Dental Insurance Covering Implants

By Insurance Industry Expert & Author
Updated on
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Dental Insurance Implant Coverage

While commonly thought of as an artificial tooth, a dental implant technically is the instrument (e.g. a metal post) surgically inserted into the jaw (or skull if it’s an upper tooth). The instrument functions similarly to the original tooth root and on it a crown (or other device such as a bridge) is attached. Dental implants are a common restorative procedure for patients with a missing tooth. If an implant requires extensive work on the part of the dentist, the cost may reach several thousand dollars.

Comprehensive insurance coverage with implant benefits can greatly reduce a patient's out-of-pocket costs in this scenario, though it is important to note that insurance plans vary on their implant coverage. Most plans classify implants as a form of “major” dental care. Major care represents higher cost dental procedures like implants, crowns, and root canals. While 90 percent of the dental plans we reviewed across the nation had coverage for crowns and root canals, slightly less than half covered dental implants. Most often implant coverage was accompanied by a waiting period restriction or a cap on implant expenses covered by the plan.

A waiting period is a delay on an insurance benefit where a person must be enrolled in a plan for a minimum period (e.g. 6 months) before the benefit is available for use. The list of dental plans at the bottom of the page includes some examples where there is no waiting period for implant coverage.

Over millions of dental implants have been performed across the world, highlighting the popularity of this dental solution. Dental implants are often used as a remedy for severely cracked or missing teeth, providing both functional and aesthetic benefits. However, as demonstrated by the following section on dental implant cost, the expense of the procedure can be a significant burden for many patients.

Given that implants cost thousands of dollars, it’s essential to find a dental policy that provides comprehensive coverage with affordable out-of-pocket costs. Without such coverage, patients may forgo treatment.

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Dental Implants Cost

The cost of implant care varies by factors such as the number of teeth to be replaced, the dentist performing the procedure, the condition of the underlying bone, the material of the implant, etc. The estimated price range for a typical single tooth dental implant is from $3,000 to $6,700. Given the high expense of implants, it is always recommended that a patient compare prices among several in-network dentists. The difference in cost among dentists might be several thousand dollars in some situations.

Dental Insurance for Implants - Benefit Conditions

A recent study by DentalInsurance.com found about half (53 percent) of plans reviewed across the nationwide covered dental implant care.

Dental plans can cover implants in different ways. They can vary by the range of services insurance will pay for as well as the out-of-pocket cost obligations for the patient. Below are examples of differing coverage of implants among plans.

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Example 1

Implants:

  • $1500 for surgical placement of implant body
  • The $1,500 limit includes the cost of, and placement of, a healing cap when required.

Example 2

Implants:

  • 12-month waiting period before coverage begins (i.e. the consumer must have been enrolled in the plan for at least a year before it will cover implant care)
  • 50% coverage of cost after deductible is satisfied
  • Implants are covered on teeth extracted while on the plan

Implants and implant supported prosthesis covered under this plan are limited to 1) the replacement of permanent teeth extracted while insured under this plan, or 2) the replacement of a prior Implant if it has been at least seven years since the prior insertion and is not, and cannot be, made serviceable.

Example 3

Implants:

In-Network Coverage

  • 1st year of enrollment – 20% after deductible
  • 2nd year of continuous enrollment – 30% after deductible
  • 3rd year year of continuous enrollment and after – 50% after deductible

In this example, the insurance plan increases its coverage for implant care the longer the enrollee belongs to the plan. The plan will only pay for care delivered by an in-network dentist.

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Dental Implants Near Me - State-By-State Examples of Insurance Options

Now that you are educated on the basics of implant coverage, it’s time to start reviewing plans. There are many dental plans whose insurance benefits include implants. The below list provides examples of dental plans covering implants. Please make note that:

  • This is not a exhaustive list
  • Deductibles and waiting periods may apply
  • Out-of-pocket costs assume in-network dental providers
  • Use our dental insurance comparison tool, which displays a More Details link for every plan listed in your region. This section should explain whether dental implants are covered by the plan. For more detailed description of a plan’s features and benefits, click on the Full Plan Information button

One last reminder - some plans listed may not be available in every region of the state in which it’s offered. Deductibles typically must be satisfied prior to insurance coverage.

