Is full mouth reconstruction covered by dental insurance?
Full mouth reconstruction coverage depends largely on whether your treatment is considered medically necessary versus cosmetic, and the answer varies significantly based on your specific insurance plan and individual circumstances. As your dentist in East Grand Rapids, we'll help you navigate this process and maximize your benefits.
Full Mouth Reconstruction Insurance Coverage
- Medical Necessity vs. Cosmetic Distinctions — Insurance typically covers treatments that restore function, treat disease, or address structural problems that affect your ability to eat or speak properly. For example, crowns to replace severely damaged teeth or treatment for advanced gum disease often qualify for coverage. However, procedures primarily for appearance improvement may not be covered.
- Maximizing Your Insurance Benefits — We're in-network with Delta Dental and process claims for all insurance plans. We'll work with you to sequence treatments strategically, often spreading them across multiple benefit years to maximize your annual maximums. Pre-authorization for major work helps us understand your coverage before beginning treatment.
- Understanding Your Investment — Many patients find that even with partial insurance coverage, full mouth reconstruction provides life-changing improvements in comfort, function, and confidence. We offer payment plans through CareCredit and Sunbit to help make comprehensive treatment affordable.
During your comprehensive evaluation, we'll provide detailed treatment plans with cost breakdowns and work with your insurance to determine covered benefits.
Ready to explore your options? Call (616) 454-8228 to schedule your consultation. We proudly serve East Grand Rapids, Grand Rapids, Ada, and the surrounding West Michigan communities.