Does BCBS PPO Cover Dental Implants and How to Get Covered

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Blue Cross Blue Shield PPO plans may cover dental implants, but the extent of coverage varies by state and plan.

BCBS PPO plans typically cover a portion of the cost of dental implants, but the percentage of coverage can range from 50% to 100% depending on the plan.

To get covered for dental implants, you'll need to check your BCBS PPO plan's specific details, as some plans may have additional requirements or restrictions.

BCBS PPO plans may also have a waiting period before coverage for dental implants kicks in, which can last anywhere from 6 to 12 months.

What Are Implants?

Dental implants are metal posts surgically placed into the jawbone beneath the gums.

These metal posts act as artificial tooth roots onto which replacement teeth (crowns) are attached.

The crowns are custom-made to match the color and shape of your natural teeth for a seamless appearance.

Dental implants can be used to replace a single tooth, multiple teeth, or even full sets of teeth.

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There are three main types of dental implants: Endosteal, subperiosteal, and zygomatic.

Endosteal implants involve placing titanium posts directly into the jawbone.

Subperiosteal implants involve placing a metal frame just below the gum line with posts attached to it.

Zygomatic implants are used for patients who do not have enough bone in their upper jaw to support traditional dental implants.

Blue Cross Blue Shield Coverage

BCBS insurance plans generally cover all three phases of implant treatment: placement surgery, abutment placement surgery, and final crown placement. Each BCBS plan may differ slightly in terms of coverage provided for these procedures.

You'll want to check with your specific plan provider about what exactly is included in your plan when it comes to dental implant coverage. It's essential to understand what's covered and what's not to avoid any surprises.

BCBS may cover dental implants if they are deemed medically necessary due to an accident or injury resulting in tooth loss or severe damage to natural teeth that require extraction. This means that if you have lost one or more teeth due to an accident or injury covered under your BCBS plan, there is a higher chance that they will cover some or all of the cost for dental implants.

Pre-approval from BCBS is typically required before undergoing any procedures. Always make sure you check with your insurer before undergoing any treatment.

If you're a BCBS PPO member, you may be eligible for a full-mouth dental implant restoration at no cost, depending on your specific plan and deductible.

Factors Affecting Coverage

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BCBS insurance plans may differ slightly in terms of coverage provided for dental implant procedures. This means you'll need to check with your specific plan provider to see what's included in your plan.

Each BCBS plan may have unique coverage details, so it's essential to review your plan documents or contact your provider to understand what's covered. Certain factors can affect how much coverage you receive for dental implant procedures.

Some potential factors that may impact coverage include the specific plan you have through BCBS. Factors such as your plan's coverage limits, deductibles, and copays can all play a role in determining how much of the dental implant procedure costs your insurance will cover.

Understanding Implants and Benefits

Dental implants are a popular and effective solution for replacing missing teeth.

They are surgically placed into the jawbone, acting as a replacement for the root of a missing tooth.

This allows for a secure and permanent attachment to the jaw, making them a long-lasting and durable option compared to other teeth replacement options.

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Dental implants can be used for a single implant or a full-mouth restoration, tailored to your unique needs.

Dr. Van Tassell and his team offer personalized dental implant solutions that combine modern technology with compassionate care.

Tina, a Blue Cross Blue Shield PPO member, got a full-mouth dental implant restoration at no cost, thanks to her deductible fully covering the procedure.

This transformed her smile and restored her confidence.

By choosing a dentist who accepts Virginia Blue Cross and Blue Shield, like Lorton Dental Implant & Oral Surgery, you can benefit from their commitment to excellence and extensive experience in providing permanent, aesthetically pleasing solutions.

Frequently Asked Questions

Will BCBS cover all on 4 dental implants?

BCBS may cover All-on-4 dental implants for medical necessity, but coverage specifics depend on your individual policy and circumstances. Check your FEHB plan details to confirm eligibility and benefits.

Wilbur Huels

Senior Writer

Here is a 100-word author bio for Wilbur Huels: Wilbur Huels is a seasoned writer with a keen interest in finance and investing. With a strong background in research and analysis, he brings a unique perspective to his writing, making complex topics accessible to a wide range of readers. His articles have been featured in various publications, covering topics such as investment funds and their role in shaping the global financial landscape.

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