Insurance Company Plan Dental Implant Coverage Conditions
Alabama
NCD Nationwide 5000 Plan 12-month waiting period before coverage is available. 50% of costs covered. Implants are covered on teeth extracted while on the plan. Implants and implant supported prosthesis covered under this plan are limited to; 1) the replacement of permanent teeth extracted while insured under this plan, or 2) the replacement of a prior Implant if it has been at least seven years since the prior insertion and is not and cannot be made serviceable.
Ameritas Dallas Smile Plan No waiting period. 20% of costs covered after deductible in the first year of enrollment, 30% in the second year, 50% in the 3rd year.
Alaska
MetLife TakeAlong Dental Medium 12-month waiting period before coverage is available. 50% of costs covered. No more than once for the same tooth position in a 10-year period. Missing tooth clause applies, see Schedule of Benefits.
Careington 500 Series Dental Savings (Discount Program, Not Insurance) No waiting period. 20% discount compared to standard cost.
Arizona
Ameritas Dallas Smile Plan No waiting period. 20% of costs covered after deductible in the first year of enrollment, 30% in the second year, 50% in the 3rd year.
MetLife TakeAlong Dental High 12-month waiting period before coverage is available. 50% of costs covered. No more than once for the same tooth position in a 10-year period. Missing tooth clause applies, see Schedule of Benefits.
Arkansas
Renaissance Dental Plan III 12-month waiting period before coverage is available. 50% of costs covered.
Guardian Advantage Diamond 12-month waiting period (6 months for VT residents) before coverage is available. 50% of costs covered with a $1,000 lifetime maximum benefit for implants.
California
California Dental Network Plan 595 No waiting period. $1500 copayment for surgical placement of implant body, endosteal. This includes cost of, and placement of, healing cap when indicated.
Dental Health Services Super SmartSmile No waiting period. $1,500 for surgical placement of implant body.
Colorado
Anthem Essential Choice Premier 6-month waiting period before coverage is available. 50% of costs covered.
Renaissance Dental Max Choice No waiting period. 20% of costs covered in first year of enrollment, 40% in the 2nd year, 50% in the 3rd year and after.
Connecticut
Anthem Essential Choice Platinum 6-month waiting period before coverage is available. 50% of costs covered.
Guardian Advantage Achiever 12-month waiting period (6 months for VT residents) before coverage is available. 50% of costs covered with a $1,000 lifetime maximum benefit for implants.
Delaware
Dominion National Select Plan Basic No waiting period. 15% discount on standard costs.
Dominion National Select Plan Premium No waiting period. 15% discount on standard costs.
Florida
MetLife TakeAlong Dental High 12-month waiting period before coverage is available. 50% of costs covered. No more than once for the same tooth position in a 10-year period. Missing tooth clause applies, see Schedule of Benefits.
Guardian Advantage Achiever 12-month waiting period (6 months for VT residents) before coverage is available. 50% of costs covered with a $1,000 lifetime maximum benefit for implants.
Georgia
MetLife TakeAlong Dental Medium 12-month waiting period before coverage is available. 50% of costs covered. No more than once for the same tooth position in a 10-year period. Missing tooth clause applies, see Schedule of Benefits.
NCD Nationwide 3000 Plan 12-month waiting period before coverage is available. 50% of costs covered. Implants are covered on teeth extracted while on the plan. Implants and implant supported prosthesis covered under this plan are limited to; 1) the replacement of permanent teeth extracted while insured under this plan, or 2) the replacement of a prior Implant if it has been at least seven years since the prior insertion and is not and cannot be made serviceable.
Hawaii
Ameritas Dallas Smile Plan No waiting period. 20% of costs covered after deductible in the first year of enrollment, 30% in the second year, 50% in the 3rd year.
Careington 500 Series Dental Savings (Discount Program, Not Insurance) No waiting period. 20% discount compared to standard cost.
Idaho
Renaissance Dental Plan II 12-month waiting period before coverage is available. 50% of costs covered.
Guardian Advantage Core 12-month waiting period (6 months for VT residents) before coverage is available. 50% of costs covered with a $1,000 lifetime maximum benefit for implants.
