Does Insurance Cover Dentures?

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Does Insurance Cover Dentures?

Dentures are artificial teeth that replace missing ones. They help people chew food properly and speak clearly. There are two main types of dentures: full dentures, which replace all teeth, and partial dentures, which replace just a few.

Why Do People Need Dentures?

People need dentures for several reasons:

  • To Eat Better: Missing teeth make it hard to chew food.
  • To Talk Clearly: Teeth help us pronounce words correctly.
  • To Look Nice: A full set of teeth helps keep your face shape and gives you a nice smile.

What is Insurance?

Insurance is a way to help pay for big expenses. You pay a little bit of money every month or year (called a premium), and if something expensive happens, the insurance company helps pay for it. There are different types of insurance, like health, car, and home insurance.

Does Health Insurance Cover Dentures?

Health insurance usually covers visits to the doctor and hospital bills. So, are dentures covered by insurance? It might only sometimes cover dental care, which includes dentures. However, some health insurance plans have dental coverage.

Dental Insurance

Dental insurance is special insurance that helps pay for dental care, like check-ups, cleanings, fillings, and sometimes dentures. It works like health insurance: you pay a monthly premium, and the insurance company helps cover the costs when you go to the dentist.

Does Dental Insurance Cover Dentures?

Dental insurance can cover dentures, but it depends on the plan. Here are a few aspects of dental insurance for dentures that you should know:

  1. Coverage Levels: Dental plans have different coverage levels. Some might cover a big part of the cost of dentures, while others cover only a small part.
  2. Waiting Periods: Some plans require you to wait a certain amount of time before they will help pay for dentures. It is called a waiting period.
  3. Annual Limits: Dental plans often have a yearly limit on how much they will pay for dental care. If the cost of dentures is higher than this limit, you might have to pay the rest yourself.
  4. Co-pays and Deductibles: You might still have to pay some money out of your pocket, even with insurance. It is called a co-pay or deductible.

How to Find Out if Your Insurance Covers Dentures

Here’s how you can find out if your insurance covers dentures:

  • Check Your Insurance Plan: Look at your insurance policy or the booklet that came with it. There should be a section that talks about dental coverage.
  • Ask Your Insurance Company: Call your insurance company and ask if dentures are covered. Make sure to ask about coverage levels, waiting periods, and any other costs you might have to pay.
  • Talk to Your Dentist: Your denture clinic near you can often help you understand what your insurance will cover. They can even contact your insurance company.

What if My Insurance Doesn’t Cover Dentures?

If your insurance doesn’t cover dentures, don’t worry. There are multiple methods to manage the cost:

  1. Payment Plans: Many dentists offer payment plans. It means you can pay for your dentures a little bit at a time instead of all at once.
  2. Discount Plans: Some companies offer dental discount plans. You pay a fee to join, and then you get a discount on dental services, including dentures.
  3. Government Programs: In some places, government programs like Medicaid help pay for dentures, especially for people with low incomes.
  4. Charities: Some charities and non-profit organizations provide free or low-cost dentures to people who need them.

Endnotes

Dentures are important for many people because they help with eating, speaking, and smiling. Whether your insurance covers dentures depends on your specific plan. Dental insurance can help cover the cost, but it’s important to understand the details of your plan. If your insurance doesn’t cover dentures, there are other ways, like payment plans and discount programs. 

Remember, your dentist and insurance company are there to help you understand your options and make the best choice for your dental health. North East Denture Clinic always helps all patients by giving them a crystal clear idea about their insurance plan, denture cost, and how much it will cover. For an expert consultation, visit our denture clinic in Calgary.