STEP 1
We verify your benefits
At no charge to you, we review implant benefits and your plan-specific deductible, coinsurance, and out-of-pocket requirements.
Your medical insurance may help cover dental implants.
If you have medical insurance—or are not sure what type of plan you have—we can help you check possible coverage and understand your expected out-of-pocket cost before you decide on treatment.
No charge to review your benefits. No obligation to proceed. Coverage and payment are determined by your insurance plan.
Medical plan review Five clear steps Know your expected cost first
Five clear steps before you decide
Understand coverage and your out-of-pocket cost in 5 steps before committing to treatment.
There is no charge to you while the first four steps are completed and your exact benefits and expected patient portion are determined. Your portion is based on the insurer’s coverage determination and your plan’s individual deductible, coinsurance, and out-of-pocket requirements.
STEP 2
A provider evaluates your needs
At no charge to you, a participating dental provider completes the clinical examination and diagnostic imaging needed to assess medical necessity.
STEP 3
Preauthorization is submitted
At no charge to you, your dental provider works with our team and your primary care physician (PCP) to establish medical-necessity documentation and submit the prior authorization request.
STEP 4
Coverage and your out-of-pocket cost are confirmed
After prior authorization is approved, we review the insurer’s exact coverage determination and calculate your expected patient portion.
STEP 5
Choose a payment plan, if needed
Third-party payment plans starting as low as $99 per month may be available to help cover your out-of-pocket cost. With some medical plans, that cost may be as low as $25. Approval, rates, terms, and actual costs vary.
Only after coverage, your expected patient portion, and available payment options are clear do you decide whether to proceed with treatment.
Understanding medical necessity
Every case is different. The documentation matters.
Medical insurance does not routinely cover dental implants. Coverage may be available when a provider can show that treatment is medically necessary and the plan includes the relevant benefit.
Our role is to help organize the benefits review and supporting process. Your provider determines the appropriate treatment, and your insurer makes the final coverage decision.
Examples that may be relevant
- Medication-related tooth damage or severe dry mouth
- Dental damage following radiation or cancer treatment
- Significant deterioration after bariatric surgery
- Bone loss or oral conditions connected to medical care
These examples do not guarantee eligibility. Your history, clinical findings, plan terms, and insurer criteria all apply.
A straightforward look at costs
See the possible difference coverage can make.
Actual costs depend on your provider, treatment plan, network status, deductible, coinsurance, and plan limits.
Without insurance$30k–$70kEstimated full-mouth implant treatment
When covered$1k–$8kPossible deductible and out-of-pocket costs
Illustrative estimates only. Coverage and payment are not guaranteed. A personalized review is required before treatment costs can be determined.
Support at each step
Insurance can be complicated. Your experience should not be.
Plain-language guidance
We explain what we find and what it means without pressure or confusing insurance terms.
Secure document collection
Upload identification and insurance information through a protected process.
Realistic expectations
We identify plan limitations early and never promise an insurer’s decision.
Common questions
What patients ask us first.
Clear answers before you share your information or schedule care.
Does medical insurance cover dental implants?
Many medical insurance plans include dental implant coverage when treatment meets the plan’s medical-necessity requirements. Actual benefits vary by plan and depend on the clinical reason, supporting records, and insurer criteria.
Does the assessment cost anything?
There is no charge to the patient for this assessment.
Which plan types may include coverage?
Benefits vary by plan. PPO, HMO, EPO, and Medicare-based plans may each have different network, authorization, and medical-necessity requirements. Please send us your medical insurance information so we can complete a plan-specific benefits check and confirm whether your plan includes implant benefits.
What will my out-of-pocket cost be?
Your expected out-of-pocket cost depends on your plan’s coverage, deductible, coinsurance, and out-of-pocket requirements. We can verify your benefits and provide a plan-specific estimate before you decide on treatment. Depending on the plan, deductibles and out-of-pocket limits may range from approximately $1,000 to $8,000. If needed, third-party payment plans may be available, with payments starting as low as $99 per month, subject to approval and terms.
How many implants will I need?
Your provider determines the appropriate number based on your anatomy, bone quality, prosthetic design, and clinical needs. For a full-mouth reconstruction, treatment commonly uses six implants in the upper jaw and six in the lower jaw to anchor implant-supported prostheses. The final number may vary based on your individual treatment plan.
Free coverage check
Check whether your medical insurance may cover dental implants.
Start with the plan type shown on your medical insurance card. Every plan type continues to the full benefits-review form.