Dental crowns are one of the most common restorative dental procedures, and many people wonder if their dental insurance, such as Delta Dental, covers the cost of crowns. In this article, we will explore this topic in detail and provide you with a comprehensive understanding of Delta Dental’s coverage for crowns.
1. Delta Dental Coverage
Delta Dental offers different plans with varying levels of coverage, so it is important to review your specific policy to determine the extent of your coverage for dental crowns. Generally, Delta Dental covers a portion of the cost of crowns, but the exact amount depends on the plan you have.
It is important to note that Delta Dental may have certain limitations and exclusions for crown coverage. For example, they may only cover a crown if it is deemed medically necessary or if the tooth has undergone a certain level of decay or damage. Therefore, it is crucial to consult your policy or contact Delta Dental directly to fully understand the coverage details.
On average, Delta Dental may cover around 50% to 80% of the cost of dental crowns, depending on the plan. However, it is essential to check with your specific plan for the exact coverage percentages and any applicable deductibles or maximum limits.
It is also important to keep in mind that there may be waiting periods before coverage for dental crowns becomes effective. These waiting periods can vary depending on the plan and the specific dental procedure.
2. Types of Crowns
There are various types of dental crowns available, such as ceramic, porcelain-fused-to-metal, gold, and zirconia crowns. The type of crown recommended by your dentist will depend on factors such as aesthetics, durability, and cost.
Delta Dental generally covers different types of crowns based on their specific coverage policies. However, there may be differences in coverage percentages or limitations for certain types of crowns. It is advisable to check your specific plan or contact Delta Dental for information regarding the coverage of different crown materials.
The average cost of dental crowns can range from $800 to $1,500 per tooth, depending on the location and the type of crown chosen. The cost of gold crowns, for example, tends to be higher than ceramic or porcelain-fused-to-metal options.
3. Crown Placement Process
The process of getting a dental crown typically involves multiple steps. Firstly, your dentist will prepare the tooth by removing any decay or damage and shaping it to accommodate the crown. Then, they will take impressions of the tooth to create a customized crown.
After the impressions are sent to a dental lab, a temporary crown is placed on the tooth to protect it while the permanent crown is being made. Once the permanent crown is ready, your dentist will remove the temporary crown and securely bond the permanent crown in place.
This entire process can be completed over the course of two or more dental visits. It is important to note that Delta Dental generally covers the cost of crown placement, including the preparatory work and the final placement.
4. Alternate Treatment Options
In some cases, dental crowns may not be the only available treatment option for damaged or decayed teeth. Delta Dental usually covers alternative options, such as dental fillings or root canal therapy, depending on the specific coverage policies of your plan.
It is important to consult with your dentist and review your Delta Dental policy to determine the coverage and out-of-pocket costs associated with each treatment option. Your dentist will recommend the most appropriate treatment based on your dental condition and coverage.
5. Preauthorization and Claims Process
Prior to undergoing a dental crown procedure, it is advisable to check with Delta Dental for preauthorization requirements. Certain plans may require preauthorization for major dental procedures, including crowns.
When it comes to the claims process, Delta Dental typically requires dental offices to submit detailed documentation, including x-rays and other supporting information, to process the claim efficiently. It is essential to keep all related documentation and receipts for the crown procedure for claim submission.
If you have any questions or concerns about the preauthorization or claims process, it is best to reach out to Delta Dental or review your specific policy for guidance.
6. Frequency and Replacement
In most cases, dental crowns are considered a long-term solution for damaged teeth. However, they may require replacement over time, especially if there is additional decay, damage, or wear.
Delta Dental generally covers the replacement of dental crowns, but there may be limitations on the frequency of replacements. To understand the specific coverage for crown replacements, it is recommended to review your policy or contact Delta Dental for clarification.
7. Delta Dental Network of Dentists
Delta Dental has an extensive network of dentists who participate in their coverage plans. It is important to ensure that your dentist is in-network to maximize your coverage benefits for dental crowns.
To find a network dentist, you can visit the Delta Dental website and use their provider search tool. By selecting your insurance plan and location, you can easily find a list of dentists who accept Delta Dental coverage.
8. Cosmetic Crowns
While dental crowns are primarily used for restorative purposes, they can also have cosmetic benefits by improving the appearance of teeth. Delta Dental may cover the cost of cosmetic crowns, but it is advisable to review your policy or contact Delta Dental for specific coverage details.
9. Crown Maintenance and Oral Care
After receiving a dental crown, it is crucial to maintain good oral hygiene to ensure its longevity and prevent any complications. Regular brushing, flossing, and dental check-ups are essential for the overall health of your crown and natural teeth.
In most cases, Delta Dental covers routine dental cleanings and preventive care, which are essential for maintaining the health of your crown and supporting teeth. This coverage generally includes periodic exams, cleanings, and x-rays.
10. Frequently Asked Questions (FAQs)
Q: Does Delta Dental cover the cost of dental crowns for front teeth?
A: Yes, Delta Dental typically covers dental crowns for both front and back teeth, depending on the coverage details of your specific plan.
Q: Can I get a crown if I have existing dental issues like gum disease?
A: In most cases, it is necessary to address any underlying dental issues, such as gum disease, before getting a dental crown. Delta Dental usually covers the treatment of such issues as part of the crown coverage.
Q: Are there any age restrictions for receiving dental crown coverage with Delta Dental?
A: Delta Dental does not have specific age restrictions for crown coverage. However, coverage details may vary based on the specific plan and policy.
Q: How long do dental crowns typically last?
A: With proper care and maintenance, dental crowns can last for many years, ranging from 10 to 15 years on average. However, the longevity of crowns can vary depending on factors such as oral hygiene, habits, and the material of the crown.
Q: Where can I find more information about Delta Dental's coverage for dental crowns?
A: For more detailed information about Delta Dental's coverage for dental crowns, it is best to consult your specific policy or visit the official Delta Dental website at .
References:
1. Delta Dental Official Website:
2. American Dental Association:
3. WebMD Dental Health:
