Does Soonercare Cover Wisdom Teeth Removal For Adults
Wisdom teeth are the third molars that usually emerge between the ages of 17 and 25. These teeth are located at the back of the mouth and are generally the last to appear. In most cases, wisdom teeth need to be removed because they can cause various dental issues such as overcrowding, infection, and decay. However, many people are concerned about the cost of wisdom teeth removal, particularly if they are covered by insurance. In this article, we will discuss whether Soonercare covers wisdom teeth removal for adults.
What is Soonercare?
Soonercare is a Medicaid program in the state of Oklahoma. This program provides health care coverage to low-income families and individuals. Soonercare is administered by the Oklahoma Health Care Authority (OHCA), which is responsible for determining eligibility and managing the program. Soonercare covers a wide range of medical services, including dental care.
Does Soonercare cover wisdom teeth removal?
Yes, Soonercare covers wisdom teeth removal for adults. However, there are certain criteria that must be met in order to be eligible for coverage. According to OHCA, wisdom teeth removal is covered if it is medically necessary. This means that the removal of wisdom teeth must be deemed essential for the patient's overall health and well-being. In order to determine medical necessity, a dentist or oral surgeon will evaluate the patient's dental health and recommend treatment accordingly.
What is the process for getting wisdom teeth removed with Soonercare?
If you are a Soonercare member and need to have your wisdom teeth removed, the first step is to schedule an appointment with a dentist or oral surgeon. During the appointment, the dentist will evaluate your dental health and determine whether wisdom teeth removal is medically necessary. If it is, they will submit a request for authorization to OHCA. Once the request is approved, the dentist or oral surgeon can schedule the procedure.
What is the cost of wisdom teeth removal with Soonercare?
The cost of wisdom teeth removal with Soonercare depends on several factors, including the individual's eligibility status, the specific dental provider, and the complexity of the procedure. However, in general, Soonercare covers most of the cost of wisdom teeth removal, including anesthesia and other associated costs. The patient may be responsible for a small copayment or deductible, depending on their eligibility status.
What are the benefits of getting wisdom teeth removed?
There are several benefits to getting wisdom teeth removed. First, it can prevent overcrowding of the teeth, which can cause discomfort and misalignment. Second, it can reduce the risk of infection and decay, which can lead to more serious dental issues. Finally, it can improve overall oral health and hygiene, making it easier to maintain healthy teeth and gums.
Conclusion
In conclusion, Soonercare does cover wisdom teeth removal for adults if it is deemed medically necessary. The process for getting wisdom teeth removed with Soonercare involves scheduling an appointment with a dentist or oral surgeon, obtaining authorization from OHCA, and scheduling the procedure. The cost of wisdom teeth removal with Soonercare varies depending on several factors, but in general, most of the cost is covered by the program. If you are a Soonercare member and need to have your wisdom teeth removed, speak to your dentist or oral surgeon for more information.
