Understanding Your Options: Are Dental Implants Covered By Insurance?

April 26, 2025

Filed under: Uncategorized — 325pros @ 7:04 am

Dental implants are one of the most effective and long-lasting solutions for replacing missing teeth. But before you start planning your treatment, you’re probably wondering: Will my insurance cover any of it? The answer depends on your specific plan. The time of year might also make a difference in how much you can save.

As you plan for the year ahead, it’s worth taking a closer look at your benefits to make the most of them before they reset.

Will Insurance Pay for Dental Implants?

    While most dental insurance plans don’t cover the full cost of implants, some PPO plans do cover a portion of the treatment. For example, your plan may help pay for:

    • The dental exam and X-rays
    • Tooth extractions (if needed)
    • The implant crown or bridge
    • Sedation or anesthesia in some cases

    However, the implant post and surgery itself are often considered elective and may not be fully covered. That’s why it’s crucial to call your insurance provider directly and ask detailed questions about what’s included—and what’s not.

    Important questions to ask:

    • Do you cover any part of dental implants?
    • Are there annual maximums I should be aware of?
    • Can I use both dental and medical coverage for this treatment?
    • Will my benefits renew at the start of the new year?

    Maximize Your Coverage Before It Expires

    Most dental insurance plans reset every calendar year. That means any unused benefits or remaining annual maximums will disappear after December 31. It’s truly a “use it or lose it” situation.

    If your plan covers any portion of dental implant treatment, now is the time to take advantage. Starting the process before the end of the year may help you split costs between two benefit periods. For example, you might be able to have your consultation and surgery this year, then apply next year’s coverage toward the restoration.

    Even if the practice is not in network with your provider, some offices will file claims with PPO insurance carriers to help you get reimbursed.

    About the Practice

      Located in Grapevine, TX, 325 Dental Specialists is home to a collaborative team of experts offering full-scope dental implant care under one roof. The practice includes prosthodontists, periodontists, and oral surgeons who work together to deliver seamless, customized treatment plans for every patient. With advanced technology, a patient-first philosophy, and decades of combined experience, our team is committed to restoring smiles with precision, comfort, and excellence.

      Call us to schedule a consultation at (325) 413-2924 or request an appointment online.