Are Dentures Covered By Insurance?
What Is Dental Insurance?
Dental insurance is a benefit plan that helps cover part of your oral healthcare costs. For example, it can assist people and families in covering the expenses of emergency procedures, surgeries, and regular dental cleanings and examinations. A portion of your costs is covered by dental insurance, so you don’t have to pay for everything out of pocket. To maintain a healthy smile and budget, it’s essential to understand your dental insurance.
Coverage for dental treatments may include teeth cleanings, dental X-rays and exams, orthodontics, as well as bridges, dentures, and crowns.
Who Is Dental Insurance For?
Dental insurance can benefit just about anyone. It’s especially ideal for patients who need a health insurance plan to cover the cost of medical and dental bills. Here’s who else can benefit:
- Seniors who may require dentures or implants as part of their oral health routine.
- Families with children needing preventive and orthodontic care.
- Adults without provincial dental benefits who want coverage for ongoing care.
Still unsure if dental insurance is right for you? If you’re planning on getting dentures in Thunder Bay, it’s worth reviewing your current or potential coverage!
Are Dentures Covered by Insurance in Canada?
Some Canadians might qualify for dental coverage through federal or provincial programs. You could also have coverage through your workplace benefits or a personal health and dental insurance plan. Typically, dentures fall under “major dental coverage,” which can also help with the cost of other procedures like crowns.
Our dentist in Thunder Bay is focused on helping patients confirm their insurance benefits before treatment. Our friendly team will submit related forms and help you understand your coverage specifics – no surprises.
How Much Will Insurance Cover for Dentures?
Some dental insurance policies include certain restorative coverage, usually meaning that up to 50% of the cost of dentures is covered. Regular deductibles and co-pays may still apply. Since there’s an annual coverage limit, be mindful of timing. If you’ve had other dental work in the same year, your dentures might receive significantly less coverage than 50%.
But again, always check with your provider. Even two people on the same plan may have different limits based on plan tier, co-payments, and annual maximums.
Does CDCP Cover Dentures?
Yes, the Canadian Dental Care Plan (CDCP) includes denture coverage for eligible Canadians and covers various denture-related services.
Launched to expand access to affordable dental care, CDCP is available to low-income individuals and families with a net income of less than $90,000, who do not have access to dental insurance and meet additional eligibility criteria. The plan does include:
Removable Prosthodontic Services:
These services are designed to replace missing teeth.
- Complete Dentures: This includes standard and temporary full dentures.
- Partial Dentures: Removable partial dentures are covered but typically need preauthorization.
- Denture Maintenance: Services like repairs, relines, and rebasing of existing dentures are included.
- Tissue Conditioning: Applying a lining to dentures for oral comfort and healing is also covered.
- Immediate and Overdentures: Complete immediate dentures and overdentures are included, with preauthorization required.
To find out if you qualify for the CDCP, visit the official Canadian Dental Care Plan – Do you qualify – Canada.ca website or ask our team. We’re happy to help Thunder Bay families navigate their options!
Need Dentures but Not Sure About Your Insurance Coverage?
You’re not alone – many of your neighbours feel confused about whether their dental insurance includes dentures. Between policy jargon, benefit limits, and coverage tiers, it can feel like you need a degree in paperwork just to understand what’s included.
At Redwood Dental Centre, your dentist in Thunder Bay hears this concern all the time. Whether you’re exploring dentures for yourself or a loved one, knowing your coverage is a smart first step.
Here’s what else you should know:
- If you have workplace or personal health and dental insurance, check to see if your plan includes “major Dental coverage.”
- An insurance waiting period is simply a set amount of time you have to wait before your dental coverage begins. Some plans have them, others don’t. And if your plan does have a waiting period, it might only apply to certain types of services, not everything.
How Much Does It Cost to Get All Your Teeth Pulled and Get Dentures?
Let’s keep this general, as specific pricing can vary.
