important to advocate for yourself. Your oral health matters and you may have other options. If you’re concerned with your finances, reach out to your dentist to see if they offer other payment methods. Together, you can come up with a way to get the treatment you need!
About the Author
If you’re anxious about getting dental work done, have no fear! Dr. Mark R. Guillory is a friendly and professional dentist who is here to help. He earned his dental degree from Meharry Medical College and has been expanding his skills for over twenty years through world-renowned organizations like the Las Vegas Institute. Call (281) 592-6398 to ask about sedation dentistry at New U Dentures and Implants or visit the website to discover other services they offer.