Will My Medical Insurance Cover Wisdom Teeth Removal
Wisdom teeth, also known as third molars, are the last set of molars to emerge in the mouth, usually in the late teens or early twenties. While some people are lucky enough to have their wisdom teeth grow in without any issues, others may experience pain, swelling or infection, necessitating their removal.
What is Wisdom Teeth Removal?
Wisdom teeth removal is a surgical procedure that involves the extraction of one or more wisdom teeth. The procedure is usually done under local or general anesthesia and may involve cutting the gum tissue, removing bone or cutting the tooth into smaller pieces for easier removal.
Does Medical Insurance Cover Wisdom Teeth Removal?
Whether or not your medical insurance covers wisdom teeth removal depends on a number of factors, including the type of insurance you have and the reason for the extraction.
If the wisdom teeth are impacted, infected or causing other dental problems, your insurance may cover the procedure. However, if the extraction is deemed cosmetic or elective, it may not be covered by your insurance.
Types of Medical Insurance that Cover Wisdom Teeth Removal
If you have medical insurance, it is essential to check with your provider to see if wisdom teeth removal is covered. Some insurance plans that may cover the procedure include:
- Health Maintenance Organizations (HMOs)
- Preferred Provider Organizations (PPOs)
- Point of Service (POS) plans
- Medicare Advantage plans
It is important to note that not all plans within these categories cover the same procedures. It is essential to check with your provider to see what is covered under your specific plan.
Out-of-Pocket Costs for Wisdom Teeth Removal
If your insurance does not cover wisdom teeth removal, you will be responsible for the entire cost of the procedure. The cost of wisdom teeth removal can vary depending on a number of factors, including the complexity of the extraction, the number of teeth being removed, and the location of the dentist or oral surgeon.
According to the American Dental Association, the average cost of wisdom teeth removal ranges from $225 to $600 per tooth. If you need all four wisdom teeth removed, the cost could range from $800 to $2,400.
Conclusion
While medical insurance may cover wisdom teeth removal in certain cases, it is important to check with your provider to see if the procedure is covered under your specific plan. If the extraction is not covered, you will be responsible for the entire cost of the procedure, which can be expensive. As with any medical or dental procedure, it is essential to discuss the risks, benefits and costs of wisdom teeth removal with your dentist or oral surgeon before making a decision.