Does Delta Dental Cover Wisdom Teeth?
When it comes to dental care, one of the most common questions that patients have is whether their dental insurance plan covers wisdom teeth extraction. Delta Dental, one of the leading dental insurance providers in the United States, offers a variety of plans that cater to different dental needs. In this article, we will discuss whether Delta Dental covers wisdom teeth extraction and what factors may affect coverage.
Wisdom teeth, also known as third molars, are the last teeth to erupt in the mouth. They typically appear between the ages of 17 and 25. However, due to limited space in the mouth, wisdom teeth can cause various dental problems, such as crowding, impaction, and infections. In some cases, extraction may be necessary to prevent these issues.
Does Delta Dental cover wisdom teeth extraction? The answer is not straightforward, as coverage varies depending on the specific Delta Dental plan and the patient’s circumstances. Here are some factors that may affect coverage:
1. Plan Type: Delta Dental offers several plan types, including PPO, indemnity, and DHMO plans. Coverage for wisdom teeth extraction may vary depending on the plan type. For example, PPO plans typically offer more flexibility in terms of coverage, while DHMO plans may have more limited coverage options.
2. Age of the Patient: Delta Dental plans often cover wisdom teeth extraction for patients up to a certain age, typically around 19 or 20 years old. After this age, coverage may be limited or not available at all.
3. Dental Diagnosis: To be covered, the extraction must be deemed medically necessary. This means that the patient must have a dental diagnosis, such as impacted wisdom teeth or other dental problems, that requires extraction.
4. Pre-authorization: Some Delta Dental plans require pre-authorization for wisdom teeth extraction. This means that the patient must obtain approval from Delta Dental before undergoing the procedure. Failure to do so may result in reduced or no coverage.
In conclusion, whether Delta Dental covers wisdom teeth extraction depends on the specific plan, the patient’s age, the dental diagnosis, and whether pre-authorization is required. To determine the coverage for your specific situation, it is best to contact your Delta Dental provider or review your plan details.
