Veneers are a cosmetic dental procedure. They help people restore the attractiveness of their smile, but many patients wonder if veneers are covered by insurance.
This question should be clear before undergoing treatment and you can check with your insurance provider or with Sola Dental Spa clinic. Based on the type of insurance, we can determine the best options for you. After the preventive check-up, we can offer you the approximate price of veneers.
Dental insurance usually does not cover elective dental procedures, such as cosmetic dentistry. However, there are always exceptions to the rule.
How to get veneers covered by insurance?
Because veneers are cosmetic dentistry procedures, regular dental insurance often does not cover them. An elective dental procedure is one that you choose to have even if you don’t need it for health reasons. For example, if your teeth are not affected by decay or disease, but you don’t like the way they look, having them fixed would be the procedure of choice.
Of course, there will always be exceptions to the rule. You may have an irregularity on your front tooth that needs to be corrected, but a dental crown would be too aggressive on the rest of your tooth structure. A veneer or cosmetic bonding will be less invasive and serve as a restorative procedure. The best dentist will most likely have to present your dental insurance company with a medical history, photographs, and x-rays to convince them to pay for the treatment.
However, insurance for veneers may apply in individual cases :
- If there is a medical reason for the procedure;
- If a dental restoration is medically necessary due to an injury or accident;
- Dental insurance covers veneers if they are not used for aesthetic purposes, but to cover external imperfections (replacing teeth or restoring a correct bite).
If there is no medical reason to do so, the insurance company will not cover dental veneers. In that case, we are talking about a cosmetic dentistry procedure of choice, when the patient decides to improve the condition of his smile and make it more attractive.
What does dental insurance cover?
Even though 3 out of 4 Americans have dental insurance, many people don’t understand how it works and which procedures are covered for free, and which are covered only partially. There are several types of dental insurance, each designed for a specific package of services.
80% of the cost of restorative treatment is covered by insurance. This includes procedures such as tooth fillings and extractions, root canal treatment, and more. The more complex and specific the treatment is, the higher the cost will be, so it is best to find out in advance how much dental insurance will cover.
Only half (50%) of dental crowns and dentures are covered. However, some types of dental insurance offer extended options that include Orthodontic care.
Is there any dental insurance that covers veneers?
Depending on the monthly payments, the type of coverage is also determined. The higher the monthly payments, the more benefits dental insurance provides. Does insurance cover veneers? Most Americans use Basic Dental Plans, which cover only the full cost of preventive procedures.
When are veneers covered by insurance? If you’re planning to get veneers or need restorative dentistry, consider Full Coverage Plans. They do not offer full coverage, but they do have a greatly expanded list of services (most restorative procedures) that are partially covered by dental insurance.
Full Coverage Plans may include partial coverage for services such as:
- Crowns, surgical tooth extractions, and root canal cleanings.
- some dental insurance covers veneers, implants, and dentures.
- placement of braces, Invisalign, and other orthodontic procedures.
It’s up to you whether you choose dental insurance for veneers or use basic dental insurance.
What does basic dental insurance cover?
Does insurance cover veneers? The list of procedures that are covered by dental insurance depends on the plan you choose and its monthly cost. If we’re talking about basic dental insurance, it only covers preventive dental procedures. Their cost is covered 100%. Not all dental insurance covers veneers.
However, if you need a filling, an extraction, or a deep cleaning, basic dental insurance will not cover all costs. The amount will depend on many factors, so it’s best to check before the procedures. The coverage can be either 80% or 50%, based on the type of procedure.
You should also understand that basic dental insurance does not cover veneers because it is a cosmetic procedure. When are veneers covered by insurance? Only if there are certain medical indications for their installation. The doctor needs to provide the appropriate documents. Also, basic coverage has some limitations, such as the number of procedures done in a certain period of time, and not all dental clinics may have dental insurance coverage.
Does insurance cover veneers? To find out the details of the procedure and how much your insurance covers, please contact Sola Dental Spa to schedule an appointment.
What dental insurance covers veneers?
Dental veneers are a quick and reliable way to fix imperfections in your smile and become more confident. Every year millions of Americans think about having a veneer procedure done. One of the main questions is the cost, as the price of veneers is quite high.
So, the question is when are veneers covered by insurance? If veneers are installed for cosmetic reasons, meaning the patient wanted to change the appearance of their smile on their own, dental insurance will not cover their cost. However, from a medical point of view, the placement of veneers is a necessary restorative procedure, in this case, you can expect to receive a partial refund of the veneers.
It all depends on the insurance company itself and the list of allowable services, the cost of which can be refunded. There is such a thing as “additional benefits” when the cost of cosmetic and whitening procedures may be partially covered by dental insurance.
Does insurance cover veneers? In some cases, dental insurance may cover the cost of replacement veneers when it is necessary (if ignoring the situation could cause decay).
While veneers improve the appearance of teeth, they can also help to improve a patient’s oral health. Accordingly, such veneers may become eligible for a refund.