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If you're considering gum grafting treatment, you're probably wondering about the cost and whether insurance will cover it.
Insurance coverage for gum grafting varies by provider and policy, but in general, it's considered a medically necessary procedure.
While some insurance plans may cover the procedure, others may not, or may only cover part of the cost.
You should check with your insurance provider to see what's covered and what's not.
Additional reading: Gum Grafting
Insurance Coverage
Insurance coverage for gum grafting can vary depending on your dental plan. Generally, insurance companies cover all major dental surgeries.
If you have a dental plan, you can get partial reimbursement for gum recession surgery. You might receive full coverage if you have an Affordable Care Act plan.
The cost of gum grafting is a factor to consider when determining insurance coverage. The cost can vary between $600 and $1200, depending on the number of affected teeth and the experience of your dentist.
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Cost and Payment
Gum grafts are typically covered by insurance plans, but it's essential to be aware of other payment options if you don't have insurance.
Patients with FSAs can contribute up to $2,600 annually, which can be used for gum graft procedures. If you plan on having multiple procedures, it's best to schedule the gum graft towards the end of the year to maximize your funds.
HSA accounts allow patients to contribute up to $3,400 per individual or $6,700 for families each year, which can be used to cover gum grafting procedures. Be sure to discuss payment expectations with your periodontist before scheduling the procedure.
The cost of gum graft surgery can range from $600 to $1200 per tooth, depending on the number of affected teeth and the experience of your dentist. Donor tissue is more expensive than tissue harvested from your own mouth.
If you have dental insurance, it may cover some of the cost of your gum graft surgery if it's deemed medically necessary. You can also take advantage of medical insurance benefits, so be sure to look into the details of your plan benefits before your treatment.
Monthly payment plans may be available to help make gum graft surgery more affordable. These plans typically require a down payment of 50% and allow for smaller payments to be made over time.
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Tissue Graft Procedure
The tissue graft procedure is a common method used to treat gum recession. There are three main types of grafts: connective-tissue, free gingival, and pedicle.
A connective-tissue graft is the most common method used to treat root exposure. During this procedure, a flap of skin is cut at the roof of your mouth (palate) and tissue from under the flap is removed and then stitched to the gum tissue surrounding the exposed root.
Free gingival grafts involve the use of tissue from the roof of the mouth. A small amount of tissue is removed directly from the roof of the mouth and then attached to the gum area being treated.
Pedicle grafts involve grafting tissue from gum around or near the tooth needing repair. The flap is only partially cut away so that one edge remains attached. The gum is then pulled over or down to cover the exposed root and sewn into place.
Some dentists and patients prefer to use graft material from a tissue bank instead of from the roof of the mouth. Tissue-stimulating proteins can also be used to encourage your body's natural ability to grow bone and tissue.
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Financial Options
If you don't have dental insurance, there are still several financial options available to you.
Gum grafts are typically covered by insurance plans, but you can also consider using a Flexible Spending Account (FSA) to help cover the cost, which allows you to contribute up to $2,600 annually.
Patients with Health Savings Accounts (HSAs) can contribute up to $3,400 per individual or $6,700 for families each year, which can be used to cover procedures like gum grafting.
You can also discuss payment expectations with your periodontist prior to scheduling the procedure, as some dentists need to be paid directly while others can be paid by your HSA.
A monthly payment plan may be offered to help ensure that cost doesn't prevent you from receiving the care you need, which typically requires a down payment of 50% and smaller payments over a set period of time.
The cost of gum graft surgery can vary between $600 and $1200 per tooth, depending on the complexity of your case and the experience of your dentist.
If you have dental insurance, it may cover some of the cost of your gum graft surgery if it is deemed medically necessary, so be sure to look into the details of your plan benefits before your treatment.
You can also consider looking into dental continuing education programs or dental schools, which may offer discounted rates for patients who participate in their programs.
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Frequently Asked Questions
Are gum grafts medically necessary?
Gum grafts are medically necessary to repair damage and prevent further dental problems, such as tooth loss, when gum recession is left untreated. If gum recession is not addressed, it can lead to serious dental complications.
Do I qualify for a gum graft?
You may qualify for a gum graft if you have receding gums, which can be a sign of severe gum disease or a genetic condition. If you're concerned about your gum health, it's best to consult a dentist for a proper evaluation and treatment plan.
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