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Does Medicaid Cover Dental Implants?
I need a few teeth pulled, filled and implants to replace them. I can only pay with Medicaid. Who can I go to that would accept Medicaid?
Asked 35 months ago by
Charles A Challenger in 78613
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Medicaid and dental implants
Medicaid covers extractions of the teeth, majority of fillings and removable prosthesis. Implants and all types of implant supported prothesis are an elective type of treatment and Medicaid does not cover that. Removable denture can be a temporary option while you will be able to discover other options like financing through CareCredit, Chase or Springstone. Majority of the patients who have Medicaid insurance cover the costs of more improved options like implants to support the overdenture,...
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Dental Implants Not Covered by Medicaid
Medicaid only covers procedures that are considered to be absolutely necessary such as extractions, fillings, removable dentures, exams, etc. Dental implants are considered an elective procedure and therefore you would get no coverage through Medicaid. If you want an implant and have good credit you could apply for a loan through Care Credit. If approved, you could pay for the procedure over a period of time, while getting the benefit of the implant now.
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Medicaid restrictions
Unfortunately, dental implant therapy is not a covered benefit with Medicaid plans.
Implant therapy is not a covered benefit on many dental insurance plans. Many patients use outside financing, such as Care Credit, to make implant therapy affordable by spreading out the costs over time.
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Medicare does not cover dental implants
As other experts have indicated, Medicare does not cover any dental procedures including dental implants. In-fact most dental or medical insurances do not offer benefits for implants. Some medical insurances may offer benefits for implants if it was necessary due to trauma or pathology.
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Medicaid has limited benefits
As with all government programs, the goal of medicaid is to pay as little as possible. Normally this is by covering only the cheapest alternative and not what is "best". After age 18, the goal of medicaid is not to be proactive and restore, but to simply prevent death. Emergency care is about all it will cover.
In the case of implants, an alternative would be a bridge, a removable denture or left alone (no treatment). Normally, medicaid will only pay for the latter, no...
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Medicaid generally doesn't cover dental implants due to the involved overhead costs
Generally implants are not covered by medicaid. The procedure, materials and time involved are costly. However, some traditional and PPO dental insurance plans are providing reasonable coverage for implants moreso than in the past.
I hope it clarifies the situation a bit.
Thank you,
Dr. Bazile