Do you need a dental procedure that requires you to receive some form of sedation? If so, you’re probably wondering, “Is sedation dentistry covered by dental insurance?”
The short answer is that, unfortunately, there are certain restrictions that most dental insurance companies put into place when it comes to receiving benefits for nitrous oxide or IV sedation. But with some help from your dentist, you might still be able to afford an anxiety-free treatment. Read on so you don’t have to forgo the care you need!
Does Dental Insurance Cover Sedation Dentistry?
Most dental insurance companies and standard plans do not cover the cost of sedation dentistry, though to be clear, that doesn’t mean you can’t receive it. If nitrous oxide or IV sedation would motivate you to schedule an appointment, the service could be worth the out-of-pocket expense. IV sedation does tend to lean towards the pricier end of the spectrum, but nitrous oxide is a bit more accessible, with costs averaging between $50 and $150.
Why Is Dental Sedation Not Covered?
Any one dental insurance company could have a variety of different reasons for not offering sedation dentistry coverage. Basically, it all boils down to sedation being classified as a “non-essential” service. To most providers, this essentially places it in the same category as dental cosmetics and implants.
In the uncommon case where dental sedation is covered by a specific plan, it’s usually associated with a higher monthly premium.
Are There Exceptions?
There are few exceptions when it comes to having your coverage pay for dental sedation. These may include situations where:
- The use of sedation lowers the overall costs of your treatment
- Treatment is delayed or spaced out due to anxiety
- You have a medical condition that would make it difficult to receive dental treatment without sedation (such as autism, epilepsy, cerebral palsy, etc.)
- You’ll be undergoing a complex procedure (like oral surgery or multiple tooth extractions)
How to Pay for Sedation Dentistry if Your Plan Doesn’t Cover It
If your dental insurance plan doesn’t cover the costs associated with nitrous oxide or IV sedation, there are ways in which you can still receive the care you need and feel no pain during the process. Your dentist and dental team can work with you to identify alternative solutions, such as signing up for CareCredit financing, enrolling in an in-house membership plan, or applying any eligible special offers.
Affording quality dental care and the accommodation you deserve isn’t always straightforward. Fortunately, your dentist is on your side, and wants to help you save as much money as possible while also feeling as comfortable as possible! If you’re worried about the costs of dental sedation in Tappan, please don’t hesitate to voice your concerns during a phone call or consultation.
About the Practice
At Smile More Dentistry, we want our patients to feel calm, comfortable, and safe during their visit. Knowing that dental work can be costly and even unpleasant, we’ve made it our duty to ensure you receive the care you need without severe discomfort or worries. If you or a loved one need complex dental work and are unsure if your dental insurance will cover the cost of sedation, please give us a call at (845) 675-1512.