Does Dental Insurance Cover Implants?

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Does Dental Insurance Cover Implants?

Does Dental Insurance Cover Implants?It is sometimes difficult to discern whether a procedure is covered by health insurance or dental coverage. This is especially true when it comes to dental implants. Are they covered by dental insurance? Well, that depends on what kind of insurance you have and what type of implant you receive. Not all insurance policies are the same, and not all implant procedures are the same, either.

Understanding Dental Insurance Coverage

Unfortunately, many insurance companies look at dental implants as cosmetic and not medically necessary. For this reason, they are often not covered. However, replacing a missing tooth or teeth can be critical to a person’s physical and mental health and well-being.

Both medical and dental insurance coverage may have to be utilized to cover your dental implant procedure. Take the time to review your insurance policy to see if the specific procedure you want is listed. If it is not clear to you after reading your policy whether the procedure is covered, you can call your insurance company and ask some key questions, such as:

  • Does this policy cover implants?
  • If so, what percentage of the total cost is covered?
  • Does the policy require a referral before dental implants will be covered?
  • Is there a maximum out-of-pocket dollar amount per year?

The staff at Babylon Dental Care will be happy to inquire about whether your insurance company will cover your treatment or not.

What Are the Elements of an Implant Procedure?

If you are trying to determine whether your dental implant procedure is covered, you might need to look up each individual portion of the procedure to determine what is or is not covered. Following is a list of procedures that usually comprise a dental implant, and some information about what, if anything, is usually covered by insurance companies.

  • Tooth Extraction: If one of your teeth has been completely knocked out, then obviously, you don’t need to have it extracted. Often, however, all or part of the damaged tooth is still present and will have to be removed before an implant can take its place. Most dental insurance policies will cover such extractions in full or at least in part.
  • Bone Grafting: Sometimes, to give an implant a strong foundation, a patient’s underlying jawbone must be reinforced. Despite the fact that this is a crucial step in the implant procedure, it may not be covered by dental insurance.
  • Placing the Implant: Most insurance companies deem the implant placement as a “major” dental procedure. “Major” in this case has more to do with the cost than the intensity of the treatment. Major procedures are covered up to 50 percent by some dental insurance plans.
  • Placing the Artificial Tooth: Also considered a “major” procedure by most insurance companies, attaching the artificial tooth or “crown” to the implant post provides you with the appearance and functionality of a natural tooth. Again, because it is considered a major procedure, it may be covered up to 50 percent.

How Much Does an Implant Cost with Insurance?

Does Dental Insurance Cover Implants?We can’t give you a specific dollar amount for the cost of an implant. The cost of a tooth replacement is typically 20 to 50 percent less if you have insurance. In some cases, however, it might only be ten percent less. This is not taking into account whether you have reached your annual deductible.

The overall cost of an implant is dependent on many factors. Some of these include:

  • The density of your jawbone
  • The condition of your gums and teeth and your general oral health
  • The type of implant you receive
  • Whether you are getting upper or lower implants
  • Whether you need additional surgery

If you don’t happen to have insurance, be sure to check out our Care Plan. Enrolling in the plan can help you save money on your basic dental needs.

Schedule an Appointment with Babylon Dental Care Today

If you have had a tooth damaged and need an implant, or if it has been more than six months since your last check-up and cleaning, contact our friendly and qualified Babylon Dental Care team at (631) 983-6665. We will address all your dental concerns in a compassionate and non-judgmental way.

We offer comprehensive examinations and state-of-the-art treatments. Remember, good oral hygiene is one great way to avoid many health issues, so don’t forget to schedule routine cleanings.

We understand that you may have some anxiety and fear about going to the dentist. Let our dentists and staff provide the kind of compassionate, inviting dental care experience you deserve.

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“I have never been to a dentist office that is sooo welcoming. I am not a fan of going to the dentist at all but when my sister recommended to try them, my thoughts about the dentist completely changed. This dentist office is very professional and do really care about the patient. I was amazed at the follow up phone call, email, and text! I highly recommend this dentist office to anyone and everyone.”

Jill S. from West Babylon


“Babylon Dental is the best! They are very flexible with their appointments and I am always greeted with a smile. I never have to wait very long once I am in the office and everyone is very professional. A truly great dental practice!”

