Your insurance may cover dental sedation as it may be considered a medical necessity.
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, could be over your policy’s coverage. However, many sedation options are inexpensive.
It often depends on the type of sedation used. Your insurance may cover general anesthesia, as it may be considered a medical necessity. Sedation is a broad term because it describes different levels of consciousness.
Everything went great today for her surgery but I do have some feedback about other things. My daughter was scheduled to be put to sleep to undergo a root canal. They ended up needing more anthesia which I was willing to pay for. Surgery was supposed to be an hour (I was told this before they started), and it ended up being 2 hours because of some minor complications. Noone came to the lobby to inform us. When it was over, I asked to see her. They said I had to pay first. I just paid almost 5k and they were more worried about an additional $300 before allowing me to see my daughter? This didn't sit right. I didn't say anything. I paid the bill and went to see my daughter. Dr. Hoffman is the nicest man I have ever met! He was outstanding.
Also, in the weeks before her surgery, the office appeared to not communicate. I would receive a call saying one thing then someone else would say another. They were never on the same page.
Last week, they needed to speak with me to confirm a few things. They called me at 8:16am then again at 1:06pm. Leaving me a voicemail that if they do not hear from me they were going to cancel her surgery. Wow! I work. I work 8am-5pm. I do not have access to my phone during those hours. They did leave a voicemail and I would have called the next day but they did not give me a chance before sending me an email threatening to cancel.
Also, they had called me several weeks before to inform me I had no insurance. I called my insurance company and they said I did. Not sure what happened but it resulted in unnecessary phone calls during my only free 20 minutes at work.
If your appointment is at 10am, do not plan on seeing anyone for awhile. All our appointments ran an hour behind.
I think Dr. Hoffman is wonderful but the office staff needs some help.
Not friendly at all. Noone even smiled!
The nurses in the room with my daughter were great too.
I went to nervous and 3 to 4 hours later, I essentially woke up in the car on my way home without realizing anything had happened. If you have trauma with previous dental issues, this is the place. I have a had severe dental trauma my entire life. Until now, they are all fantastic.
Response from the owner:Thank you for your kind words and for sharing your experience. We’re grateful our team could help provide a comfortable experience and appreciate your trust in us.
Our experience was wonderful. Our Down’s Syndrome son is very apprehensive about his appointments, but Dr. Thoms and all of his staff made our son more compliant. Each member seems vested in their job and are so kind and caring. Thank you for a positive experience.
Response from the owner:Thank you for your kind words! We’re so glad your family had a positive experience. Our team takes great pride in providing compassionate, individualized care, and your feedback means so much to us!
Everyone is always very welcoming and professional.
Response from the owner:Thank you for your kind words! We’re so glad our team makes you feel welcome. We truly appreciate your support!
Types of Sedation Options
Nitrous oxide is a clear, odorless substance that is extremely effective in curbing 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 receiving laughing gas is awake throughout the procedure; they are just altered. Laughing gas is usually given in the dentist’s office, and the fee 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 treatment. This is also a highly effective and extremely inexpensive form of oral sedation. Even if your dental insurance does not cover the medication, it is a minimal cost you can pay out of pocket.
If you have to have extensive or major oral surgery, 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 ensure 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 reflexes, 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: August 14, 2024
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