Illinois
MetLife TakeAlong Dental High 12-month waiting period before coverage is available. 50% of costs covered. No more than once for the same tooth position in a 10-year period. Missing tooth clause applies, see Schedule of Benefits.
Ameritas Dallas Smile Plan No waiting period before coverage is available. 20% of costs covered after deductible in the first year of enrollment, 30% in the second year, 50% in the 3rd year.
Indiana
Cigna Dental Vision Hearing 3500 12-month waiting period before coverage is available. 50% after deductible up to $2000 lifetime maximum.
Anthem Essential Choice Incentive No waiting period. 30% of costs covered in 1st year of enrollment, 40% in 2nd, and 50% in 3rd.
Iowa
Careington 500 Series Dental Savings (Discount Program, Not Insurance) No waiting period. 20% discount compared to standard cost.
NCD by MetLife NCD Complete by MetLife No waiting period. 10% of costs covered in 1st year of enrollment, 50% in second year, and 60% in the 3rd year. $3,000 calendar year maximum benefit on implant care. One per tooth in 10 calendar years.
Kansas
Renaissance Dental Plan III 12-month waiting period before coverage is available. 50% of costs covered.
Guardian Advantage Diamond 12-month waiting period (6 months for VT residents) before coverage is available. 50% of costs covered with a $1,000 lifetime maximum benefit for implants.
Kentucky
Delta Dental of Kentucky Bright Smiles No waiting period. 25% of costs covered in the 1st year of enrollment, 50% in the 2nd year and later.
Cigna Dental Vision Hearing 3500 12-month waiting period before coverage is available. 50% after deductible up to $2000 lifetime maximum.
Louisiana
Ameritas Dallas Smile Plan No waiting period. 20% of costs covered after deductible in the first year of enrollment, 30% in the second year, 50% in the 3rd year.
MetLife TakeAlong Dental Medium 12-month waiting period before coverage is available. 50% of costs covered. No more than once for the same tooth position in a 10-year period. Missing tooth clause applies, see Schedule of Benefits.
Maine
Anthem Essential Choice Incentive No waiting period. 30% of costs covered in 1st year of enrollment, 40% in 2nd, and 50% in 3rd.
Renaissance Dental Plan III 12-month waiting period before coverage is available. 50% of costs covered.
Maryland
Dominion National Select Plan Basic No waiting period. 15% discount on standard rate.
Careington 500 Series Dental Savings (Discount Program, Not Insurance) No waiting period. 20% discount compared to standard cost.
Massachusetts
Guardian Advantage Core 12-month waiting period (6 months for VT residents) before coverage is available. 50% of costs covered with a $1,000 lifetime maximum benefit for implants.
Renaissance Dental Plan II 12-month waiting period before coverage is available. 50% of costs covered.
Michigan
Ameritas Dallas Smile Plan No waiting period. 20% of costs covered after deductible in the first year of enrollment, 30% in the second year, 50% in the 3rd year.
MetLife TakeAlong Dental High 12-month waiting period before coverage is available. 50% of costs covered. No more than once for the same tooth position in a 10-year period. Missing tooth clause applies, see Schedule of Benefits.
Minnesota
Careington 500 Series Dental Savings (Discount Program, Not Insurance) No waiting period. 20% discount compared to standard cost.
Guardian Advantage Achiever 12-month waiting period (6 months for VT residents) before coverage is available. 50% of costs covered with a $1,000 lifetime maximum benefit for implants.
Mississippi
NCD Nationwide 5000 Plan 12-month waiting period before coverage is available. 50% of costs covered. Implants are covered on teeth extracted while on the plan. Implants and implant supported prosthesis covered under this plan are limited to; 1) the replacement of permanent teeth extracted while insured under this plan, or 2) the replacement of a prior Implant if it has been at least seven years since the prior insertion and is not and cannot be made serviceable.
Renaissance Dental MAX Choice Plus No waiting period. 20% of costs covered in first year of enrollment, 40% in the 2nd year, 50% in the 3rd year and after.
Missouri
Ameritas Dallas Smile Plan No waiting period. 20% of costs covered after deductible in the first year of enrollment, 30% in the second year, 50% in the 3rd year.
Careington 500 Series Dental Savings (Discount Program, Not Insurance) No waiting period. 20% discount compared to standard cost.
Montana
