Dental Coverage for Veneers

April 30, 2019

Some people may have discolored, chipped, worn, misaligned, or broken teeth To address these issues, people can get dental veneers, which, according to WebMD,  “are wafer-thin, custom-made shells of tooth-colored materials designed to cover the front surface of teeth to improve your appearance.” Veneers are often highly priced and patients can pay between $500-2500 per tooth. Despite their cosmetic appeal, dental insurance may cover them.

Dental coverage and veneers

Dental insurance may not cover veneers obtained for cosmetic reasons. While dental insurance policies cover many restorative procedures, they usually do not include cosmetic treatments, such as applying veneers to someone’s teeth. However, some treatments can be both medically necessary and cosmetic. Based on the procedure’s medical necessity for the patient, dental insurance may provide some benefits. However, insurance companies may not even include veneers in their policies.

Nevertheless, dental insurance may cover veneers for other situations. Sometimes, the dental insurance policy from an employer includes optional benefits, such as cosmetic, whitening, and/or orthodontic services. Beneficiaries themselves could also opt to pay a higher premium to receive coverage. Additionally, they could help better patients’ oral health, and dentists should help patients establish their medical necessity. For instance, dentists could help patients receive dental coverage for them to restore diseased, injured, broken, or missing teeth. 

Additionally, patients are more likely to receive dental coverage for replacing their veneers than receiving them for the first time. These replacements could be medically necessary, if, according to Animated Teeth, “the seal of a previously placed laminate has deteriorated to the point where plaque can now accumulate underneath it, thus placing your [patient’s] tooth at risk for decay.” Consequently, patients could receive coverage for these replacements. Patients could also receive coverage to repair their veneers. 

While veneers make teeth look better, they can help improve the patient’s oral health. Accordingly, they may be eligible for coverage. If you are struggling with billing veneers consider partnering with eAssist. Our Success Consultants are familiar with a variety of treatments and will ensure they are billed correctly. To learn more, schedule a consultation here.