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Does Dental Insurance Ever Cover Cosmetic Dentistry?

February 15, 2025

Young couple with nice smiles

As someone who cares about your personal appearance, you might have thought at some point, “I need a smile makeover.”  Cosmetic dentistry may be able to enhance your smile! It can accomplish amazing things, from getting rid of dental stains to totally reshaping your teeth. Of course, you also have to think about your budget. Does dental insurance ever cover cosmetic dentistry? Are there other provisions that can make cosmetic services easier to afford? This blog post provides some helpful information.

Elective vs. Necessary Procedures

Dental insurance often covers procedures that are deemed medically necessary, while it very rarely applies to services that are classified as elective. Therefore, treatments that are purely aesthetic are unlikely to be covered by your insurance. This typically includes things like teeth whitening, veneers, and Lumineers.

The good news is that some treatments can have major benefits for your oral health and improve your appearance as well. Some services like metal-free crowns and tooth replacement often fall into oral health improvement category. They are usually classified as major procedures, so 50% coverage of insurance’s fee schedule (up to your plan’s annual maximum) is common for good insurance policies.

Using Your Insurance to Improve Your Smile

As a good cosmetic dentist in Long Island, the team at Sunrise Dental Service can also assist you in checking with your insurance company. Although we are not in-network with insurance plans, we accept most PPO policies. We can file claims on your behalf and help you understand your financial obligation for your proposed treatment plan. You can give us a call to learn more about how we help patients use their benefits.

Making Cosmetic Dentistry More Affordable

Outside of insurance, there are other provisions that might make it easier for you to afford your desired cosmetic treatment. For example, our team accepts low-interest financing from both CareCredit and Lending Club. The application process is fast, and most patients are quickly approved for a reasonable payment plan.

We also do our best to work within our patients’ budgets. Let us know about financial concerns, and we would be happy to help you with treatment selection. We will also inform you about the pros and cons of tweaking your cosmetic treatment plan.

Cosmetic dentistry costs some money, and insurance does not typically cover it. However, it can be a smart investment that provides years of benefits! Talk to our team to learn more about your treatment options and the potential costs involved.

Contact Sunrise Dental Service

Dr. Makadia has decades of experience in general and cosmetic dentistry. He and our team use a combination of technology and skill to provide outstanding smile makeovers for patients. To learn more about us and our financial policies, or to request a FREE consultation, contact our Bohemia, Long Island office at 631-567-5566.