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Is there coverage for
Dental Implants?

Generally No.  See below for additional information and suggestions.

Dental implants (ADA Codes) may be thought of as artificial tooth roots which allow the fabricated teeth to be firmly attached to the mouth.  One may consider the jaw bone as a piece of wood and a dental implant as a screw

Dr. Dorfman’s DDS Website
Photo’s
Boston Dental Implants Website (Archive.org)
Smile Implant Center.com

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Taxes – Health Savings Accounts

Implants may be covered if there is a “medical necessity” like cancer, major accident or skeletal deformity.  View sample Delta policy page 40 #32.

You can include in medical expenses the amounts you pay for dental treatment. This includes fees paid to dentists for X-rays, fillings, braces, extractions, dentures, etc.   including artificial teeth (IRS Publication 502 Page 5 & 7)

Implants are done when one doesn’t want a bridge because it more permanent and look better even in the back of the mouth and in view of this it’s considered cosmetic.

Unfortunately, implants are not a covered benefit. However, it is possible that Delta would provide an allowance for the covered benefit. It’s best that the enrollee ask their dentist to submit a pre-determination to Delta so that Delta can determine the covered benefit (if any) and the enrollees responsibility for payment in advance.

Limitations:


The replacement of lost or stolen dentures, crown and bridge work, dental procedures and charges incurred as part of implants (placement or removal) and prosthetic devices placed on implants (fixed or removable, for example: bridges, crowns) are not covered. 
Smile Saver Brochure

Implants Answers.com

Cosmetic procedures (dental implants) are not covered on our individual Delta Dental plans.

We do have Extended PPO Dental discount plans that offer implants using Careington PPO dentist. This is part insurance (diagnostic and preventive) and part discount plan for all other dental services are covered through discounts offered by Careington PPO Network Dentists Email Dated 08:21 AM 7/10/2012,

 

Renaissance has some coverage

Renesasse - Coverage for Implaints
Renaissance – Coverage for Implants
Cal Broker Magazine Dental Survey
Cal Broker Magazine Dental Survey

 

Related Pages

2 comments on “Dental Implants

  1. I want to set a educational meeting with you to discuss if my husband’s employer group great PPO coverage with Blue Shield will pay for treatment for my:

    arthritis

    loss of one tooth due to an accident

    grinding – loss of 8 teeth – which is causing grave and serious problems.

    can implants be covered for that?

    coverage for depression?

    I’d like to set a meeting so that you can educate me on what my coverage is and how it works.

    • For your depression – check this page. If you have further questions, please post there.

      Arthritis shouldn’t have any issues with coverage. Check out your Evidence of Coverage or Summary of Benefits.

      For us to be of any meaningful help, we need a copy of your ID card, which will be kept confidential. If at all possible, send us a copy of your evidence of coverage. If your husband’s employer is less than 100 employees, we have access to those documents. If it’s large group, we need you to get the EOC.

      After we’ve reviewed the EOC, we can schedule an educational meeting for a fee, click here for more information. We answer questions on the website at no charge, private time is different. It’s educational, we do not tell you what to do or give advise.

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