Wisdom Teeth and Insurance

[MickeyMickey]

Does anyone know if health insurance will pay anything to get wisdom teeth pulled, or am I out of luck if I have no dental insurance?

 

[monarchsfan16]

Check with your insurance company. It really depends on the provider and the policy. Mine didn't cover mine. We have dental insurance but it covered just $800 of a $2400 extraction. I've heard of other people though that have had part of it covered by health insurance.

 

[MrsToad]

If you give your medical insurance information to the oral surgeon's office, they should also be able to check for you. In our case, our son's extraction was covered under medical, not dental, because the teeth were impacted and the procedure was considered surgery, not just "pulled teeth."

 

[HugsForEeyore]

My medical insurance wouldn't cover a penny. I had all four wisdoms pulled (along with 4 other teeth) for $2000, which I had to pay in full at the time. It would have been $350 higher if I had IV sedation, so I stayed awake for the whole thing!!

 

[Snowysmom]

My dental insurance paid for 80% of DS's wisdom teeth extractions. Our medical would not pay at all. He had it done in the oral surgeon's office under IV sedation. I know we were lucky. Younger DS will need his out in a year or two and unfortunately the oral surgeon older DS went to has retired. He was terrific!

 

[Dopey Sharon]

My health insurance (AmeriHealth) covered both my kids when they got their wisdom teeth out. They both had impacted ones, that's why it went to my health insurance. I don't think I even had to pay the co-pay. They were done in an oral surgeon's office.

Definitely check with your health insurance company.

Good luck!

 

[HoneyPooh]

In an oral surgeons office they will only be covered under your medical if they are impacted or partially impacted. If you have all four done and only three are impacted or partially impacted, only those three go under your medical and the other one goes under your dental plan. It all goes by the code your surgeon uses for each tooth and he has to use the correct code because the insurance company will require a copy of the preoperative x-ray to prove they were impacted.

The only insurance combo I ever found in three years that was different was the United Concordia/Tricare combo. Tricare does not cover wisdom teeth even if they are considered medical but United Concordia would pay for them under dental if the patient's medical coverage was Tricare.

I spent three years doing the billing in an oral surgeons office

 

[monarchsfan16]

Apparently we have really crappy health insurance, because despite all 4 of mine being fully impacted and removed by an oral surgeon, we were told that our health insurance covers no oral surgery

 

[Dznypal]

my DD needed all 4 out last year--

DH carries dental since theres no premium and I carry medical since mine is cheaper and better then DH

and we were told even though its oral surgery its under medical

it always pays to check out everything

 

[Kteacher]

We ended up having to pay for our son's 4 impacted wisdom teeth to be removed , even though we had both dental ( Delta Dental ) and medical ( BC/BS )

 

[TerryKitten]

Check your insurance. Mine paid the standard 80% for everything except "the gas". Best 45 bucks I spent.

 

[minnieandmickey]

We are double covered, DS just had his taken out,we had to pay for the sedation, but the extractions were covered. I just received the statement and it was $333. per tooth, the sedation was $150. Since my DH is the primary for insurance we have maxed out his part of the insurance.