Will Insurance Cover The Cost Of Sedation
Each insurance plan differs. Contact your insurance provider and ask if they provide benefits for sedation dentistry. Most insurance plans that offer sedation benefits have restrictions on the length of time coverage is provided for a procedure. For example, an insurance plan may provide benefits toward the first hour of sedation only.
Your dentists office will explain sedation dentistry fees and how long you will need sedation during your dental procedure.
Expenses That Are Excluded
Unfortunately, cosmetic proceduressuch as teeth whitening, veneers, and cosmetic orthodonticsare not covered by FSAs. If you want to get your teeth bright and white, youll have to pay out of pocket, as cosmetic dentistry is simply not on the list. In fact, you cant even buy toothpaste of any kind or dental floss using FSA funds, as they are not eligible expenses. Oral pain remedies, however, are typically covered by plans.
There is an obvious discrepancy with orthodontia. While the IRS says that some procedures treat disease and some are cosmetic, there is no specific set of rules that defines the specifics regarding which procedures qualify for coverage under an FSA. Your orthodontist should be able to help you determine what your plan may cover.
Nitrous Oxide Sedation Faqs
If you would like to be sedated with nitrous oxide during your next dental procedure, simply let us know. After we approve you for it, you can look forward to a relaxing treatment experience! Of course, it is understandable if you have questions about this type of sedation. That is why we have put together the following list of FAQs, along with their answers. If you dont see the specific information you were hoping for, give us a call. We are always happy to personally assist our patients and potential patients.
Don’t Miss: 4-40 Insurance License
Does Dental Insurance Cover Everything
Some people believe that if their dental insurance does not provide coverage for a specific dental procedure, then they must not need it or believe it isnt important. Not having insurance doesnt make your teeth less important or necessary for health, social/career success, or self-confidence. Dental insurance is a good thing if you dont let the insurance company make your health decisions for you, or think that without it you cant afford dental care.
Laughing Gas For Kids
Some children can get anxious or even fearful of certain dental procedures, and going to the dentist can be stressful for them. However, many dental offices offer various levels of sedation dentistry for children, which can make the entire experience more comfortable for your child. One of the most common, safest, and reliable options of sedation in pediatric dentistry is the administration of nitrous oxide, also called laughing gas. For kids, this option is practical and has very few side effects. Are other forms of sedation dentistry safe for toddlers and children? Read on to find out more about your options.
Recommended Reading: Is Trustage Life Insurance Any Good
Insurance And Dental Implants
If you are living with failing or missing teeth, dental implants are a wise investment because they replace both your tooth and your root. Restoring your lost root helps to keep your jawbone stimulated and healthy while replacing your tooth with an implant crown keeps your neighboring teeth from shifting.
Currently, most dental insurance plans are not covering dental implants. Some plans may allow coverage for the implant crown, but most are not covering the surgical portion of the procedure. As the popularity of dental implants grows, there is hope that insurance companies will start recognizing the benefits of this innovative procedure and begin providing coverage.
If you are interested in dental implants or sedation, contact your dental insurance coordinator to learn more about your own unique coverage and benefits.
Does Dental Insurance Cover Sedation Dentistry
Every dental insurance plan differs from patient-to-patient, so coverage depends on your specific benefits, which you can find out by contacting your insurance provider directly. Our team would be more than happy to assist you in navigating this process as well if youd like. Were in-network with Delta Dental Premier and BlueCross BlueShield, which means that weve negotiated discounted rates and fees for excellent savings through these companies. However, were also happy to file claims for out-of-network patients as well!
While the coverage really depends on your unique benefits, in many cases, insurance companies group this service under non-essential dental procedures, which is why it sometimes wont be covered. However, there are plenty of exceptions to this rule, and our team is always willing to navigate these areas to help you save from out-of-pocket costs, all while having the most comfortable dental experience possible. Plus, we happily accept flexible financing to break up the cost of even the most extensive treatment plans!
Recommended Reading: Does Aspen Dental Take State Insurance
Who Is Responsible For Payment
When you consent to dental care, you are also accepting the direct responsibility for paying the bill, regardless of a third-party company. Some dental offices complete and send insurance claims as a courtesy to their patients. Everything submitted to the dental office on behalf of the insurance company in regards to coverage, is an estimation and any and all balances due after insurance payment is received is the patients responsibility.
If youre ready to restore your teeth to a healthy, pain free smile, give us a call to schedule a consultation 524-9343. We accept dental insurance including: Delta Dental, MetLife, Aetna and other insurance plans. We also offer dental financing through Care Credit.
Meet Dr. Stubbs
What To Expect With Nitrous Oxide Laughing Gas
Patients who undergo sedation before a dental procedure are not actually asleep and are able to respond to questions from when necessary. Patients are constantly monitored to ensure that their sedation is successful and also to make sure that they are comfortable. Many of Dr. Deutsch’s patients comment after their sedation dentistry session that they feel more relaxed than before they came into the office!
Read Also: Do Parking Tickets Affect Car Insurance
What Happens During Sedation Dentistry
The process depends on what sort of sedation youll be receiving.
