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In a world of growing healthcare costs, 3rd party providers have GREAT power in determining "medical necessity". I have worked at a hospital, and we have come across the issue one too many times; hospitals "write-off" millions of dollars of care in order to stay accredited, ultimately increasing the average healthy person's insurance premium as compensation.There is no generally accepted definition of "medical necessity" when applied to a SPECIFIC procedure, nor is there a consensus as to WHO determines it. The traditional role of health care providers in determining the most appropriate treatment for our patientsis being challenged. As a result of cost-containment policies, some 3rd party payers (Insurance companies) create the term "elective". Personally, I strongly feel that the patient should ALWAYS be placed 1st, addressing the following factors:a. the patient's medical needs and desiresb. recommendations from the patient's physician/specialistc. procedures that are scientifically proven and generally accepted as legitimate therapeutic procedures for a particular condition. Check out the FINE PRINT of your insurance company, in regards to what your dental benefits are. Separate dental insurance is available. Common "medically necessary" dental treatment has been "linked" with the following:1. congenital problems (craniofacial/orofacial problems: cleft lip/palate, birth defects, etc)2. trauma (accidents, victims of violence etc)3. organ transplants4. hip/knee replacements5. emergency visits (abscess, septicemia, airway/life threatening issues )Also, check "out of network" reimbursements. As with any information on the internet, seek the individualized, in person consultation with your dental specialist prior to any treatment.Hope that helps!