Renaissance Dental Plan III 12-month waiting period before coverage is available. 50% of costs covered.
MetLife TakeAlong Dental Medium 12-month waiting period before coverage is available. 50% of costs covered. No more than once for the same tooth position in a 10-year period. Missing tooth clause applies, see Schedule of Benefits.
Nebraska
Humana Humana Extend 5000 6-month waiting period before coverage is available. One tooth per 5 years subject to review. 50% of costs covered in 1st year of enrollment, 60% in the 2nd and after.
NCD Nationwide 5000 Plan 12-month waiting period before coverage is available. 50% of costs covered. Implants are covered on teeth extracted while on the plan. Implants and implant supported prosthesis covered under this plan are limited to; 1) the replacement of permanent teeth extracted while insured under this plan, or 2) the replacement of a prior Implant if it has been at least seven years since the prior insertion and is not and cannot be made serviceable.
Nevada
Anthem Essential Choice Platinum 6-month waiting period before coverage is available. 50% of costs covered.
Guardian Advantage Core 12-month waiting period (6 months for VT residents) before coverage is available. 50% of costs covered with a $1,000 lifetime maximum benefit for implants.
New Hampshire
Anthem Essential Choice Incentive No waiting period. 30% of costs covered in 1st year of enrollment, 40% in the 2nd, and 50% in the 3rd.
Careington 500 Series Dental Savings (Discount Program, Not Insurance) No waiting period. 20% discount compared to standard cost.
New Jersey
MetLife TakeAlong Dental Medium 12-month waiting period before coverage is available. 50% of costs covered. No more than once for the same tooth position in a 10-year period. Missing tooth clause applies, see Schedule of Benefits.
Ameritas Dallas Smile Plan No waiting period. 20% of costs covered after deductible in the first year of enrollment, 30% in the second year, 50% in the 3rd year.
New Mexico
NCD Nationwide 5000 Plan 12-month waiting period before coverage is available. 50% of costs covered. Implants are covered on teeth extracted while on the plan. Implants and implant supported prosthesis covered under this plan are limited to; 1) the replacement of permanent teeth extracted while insured under this plan, or 2) the replacement of a prior Implant if it has been at least seven years since the prior insertion and is not and cannot be made serviceable.
Ameritas Dallas Smile Plan No waiting period. 20% of costs covered after deductible in the first year of enrollment, 30% in the second year, 50% in the 3rd year.
New York
Anthem BlueCross BlueShield Essential Choice Platinum 6-month waiting period before coverage is available. 50% of costs covered.
Ameritas Life of NY Dallas Smile Plan No waiting period. 20% of costs covered after deductible in the first year of enrollment, 30% in the second year, 50% in the 3rd year.
North Carolina
Renaissance Dental Max Choice No waiting period. 20% of costs covered in first year of enrollment, 40% in the 2nd year, 50% in the 3rd year and after.
Humana Humana Extend 5000 6-month waiting period before coverage is available. One tooth per 5 years subject to review. 50% of costs covered in 1st year of enrollment, 60% in the 2nd and after.
North Dakota
Ameritas Dallas Smile Plan No waiting period. 20% of costs covered after deductible in the first year of enrollment, 30% in the second year, 50% in the 3rd year.
Careington 500 Series Dental Savings (Discount Program, Not Insurance) No waiting period. 20% discount compared to standard cost.
Ohio
Anthem Essential Choice Platinum 6-month waiting period before coverage is available. 50% of costs covered.
Guardian Advantage Achiever 12-month waiting period (6 months for VT residents) before coverage is available. 50% of costs covered with a $1,000 lifetime maximum benefit for implants.
Oklahoma
MetLife TakeAlong Dental High 12-month waiting period before coverage is available. 50% of costs covered. No more than once for the same tooth position in a 10-year period. Missing tooth clause applies, see Schedule of Benefits.
Renaissance Dental Plan II 12-month waiting period before coverage is available. 50% of costs covered.
Oregon
Dental Health Services SmartSmile No waiting period. $1,500 for surgical placement of implant body.
Renaissance Dental Plan III 12-month waiting period before coverage is available. 50% of costs covered.
Pennsylvania
Dominion National Select Plan Basic No waiting period. 15% discount on standard costs.
Ameritas Dallas Smile Plan No waiting period. 20% of costs covered after deductible in the first year of enrollment, 30% in the second year, 50% in the 3rd year.
Rhode Island
Careington 500 Series Dental Savings (Discount Program, Not Insurance) No waiting period. 20% discount compared to standard cost.
Guardian Advantage Core 12-month waiting period (6 months for VT residents) before coverage is available. 50% of costs covered with a $1,000 lifetime maximum benefit for implants.
South Carolina
Ameritas Dallas Smile Plan No waiting period. 20% of costs covered in first year of enrollment, 30% in the 2nd year, 50% in the 3rd year and after.
Careington 500 Series Dental Savings (Discount Program, Not Insurance) No waiting period. 20% discount compared to standard cost.
South Dakota
Renaissance Dental Plan III 12-month waiting period before coverage is available. 50% of costs covered.
MetLife TakeAlong Dental Medium 12-month waiting period before coverage is available. 50% of costs covered. No more than once for the same tooth position in a 10-year period. Missing tooth clause applies, see Schedule of Benefits.
Tennessee
Delta Dental of Tennessee Brighter Advantage No waiting period. 25% of costs covered in the 1st year of enrollment, 50% in the 2nd year and after.
Cigna Dental Vision Hearing 3500 12-month waiting period before coverage is available. 50% after deductible up to $2000 lifetime maximum.
Texas
NCD Nationwide 3000 Plan 12-month waiting period before coverage is available. 50% of costs covered. Implants are covered on teeth extracted while on the plan. Implants and implant supported prosthesis covered under this plan are limited to; 1) the replacement of permanent teeth extracted while insured under this plan, or 2) the replacement of a prior Implant if it has been at least seven years since the prior insertion and is not and cannot be made serviceable.
Guardian Advantage Diamond 12-month waiting period (6 months for VT residents) before coverage is available. 50% of costs covered with a $1,000 lifetime maximum benefit for implants.
Utah
Ameritas Dallas Smile Plan No waiting period. 20% of costs covered after deductible in the first year of enrollment, 30% in the second year, 50% in the 3rd year.
MetLife TakeAlong Dental High 12-month waiting period before coverage is available. 50% of costs covered. No more than once for the same tooth position in a 10-year period. Missing tooth clause applies, see Schedule of Benefits.
Vermont
Ameritas Dallas Smile Plan No waiting period. 20% of costs covered after deductible in the first year of enrollment, 30% in the second year, 50% in the 3rd year.
Renaissance Dental MAX Choice Plus No waiting period. 20% of costs covered in first year of enrollment, 40% in the 2nd year, 50% in the 3rd year and after.
Virginia
Dominion National Select Plan Basic No waiting period. 15% discount on standard costs.
Dominion National Select Plan Premium No waiting period. 15% discount on standard costs.
Washington State
Guardian Advantage Achiever 12-month waiting period (6 months for VT residents) before coverage is available. 50% of costs covered with a $1,000 lifetime maximum benefit for implants.
MetLife TakeAlong Dental Medium 12-month waiting period before coverage is available. 50% of costs covered. No more than once for the same tooth position in a 10-year period. Missing tooth clause applies, see Schedule of Benefits.
Washington D.C.
Dominion National Select Plan Premium No waiting period. 15% discount on standard costs.
Careington 500 Series Dental Savings (Discount Program, Not Insurance) No waiting period. 20% discount compared to standard cost.
West Virginia
Ameritas Dallas Smile Plan No waiting period. 20% of costs covered after deductible in the first year of enrollment, 30% in the second year, 50% in the 3rd year.
Careington 500 Series Dental Savings (Discount Program, Not Insurance) No waiting period. 20% discount compared to standard cost.
Wisconsin
Anthem Essential Choice Platinum 6-month waiting period before coverage is available. 50% of costs covered.
Anthem Essential Choice Incentive No waiting period. 30% of costs covered in the 1st year of enrollment, 40% in the 2nd year, and 50% in the 3rd year and after.
Wyoming
Renaissance Dental Plan III 12-month waiting period before coverage is available. 50% of costs covered.
Careington 500 Series Dental Savings (Discount Program, Not Insurance) No waiting period. 20% discount compared to standard cost.

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Frequently Asked Questions

Does All Dental Insurance Cover Implants?

No, slightly less than half of the dental plans we reviewed across the United States included implant coverage in their dental benefits.

What Factors Affect the Cost of Dental Implants?

Some of the biggest influences on implant cost are 1) the dentist performing the procedure, 2) the extent of the procedure given your oral health, and 3) the cost-sharing (i.e. out-of-pocket costs) your dental plan specifies for implants.

What Are Some Limitations or Exclusions that Might Apply to Implant Coverage?

Some dental plans have payment limits on implants that are lower than the plan’s maximum benefit. For example, a plan may have a maximum limit that caps insurance payments toward covered dental care at $2,000 annually, but that same plan may have a lower limit for implants (e.g. a $1,000 maximum for implant expenses annually). Some plans also have a lifetime limit on what the insurance company will pay toward implant care, so once that amount is reached the plan will no longer make any payments for implant expenses.

Another limitation on implant coverage is a waiting period. Most plans require a customer to be enrolled in the plan for a minimum number of months before implants are covered. This time period might be as short as three months or as long as 18 months.

Why Is a Plan’s Maximum Benefit Important for Implant Coverage?

A maximum benefit is the annual cap on what an insurance company will pay for covered dental care. Since implants are very expensive, someone needing this care should look for a plan whose maximum limit aligns with expected implant costs. HMO plans, however, normally lack maximum benefits but may not always cover implants.

How Much Can Insurance Save on Implant Costs?

The amount an insurance plan can save on implants varies. It depends on 1) retail cost of the implant services needed, 2) the plan’s negotiated price for these services, and 3) the percentage of the negotiated implant price that the insurance company will pay (including any maximum benefit limits).

Do Comprehensive Dental Plans Cover Implants?

“Comprehensive” does not have a formal industry definition in the field of dental insurance. While a plan described as comprehensive is generally assumed to cover preventive, basic, and major dental services, it may or may not cover implants.

Does It Matter if I get my Implants from an In-Network or Out-of-Network Dentist?

Since implants are extremely expensive, costing several thousand dollars, your choice of an in-network or out-of-network dentist can have significant financial implications. Normally, in-network dentists charge lower out-of-pocket costs than out-of-network dentists. Additionally, some dental coverage (such as HMOs and dental discount plans) do not cover out-of-network care.

What Are the Key Features of Implant Coverage?

The key features of implant coverage include dentist choice, cost-sharing (i.e. out-of-pocket charges), waiting periods, and payment limits whether annual or lifetime.

What Should I Consider when Buying Insurance for Implants?

First and foremost, confirm that your preferred insurance covers the dentist who will be performing the implant. The dentist’s quality will have an effect on the success of your implant so using a quality professional you trust is of the highest importance.

Second, before buying a dental plan for implants, see how much it expects a patient to pay out-of-pocket for an implant and see what their annual and lifetime limits are on paying for implant care.

Third, confirm whether there is a waiting period before implant coverage is active and, if there is, whether your oral health situation can accommodate this wait safely.

Need help choosing a plan? Call us at 800-296-3800

Our knowledgeable customer service team will assist you with any questions you may have prior to enrolling in a dental plan. They can guide you through the process of choosing coverage that matches your needs as well as your budget.

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