Does Wisdom Teeth Removal Fall Under Medical Or Dental Insurance
Introduction
Wisdom teeth are the third molars that grow at the back of the mouth. They usually appear between the ages of 17 and 25. For most people, wisdom teeth can cause pain, infections, and other dental problems. As a result, many people opt to have them removed. But the question is, does wisdom teeth removal fall under medical or dental insurance?
Medical Insurance
Medical insurance is designed to cover health-related expenses. This includes doctor visits, hospital stays, surgeries, and medications. However, most medical insurance plans do not cover dental procedures unless they are deemed medically necessary. This means that if your wisdom teeth removal is not considered medically necessary, your medical insurance will not cover the cost.
Dental Insurance
Dental insurance, on the other hand, is designed to cover dental procedures. This includes routine checkups, cleanings, fillings, and other dental treatments. Wisdom teeth removal is a dental procedure, and most dental insurance plans will cover the cost. However, it's important to check with your dental insurance provider to see what is covered under your specific plan.
Medically Necessary Wisdom Teeth Removal
There are some cases where wisdom teeth removal is considered medically necessary. This may include cases where the wisdom teeth are causing infections, pain, or other oral health problems. In these cases, your medical insurance may cover the cost of the procedure. However, you will need to provide documentation from your dentist or oral surgeon to prove that the procedure is necessary for your health.
Out-of-Pocket Costs
If your insurance does not cover the cost of wisdom teeth removal, you will need to pay out-of-pocket. The cost of the procedure can vary depending on a variety of factors, including the complexity of the procedure and your location. On average, wisdom teeth removal can cost anywhere from $75 to $200 per tooth.
Conclusion
Whether wisdom teeth removal falls under medical or dental insurance depends on the specific circumstances. In most cases, dental insurance will cover the cost of the procedure. However, if the procedure is deemed medically necessary, your medical insurance may cover the cost. If neither insurance covers the cost, you will need to pay out-of-pocket. It's important to talk to your insurance provider and dentist to understand your options and the potential costs.