Dental Services Not Covered By Insurance

Dental Treatment Not Covered By Insurance

There are a number of dental services not covered by insurance — and they come with major costs for consumers. How can you afford dental treatment when your insurance doesn’t cover any part of it? Well, if it’s an elective treatment like cosmetic dental work, then you may want to wait. But if the treatment is necessary, then you need to get that done because it will just worsen and actually become more expensive. There are ways to get your dental treatment done that is not covered by insurance in an affordable way.

You need to look for a dentist who understands the community and financial hardships and understands your financial situation. you can find a dentist who will help you and work with you to help you afford this dental treatment.

Do Health Insurance Plans Cover Dental Care? | Dental … Wed, 16 Oct 2013 05:18:53 -0700

Does Health Insurance Cover Dental Care It’s common for consumers to be confused about their health and dental insurance benefits. The list of what’s covered and what is not can be long and detailed. One area that gets …

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Does Dental Insurance Cover Braces? – Wed, 03 Sep 2014 06:50:00 -0700

Whether or not dental insurance covers braces and other orthodontic services varies. Many dental plans do not include benefits for orthodontic services, including braces. Plans that do include benefits for braces will typically …

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Why does dental insurance cover some dental treatments and not others? By Dr. Jodi Danna

Why does dental insurance cover some dental treatments and not others? Dr Jodi Danna: This is a great question and one that causes distress for many people. …

Read more … 08/07/2013 8:16

Top 10 Medical Services Not Covered by Health Insurance Pack Big Costs.

SUNNYVALE, Calif., July 31, 2013 /PRNewswire-USNewswire/ — HealthPocket today released its analysis of the “Top 10 Medical Services Excluded by Health Insurance,” with long-term care (98%); cosmetic surgery (98%) and infertility treatments (94%) leading the list of the most common services not covered by insurance. The Essential Health Benefits that will be required for all plans under the Affordable Care Act (ACA or Obamacare) starting in 2014 will improve access to two services on the list: children’s dental check-up and children’s eyeglasses.
Coverage of medical services in the individual and family health insurance market is not standardized, yet an examination of 11,365 health plans revealed significant consistency in what insurers are not willing to pay for. Weight management programs and weight loss surgery are routinely not covered in the current health insurance market despite the fact that one third of U.S. adults are obese. ACA requirements will ensure coverage of weight loss diagnosis and counseling, but insurers may continue to refuse payment for enrollment in third party programs such as Weight Watchers as well as surgical interventions.
As is the case with weight loss, the exclusion of insurance coverage for infertility treatments affects millions across the U.S. With the average cost of a treatment cycle at $12,400, and  multiple cycles often needed for success, lack of coverage for in vitro fertilization can make the procedure inaccessible for many Americans.
Top 10 Medical Services Excluded by Health Insurance
Medical Service
Percentage of Plans Excluding Benefits
Long-Term Care
Cosmetic Surgery
Infertility Treatment
Weight Loss Program
Private Nursing
Children’s Dental Check-Up
Weight Loss Surgery
Children’s Eye Glasses
Adult Dental Services
The HealthPocket research also examined the five medical services that just missed inclusion within the Top 10 List. Coverage for women for hospital deliveries (67%) and for prenatal and postnatal care (64%) are frequently excluded services affecting a significant portion of the population. These medical procedures are included in the Essential Health Benefits and will therefore receive greater coverage because of the ACA.
“A lack of insurance coverage for widespread conditions like obesity and infertility affects millions of people across the United States,” said Kev Coleman, Head of Research and Data at HealthPocket. “Given that most of the medical service exclusions within the Top 10 list can continue after the implementation of health reform, it is vital that consumers closely examine their benefit coverage options when they shop for health insurance this October.”


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What Does Medicare Cover – A-Z Health Topics – Health Articles – Saint Francis Medical Center Jul 17

Basic Medicare does not cover acupuncture, dental services, help with dressing and other custodial care, certain eye care, hearing aids, and some other goods and services.

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To combat this exclusion, experts suggest paying close attention when selecting health plans, buying supplemental coverage — or save to pay up.

Do your homework and find a caring and good dentist who understands you and will help you. At St. James Dental group, we will help you afford your dental treatment. If you live in Los Angeles area, give us a call and see what we can do for you. 323-771-7254

By: Dr. Ladan Zinati

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