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The Fine Print: Understanding Insurance Coverage for Sedation Dentistry

January 12, 2024

Filed under: Uncategorized — dclakewood @ 3:03 pm
Woman anxious and needing sedation dentistry

If you’re someone who experiences anxiety or fear when it comes to dental procedures, sedation dentistry can be a game-changer. Dentists use various sedation methods to help patients relax during treatments, making the experience more comfortable and less stressful. However, many patients worry about the cost and wonder if their dental insurance will cover the added treatment.

Read on to learn more about sedation dentistry and whether your insurance plan may help you receive it when you need it.

Dental Insurance Plans Vary

Before delving into the question at hand, it’s important to recognize that insurance coverage varies a lot from provider to provider. No two carriers will be the same in their policies and what they cover.

The same can be said for sedation dentistry. While your plan may cover some sedation under certain circumstances, other plans won’t cover it at all. This is why it’s important to read your policy and understand exactly what it offers before investing in it.

Medical Necessity

In some cases, insurance companies may cover sedation dentistry if it’s deemed medically necessary. For example, if you have a medical condition that makes it challenging to undergo dental procedures without sedation, your insurance provider may consider covering the cost.

However, it’s vital that you talk with your dentist and the rest of the team to help you navigate the process. They have experience in discussing treatments with their insurance providers and may have insights that can maximize your chances.

What if Insurance Won’t Pay?

If sedation dentistry isn’t covered by your insurance plan or if you have high out-of-pocket costs, don’t despair! Many practices offer alternative payment options, like financing through third-party programs like CareCredit to help make dental care more affordable. Your dentist wants what’s best for you and will be willing to work with you regardless of your insurance.

While insurance coverage for sedation dentistry may vary, it’s worth exploring your options and discussing them with your dentist. By understanding your insurance benefits and exploring alternative payment options, you can make informed decisions about your dental care and ensure a positive experience during your dental procedures. 

About the Practice

Having trouble figuring out your insurance? At Dental Center of Lakewood, their team of dental experts and friendly support staff will guide you every step of the way. Dr. Travis Spillman and Dr. Jacquelyn Green have been helping patients get the care they need for decades. They use sedation dentistry to soothe anxiety and help their patients stay relaxed, no matter what care they may require. Call (214) 823-5253 to schedule an appointment, or visit the website to browse all their services.

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