Treatments a Cosmetic Dentist in Bridgeville Says Could Be Covered

Are you tired of your insurance company constantly denying your claims for treatment? According to a cosmetic dentist in Bridgeville, getting a treatment typically associated with cosmetic dentistry is quite tricky. Insurance companies typically won’t cover cases that aren’t necessary for upkeeping your oral health. Therefore, you’ll need to have your claims forms carefully worded in order to get coverage.

To learn how your dental crowns, porcelain veneers, and direct bonding treatments can have a better chance of getting covered, keep reading!

Crowns and Bridges

Crowns and bridges are the most likely to be covered because they can easily be proven to restore cracked or damaged teeth. Restorations used to improve your appearance won’t be covered at all, but if you can prove they’re necessary to prevent future damage of the tooth as well as decrease the risk of bacterial infection later, they may cover it.

While silver crowns are more likely to be covered than tooth-colored crowns, your dentist can’t help it if all they offer is ceramic or porcelain to cover teeth. Drive home the fact that the restoration is covering damaged teeth, especially if it’s covering areas less visible in your smile.

Direct Bonding

Treatments to fix a cracked, chipped, or scratched tooth with direct bonding can be covered if it’s considered to be a repair. Just make sure to use the term “repair” when submitting your claim, otherwise your insurance is far more likely to reject it. This is particularly true if you intend on fixing teeth that are easily visible.

Replacement Veneers

It’s incredibly rare for insurance companies to cover porcelain veneers since they are exclusively for cosmetic purposes. However, that isn’t necessarily the case for replacement veneers. Natural tooth is typically buffed down to make room for veneers, meaning that if they need to be replaced, your natural enamel isn’t protected enough for daily use.

When trying to get veneers covered, make sure your billing or insurance specialist is using terms like “repair” or “restore” before sending a claim. These details matter, especially when it comes to treatments notorious for improving appearance, not overall dental health.

Important Submission Tips

While the treatment you choose can make a difference, the way you submit a claim also needs to be considered. For example, you’ll want to consider getting your treatment preauthorized since you’ll likely have the time to do so. When treatment isn’t urgent, it gives you time to set up a pre-authorization estimate. This is an outline that highlights who pays for a particular procedure. To avoid paying a surprise bill and improve your leverage with insurance companies, get this handled ahead of time.

Not all hope is lost when getting your treatments covered. If you have more questions about using your dental insurance, schedule an appointment with a dentist in Bridgeville today!

About the Author

Dr. Dan Rairigh earned his dental degree from the West Virginia University School of Dentistry. After graduating, he continued his education in cosmetic dentistry via the Dawson Academy for Advanced Dental Studies. To learn more about his practice, contact him through his website.