Many patients use dental sedation to empower themselves to book their appointments and have a positive treatment experience. But since this is counted as a separate cost, you might be wondering whether your dental insurance will cover it. The answer is a bit complicated, so sit tight. This post will help you navigate your benefits in a way that’s easy to understand!
It Might – If It’s “Medically Necessary”
What makes determining dental insurance rather tricky is that different plans offer different benefits, even within the same company. That said, most policies consider dental sedation to be an “elective” – in other words, they won’t cover it because it’s not strictly necessary for your health.
Now, that’s assuming you’re an average-joe with average benefits. There are situations where your dental insurance might consider sedation “medically necessary.” For example:
- If you have documented special needs that make it challenging to receive dental care, you may very well be eligible for coverage.
- If sedation would make your care more efficient (and less expensive for your insurance company), they might be more willing to foot the bill. Complex procedures and receiving multiple treatments in one appointment are situations where this could apply.
- Oral conscious sedation and other more conservative methods are more likely to be covered, so triple-check the fine print if this is your plan!
Various other exceptions do exist. Don’t panic if you don’t think this list includes you – your dental team might still be able to help you save money.
Figuring Out What’s Covered and What Isn’t
Trying to read a dental insurance plan can be like trying to learn a completely new language. It’s difficult! Fortunately, your dental team works with insurance every day. They’ll happily review the details of your plan and help you get the most out of your benefits.
In fact, they’re there to assist with making your appointment as simple and breezy as possible. If you’re considering dental sedation, don’t forget to contact your dentist’s office with any questions or concerns!
About the Author
As a licensed sedation dentist, Dr. Xhelo Shuaipaj is very familiar with dental insurance and how it relates to your out-of-pocket costs. He and his team can help you navigate your benefits so you can have peace of mind when it’s time for your appointment! To schedule a dental sedation consultation, call Dr. Xhelo’s office at 630-912-7171.