What To Know About Medicaid Coverage & Dental Implants

With every state setting slightly different Medicaid guidelines, it is not always easy to know what is and isn’t covered. In Ohio, there are different rules for coverage for those under 21 and adults. Our guide to Medicaid and dental implants is here to help educate patients on what to expect from Medicaid. 

One of the more serious dental treatments you can receive are dental implants. Dental implants are permanent mouth implants used to replace one or more teeth. They are used in place of full and partial dentures. Medicaid coverage for serious procedures is complicated and handled more on a case by case basis.

What Are Dental Implants?

Dental implants are a modern replacement to dentures and temporary teeth. They involve the installation of a metal structure in the jaw which acts as a foundation for replacement teeth like a crown.  They can be installed for one tooth or a series if a patient needs multiple teeth restored.

Depending on the patient’s dental history and their needs, your dentist can determine that dental implants may be the best treatment to replace teeth or repair damage. With the improvement in dental technology over the years, implants are replacing dentures in popularity. However, they are not the only option. The older and less expensive option is to get dentures.

Medicaid in Ohio

The Medicaid program has different rules and variations state by state. In Ohio, there are differences in coverage for children and young adults under 21 vs adults over the age of 21. Typically, younger people get more coverage with small copays compared to adults who receive less coverage.

When it comes to serious procedures like implants, dental surgery or root canals, your dentist can go through an approval process with the State. In this process, the medical need is made clear and the board approves a treatment. Typically, the Medicaid board approves lower cost treatments or if the patient has a serious need. Elective treatments or cosmetic treatments are not typically covered by Medicaid.

Medicaid and Dental Implants

Implants are the best procedure you can have to replace lost teeth or repair damage. Dental implants are also the most expensive treatment. Alternatively, your dentist may elect to give you full or partial dentures. This is because Medicaid does not cover a large portion of dental implants.

When it comes to adults, Medicaid covers very little, if any, of the costs for dental implants. For kids under 21, the state must approve the procedure if it is deemed medically necessary. Even then, Medicaid may only approve the use of dentures.

Your Oral Health

Depending on your needs and medical history, you and your dentist will work out the best course of treatment possible. At Beechcroft Dental, we work with our patients to help provide the highest quality dental procedures you can find.

We aim to help patients of all ages and backgrounds whether they have Medicaid or traditional insurance. Our office staff can work with you, the state and any other insurer to provide the best treatment for the lowest possible cost.

If you need dental care or are due for a checkup and you have Medicaid, schedule an appointment with us today!