Your dentist may prescribe medication for you to take at home an hour before your appointment to manage anxiety and relax you. Youll almost certainly want to bring a companion with you on the trip to and from the dentists office. You may be convinced that you can get there on your own, but youre probably wrong. Get someone to drive or escort you.
Once you are at the dentists office you may receive more sedation, either orally or intravenously. You will likely receive local anesthetic painkillers as well, which will be injected or applied to your gums . Ask your dentist to detail the process for you so you know what to expect.
Afterwards, if youve had light sedation, youll probably be able to leave right after treatment is over. For deeper sedation, youll relax in the dentists chair or a recovery room until youre ready to head home.
Let’s Get Connected
Special promotions including, but not limited to, additional months free are not availableto California residents or on Fully Insured Plans. Note not all plans andoffers available in all markets.
Sedation Dentistry Is Conscious Sedationnot Sleep Dentistry
Sedation dentistry includes a combination of medicines that are administered to provide a relaxing and anxiety-free experience for people who are apprehensive to undergo preventive and/or restorative dental treatment. Sedation dentistry is conscious sedationnot general anesthesia. Sedation dentistry does not put you to sleep or knock you out such that youre completely unaware of your surroundings. Under conscious sedation, you remain awake and are able if necessary to communicate and respond to questions. Conscious sedation temporarily diminishes your fight or flight and pain receptors to afford you to a nearly pain-free dental appointment experience. There are three types of conscious sedation used in dentistry
- Nitrous oxide aka laughing gas
- Oral sedation
- IV or intravenous sedation
Lets begin by learning more about nitrous oxide, also known as laughing gas.
Recommended Reading: How To Apply For An Insurance License
Does Dental Insurance Coverage Include Sedation Dentistry
Some do, most dont. Most insurance providers consider using nitrous oxide as elective, nice to have but not necessary in order to complete most dental procedures. That being said, there are a small handful of plans whose coverage does include nitrous oxide, therefore we recommend that you contact your insurance provider or ask us to check for you before scheduling to know for sure. Dont let fear of cost prevent you from completing necessary treatment A large majority of people have some type of dental care coverage. The percent of coverage and annual maximum will vary plan to plan. And because there is not a single plan that covers 100% of preventive, restorative, and elective dental procedures, most often there will be a portion of your dental services that will be your responsibility to pay for. For many, cost is the #1 reason people give for why they do not complete necessary dental treatment. A comprehensive new-patient exam visit will clarify your needs and associated costs Before worrying about how much dental treatment will cost and how youll afford it, we strongly recommend for you to schedule a comprehensive exam so you can know for sure. Many patients are surprised to find out that their mouth is in better shape than they thought. Plus, starting with an exam is a great way to meet and get to know our team before scheduling any treatment.
A comprehensive new-patient exam visit includes:
Instances Where Sedation Dentistry Could Be Covered By Insurance
The most common instance in which an insurance company will cover sedation dentistry is a situation in which the use of sedation actually lowers the cost of the overall dental treatment. In these cases, an insurance company may cover some or all of the sedation-related expenses.
If treatment must be delayed, or spaced out in intervals due to anxiety, sedation may be a good option with chances of insurance coverage increasing. An insurance company will likely cover the required sedation especially if its administered in nitrous oxide form and not intravenously, which is more expensive.
Another example in which an insurance company will pay for sedation dentistry is if the patient has a serious medical condition or disability that makes it impossible for them to receive dental care without sedation. This applies to disabilities/conditions such as cerebral palsy, autism, mental retardation, and epilepsy.
A third scenario in which insurance may cover sedation dentistry is when the dental procedure is exceptionally complex, i.e. major oral surgery or multiple tooth extractions. This doesnt apply to treatments like root canal therapy and fillings, as insurance companies consider these to be routine treatments.
Also Check: What Dental Insurance Covers Veneers
Sedation Dentistry In Hudson Valley
Dental anxiety and experiencing a general fear of the dentist are the main reasons why many people avoid going to the dentist. However, the longer you put off receiving dental care, the worse your oral health will be. Offering safe sedation dentistry in Hudson Valley, our dentists have a variety of stress-free sedation methods that will help you feel calm and relaxed during dental appointments.
Icipating Dentists And Participating Specialists
If you use a Participating Dentist:
Many dentists have agreed to be participating dentists in GHI’s Preferred Dental Plan. A participating dentist is either a dentist in General Practice or a Specialist who has agreed to accept GHI’s Preferred Dental Schedule of Allowances as payment-in-full for covered services, up to the annual maximum of $3,000, effective 1/1/19.
You must advise the dentist of your GHI coverage and confirm that he or she is currently a participating dentist in the GHI Preferred Dental Plan before services are rendered. GHI reimburses participating dentists/specialists directly for covered services which means you do not have to submit any claim forms. For information regarding the GHI Preferred Dental Plan and to obtain the names of participating dentists in your area, refer to the Directory of Participating Dentists, call GHI Customer Service at 1-800-947-0101, or Link to GHI/Emblem website.
Recommended Reading: Do Parking Tickets Affect Credit
What Is Oral Conscious Sedation Dentistry
Are you the type of person that becomes scared or anxious when you think about going to the dentist? What if we told you that there were ways that you could get rid of this fear that overtakes you and have dental work done without the worry that has plagued you for so long?
With oral conscious sedation dentistry, you can have dental procedures completed without all the anxiety and stress youre used to, which may have kept you from taking care of your teeth properly.
What is Oral Conscious Sedation Dentistry?
Oral conscious sedation, which is also often referred to as just oral sedation dentistry, is popular because it doesnt require any type of injection, so if youre afraid of needles, you shouldnt worry.
Oral sedation medications are given by mouth, and can either be swallowed, or dissolved under the tongue. Many dentists prefer the under the tongue method because it often works more quickly than swallowing a pill.
Before Your Sedation Dentistry Appointment
Prior to your appointment its critical that you provide your dentist with your full health history, which should include:
- Medications Any medications that have been prescribed by a doctor
- Medical conditions Any medical conditions for which youve been treated
- Supplements Certain herbal supplements may cause an adverse reaction with certain oral sedative medications, so its important that your dentist knows that youve taken them recently.
How to Prepare For Your Sedation Dentistry Appointment
How Long Does It Take For Nitrous Oxide To Wear Off
The sedative effects from nitrous oxide gas usually dissipate rather quickly, as the medication is eliminated from the body in a matter of minutes. You should be ready to operate a vehicle and resume your normal activities when you leave our facility. Side effects are not common, but some individuals may experience headaches, chills, sweating, nausea, vomiting, or fatigue. Please contact our Temple, TX practice if you have any side effects that last longer than a few days. To minimize the risk of nausea, we recommend that you eat a light snack prior to your procedure and wait about three hours after your visit before consuming a larger meal.
Recommended Reading: Insurance Places Open On Sunday
Is Nitrous Oxide Sedation Right For You
If you believe this kind of sedation could help you at your next dental visit, please give us a call and let us know. Both Dr. Lieberman and Dr. Page are certified by the Dental Organization for Conscious Sedation, so they will be able to answer all of your questions. Weve used nitrous oxide to literally help thousands of patients over the years, and it could do the exact same for you.
If youd like to learn more about nitrous oxide sedation, or if youre interested in having it at your next appointment, please contact us today . With our sedation methods and gentle touch, well completely change how you think about going to the dentist!
How Does It Feel To Be Sedated
You will begin to feel drowsy and relaxed very quickly. If your doctor gives you the medicine to swallow, you will feel the effects after about 30 to 60 minutes. Your breathing will slow and your blood pressure may drop a little. After conscious sedation, you may feel drowsy and not remember much about your procedure.
Recommended Reading: Do Parking Tickets Affect Car Insurance
How Does Nitrous Oxide Work
Nitrous oxide is effective at making you feel more relaxed and less anxious. You are never out or asleep but you are much less apprehensive. Many dental patients report the feeling to be similar to a few glasses of wine. Depending on the concentration, you may feel light-headedness, a feeling of well-being, or a deeper, sleepier level of sedation.
If you experience any unpleasant symptoms, we can adjust the percentage of N2O or just take the mask off.
Sedation Dentistry & Dental Anxiety
Does the thought of a visit to the dentist’s office make you a little anxious? If you suffer from dental anxiety, you are not alone. Nearly 40 million Americans have some level of dental phobia. Luckily for our patients, Garden City Dental Care offers Nitrous Oxide sedation dentistry. Nitrous Oxide, also known as “Laughing Gas”, allows our patients to become fully relaxed for the duration of their time in the treatment chair, feeling little or no discomfort.
Many people avoid visiting the dentist for a general dentistry appointment or even for a checkup and cleaning because they associate fear and discomfort with the sights, sounds, and smells of the dentist’s office. Patients who suffer from dental anxiety often face a number of issues when they finally make it to the dentist’s office, and may require extensive maintenance or repairs. With Nitrous Oxide, Dr. Deutsch can perform multiple procedures in one comfortable visit while the patient reclines in a state of total relaxation.
Don’t Miss: Does Parking Ticket Go On Record
How To Get The Most From Your Dental Insurance To Cover Sedation Dentistry
Although the general rule is that dental insurance plans do not cover sedation dentistry, there may be ways to have your dental sedation covered under certain circumstances.
Contact your insurance provider prior to your appointment to confirm under which conditions they may cover sedation expenses, or even better ask your dentistâs office to contact them for approval and make the necessary arrangements.
Your sedation dentist must work with you to maximize your insurance benefits. The way each dentist documents a case to your insurance provider may play a significant role in the approval of your expenses for sedation dentistry. Hence, it is advised to have a dentist with enough experience not only in sedation techniques but also in handling insurance claims.
Get details about any related restrictions. Your insurance may have limits on the amount of time, covering only 1-2 hours of dental sedation. Since the cost may be high, it is advised that you get a written approval from your insurance agency before starting treatment.