Will My Dental Insurance Cover Dental Sedation?

Dental sedation may be covered by your insurance as it may be considered a medical necessity.

Dental Sedation in St Louis

If you are undergoing a series of dental procedures or treatments, or you need to have major oral surgery, and you are wondering if your dental insurance will cover the cost of having oral sedation, the answer is that it depends on the type of dental policy you have. Many dental insurance policies only cover up to a specified amount. The fee for the dental treatment, plus the cost of the sedation, may be over your policy’s coverage. But many sedation options are inexpensive.

It often depends on the type of sedation that is used. General anesthesia may be covered by your insurance as it may be considered a medical necessity. Sedation is a broad term because it is used to describe different levels of consciousness.

Types of Sedation Options

Nitrous oxide is a clear, odorless substance that is extremely effective to curb the anxiety that can come with oral treatment. It is the lowest level of sedation that you can have, and it is typically called “laughing gas” because it makes you feel euphoric. With nitrous oxide, you don’t lose consciousness. The patient who receives laughing gas is awake the entire time throughout the procedure, they are just in an altered state. Laughing gas is usually given in the dentist’s office, and the fee for it is very small.

Another type of minimal oral sedation involves the patient taking a pill before going to the procedure. When it takes effect, the patient typically falls asleep and rests peacefully throughout the treatment process. This is also a highly effective and extremely inexpensive form of oral sedation. Even if the medication is not covered by your dental insurance, it is a minimal cost that you can pay out of pocket.

If you have to have extensive or major oral surgery, then IV sedation might be required or recommended. IV sedation is more expensive than more minimally-invasive forms of sedation. It requires that an anesthesiologist be present – not just to place the IV, but also to monitor the procedure and to make sure that you are safe throughout the entire process. Since you are unconscious, a breathing tube is usually placed to ensure that you are getting enough oxygen.

It’s a much more invasive form of sedation, but if it is recommended and the oral surgery you are having is extensive enough, then it may be covered by your insurance – minus your deductible and at a rate that is predetermined by your policy itself.

Who Can Benefit from Dental Sedation?

Individuals with anxieties, phobias, severe gag reflex, or difficulty getting numb are candidates for the center’s general anesthesia services. In addition, young children or individuals with physical or mental disabilities who are unable to cooperate for dental treatment can benefit from these services.

St. Louis Dental Anesthesia

If you or a loved one needs a dental procedure but requires dental sedation, we will help determine which level is best and how it works with your insurance policy. Call us today to schedule your appointment at (314) 862-7844. We look forward to meeting you!

Updated: January 15, 2021

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