Lesley E. from West Babylon


“This whole practice is wonderful!!! EVERYONE!! I used to panic going to the dentist, but this office made me finally do the right thing and take care of my teeth. Never thought I’d like going to the dentist… Thanks to all of the dentists and everyone who works there…”

Diane W. from West Islip


“I guess I could write this about every visit we’ve had for the past 25 years or so. Every visit we have, we’re treated like family…the good ones. Our options are always explained so we understand them & nothing is ever pushed on us. Thank you to everyone there.”

Robert U. from Lindenhurst


“I always LOVE my experience at Babylon Dental! Everybody is so kind, from the receptionist at the front to the billing staff on the way out. The dentists are thorough, friendly, and very attentive. The dental assistants are so knowledgeable and warm! This is the ONLY dentist I would ever consider going to. Keep up the great work! I look forward to seeing you all again!”

Erin M. from West Babylon


“This is the kindest, most compassionate office I have ever been to. Every person on staff is polite and courteous; not something you see too often these days. I ‘hated’ going to the dentist so much that I would only go when I had a problem. Since I started using Babylon Dental about 8 years ago, I go 2 to 3 times a year for a cleaning and just to make sure everything’s ok. I recommend this practice to everyone I know!”

Nancie P. from West Babylon


“Everything went very well. The procedure was almost painless, and since it was my first cavity filling, I was surprised at how easy it was. Everyone was very nice and willing to answer any questions I had.”

Andrew L. from West Islip


“The staff at Babylon Dental Care are by far the most professional people I’ve encountered. I was greeted with a smile from the minute I walked in and that continued throughout my entire visit. The office from the waiting room to the exam room were immaculate. Everything that was done during my visit was explained to me in detail which helps for someone with a fear of the dentist. The best experience I’ve ever had at a dental office.””

Nickesha J. from Lindenhurst


“If you have a fear of the dentist, Babylon Dental Care is the place for you. I always have an amazing experience when I visit Babylon Dental Care and I used to be someone who was very afraid of the dentist. I highly recommend this dental practice for all of your dental needs. Fantastic group!”

Robert P. from Freeport


“Who knew! I have always been afraid of the dentist because of a bad experience 25 years ago. This office renewed my comfort, and gave me the confidence to move forward and take care of dental work that should have been done years ago. The staff doctors and office personnel were so caring and receptive to my fear.”

Loretta P. from Bay Shore


“I have been a patient of Babylon Dental since Dr. Brown’s Office was originally in TSS shopping Center- perhaps 26 years now? I am always pleased with the high quality, professional care that I receive. I would not go anywhere else! Also, Maritza is a wonderful dental hygienist!”

Peter G. from Bating Hollow


“As a new patient, I was impressed by each staff member’s level of professionalism, friendliness, and knowledge. Dr. Brown gave me a thorough explanation of what was causing my dental issues, and how they could be fixed. I left feeling confident that I was in really good hands.”

Alexandra H. from Lindenhurst


“As always, Dr. Brown made my experience most memorable! I look forward to coming, believe it or not.”

Marie D. from Babylon


“First the reception area was beautifully decorated. Your office runs very smoothly and efficiently, plus the staff are professional, friendly and great at what they do. Best run office I’ve ever seen.”

Michael C. from North Babylon


“Amazing. I am deathly afraid, and have been hurt by many dentists. But Melody, who did my x-rays and cleaning, was great. I was amazed how much they actually CARED about how I felt and was doing. Dr. Brown who read my x-rays sat and just talked To me not at me for a good 15/20 minutes. Didn't suggest root canals, posts n crowns, yell at me about my missing back teeth. He just talked to me about what is currently going on and his best suggestions to care for it, which didn't include root canals, extraction etc. Therefore I would highly recommend them. And thank you for a really positive experience”

Pat M from Patchogue


“From the call center ( Jo ) to the front desk ( Jennifer) and of course Dr. Peck , highly recommended. They are professional and truly concerned about the patient's experience”

Boni M from Babylon


“I am not one to write reviews but I always have such a pleasant experience at this office, so I felt the need to share. The staff is friendly, the wait is short, it's easy to get appointments (especially because of their long hours) and it's super clean. Thank you, Babylon Dental Care!”

Jacqueline C from Sayville


“Everyone is always nice and sooooo patient. I would highly recommend this office to anyone that has a fear of going to the dentist. They also do wonderful community outreach! Very happy with the work they do!”

Andrea B from West Babylon


“The staff is so wonderful! Best experience I’ve ever had a dentist office by far. They offer the cutest “comfort bar” with tons of options to make you feel right at home. Not many people can say that they actually enjoyed their time at the dentist, but I 100% can!! Looking forward to coming back for my next cleaning!”

Rachael L from Patchogue