Help me understand how to get wisdom teeth covered

[Anonymous]

DS needs his wisdom teeth out. They haven’t erupted yet. For my older kids we used Dr Poshni and loved him. He was very gentle and both had good outcomes. I’d like to use him again but he’s not in network from what I can tell. I looked at both our medical and dental and don’t see an oral surgeon in network for both but as I recall my older kids had a portion paid for by medical and a portion by dental. Am I not remembering this correctly? If I go with someone in the medical plan, a portion will go uncovered under the dental. If I go with someone in the dental plan, a portion will go uncovered under medical. Has anybody had wisdom teeth removed lately with anesthesia and clearly remember if both are billed or just one?

[Anonymous]

Call your medical and dental insurance and ask

[Anonymous]

He might not need them removed!

[Anonymous]

For us it always fell under dental. We maxed out the benefit (around $1500. annually) and had to pay the remainder out of pocket.

[Anonymous]

Anonymous wrote:For us it always fell under dental. We maxed out the benefit (around $1500. annually) and had to pay the remainder out of pocket.

Same for us. It is covered under dental and it is a set amount.

[Anonymous]

There's nothing gentle about wisdom teeth removal.

[Anonymous]

Anonymous wrote:

Anonymous wrote:For us it always fell under dental. We maxed out the benefit (around $1500. annually) and had to pay the remainder out of pocket.

Same for us. It is covered under dental and it is a set amount.

+1 out oral surgeon never even looked at my medical insurance card - it was all dental, even the anesthesia.

[Anonymous]

*our ^

[Anonymous]

Anonymous wrote:He might not need them removed!

Unfortunately he does. I really wanted to avoid it as I still have mine but I was shown the X-rays.

[Anonymous]

Anonymous wrote:

Anonymous wrote:He might not need them removed!

Unfortunately he does. I really wanted to avoid it as I still have mine but I was shown the X-rays.

What was shown on x-ray?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:He might not need them removed!

Unfortunately he does. I really wanted to avoid it as I still have mine but I was shown the X-rays.

What was shown on x-ray?

Just go away. You're not OP's dentist or oral surgeon.

[Anonymous]

So married to an oral surgeon. It depends on the medical and dental plans they take, in addition to what your insurance plans will do.
There's not a clear cut answer.

[Anonymous]

Anonymous wrote:So married to an oral surgeon. It depends on the medical and dental plans they take, in addition to what your insurance plans will do.
There's not a clear cut answer.

Thank you! I guess I will have to schedule a consult under a dental plan participating oral surgeon and see what they say.

[Anonymous]

My fed BCBS medical covered it as out patient surgery witha co pay.

[Anonymous]

Anonymous wrote:DS needs his wisdom teeth out. They haven’t erupted yet. For my older kids we used Dr Poshni and loved him. He was very gentle and both had good outcomes. I’d like to use him again but he’s not in network from what I can tell. I looked at both our medical and dental and don’t see an oral surgeon in network for both but as I recall my older kids had a portion paid for by medical and a portion by dental. Am I not remembering this correctly? If I go with someone in the medical plan, a portion will go uncovered under the dental. If I go with someone in the dental plan, a portion will go uncovered under medical. Has anybody had wisdom teeth removed lately with anesthesia and clearly remember if both are billed or just one?

Just ask for a cash price. This has been discussed on this very forum just this week, and many times before. They average around $250-$400 per tooth depending on the surgeon and the difficulty of the tooth extraction.