In most cases, getting full dentures involves:
- A consultation and X-rays
- Tooth extractions (if needed)
- Impressions for the dentures
- The creation of a full upper and/or lower denture
- Follow-up visits for fit adjustments
If you’re considering full dentures in Thunder Bay, many dental insurance plans recognize this as a major restorative treatment and could cover part of the cost. Our team at Redwood Dental Centre is focused on guiding patients through this process, always with long-term oral health in mind.
What Are Dentures?
Dentures are prosthetic teeth and gums that are crafted to replace your natural ones. If you’ve lost most or all of your teeth due to an accident, disease, or poor oral health, your dentist might suggest them.
Types of Dentures:
- Complete Dentures: When all your natural teeth are missing, you’ll typically get this restoration, often referred to as “full dentures.” These are removable and held in place by suction. There are two types of complete dentures: immediate and conventional.
- Partial Dentures: These dentures are used when you’re missing several teeth, especially if nearby teeth can’t support a bridge. They consist of one or more prosthetic teeth with clasps that attach to your remaining natural teeth. You can easily remove them for cleaning and overnight.
- Immediate Dentures: These restorations are crafted before your teeth are pulled. Your dentist takes measurements and models of your mouth beforehand, so they can insert the dentures right after your extractions.
- Overdentures: These are removable dentures that are designed to fit over either your remaining natural teeth (which are reshaped to fit) or over dental implants. If you don’t have natural teeth left, small implants are strategically placed in your jawbone, and the overdenture then attaches to these implants.
How Are Dentures Made and Fitted?
1. Initial Visit: We’ll start with a consultation to check your oral health and take detailed impressions of your mouth. This helps us design dentures that fit seamlessly.
2. Custom Creation: Your impressions then go to a dental lab where your custom-made dentures are crafted.
3. Fitting & Adjustments: Once your dentures are ready, you’ll come in for a fitting. Our dentist in Thunder Bay will make any necessary adjustments to ensure they feel natural and work well, helping you avoid discomfort. This step is key!
4. Follow-Up Care: After you receive your dentures, we’ll schedule follow-up appointments. It’s common to need minor tweaks after the initial fitting to ensure they continue to fit and function properly.
Caring for Your Dentures After Your Procedure
- Clean Them Daily: Just like natural teeth, your dentures need daily cleaning to remove food and plaque. Use a soft-bristled brush and a non-abrasive denture cleaner to carefully clean all surfaces.
- Soak Overnight: To keep your dentures from drying out and losing their shape, always keep them moist when not wearing them. Soak them in water or a mild denture-soaking solution overnight.
- Handle Gently: Dentures can be fragile, so always handle them delicately to avoid dropping or damaging them.
- Regular Dental Checkups: Don’t forget your dental visits! During checkups, our dentist will monitor both your dentures’ condition and your overall oral health.
How Much Do Dentures Cost In Ontario?
The cost of a full set of dentures in Thunder Bay, Ontario, can vary based on materials, customization, and any extra procedures needed. At Redwood Dental Centre, we offer quality, custom-fit dentures at competitive prices, focusing on your long-term dental wellness.
Ready to Explore Denture Options With Insurance Coverage?
Let’s take the guesswork out of it together.
Whether you’re just starting your journey or ready to book, our dentist in Thunder Bay is here to help patients find personalized, confident denture solutions – with support understanding your insurance options every step of the way.
📞 Call us at (866) 632-2896to schedule your consultation or request an appointment online!
FAQs About Dentures & Insurance Coverage
Q: How do I find out if my insurance covers dentures?
Check your benefits booklet or ask your insurance provider directly. Better yet, bring your details to Redwood Dental Centre and we’ll help verify coverage!
Q: Can I use dental insurance and CDCP together?
Typically, you must choose one primary payer. If you’re eligible for CDCP, it may be your main source of coverage. Patients with private insurance are not eligible for the CDCP, and therefore, there would be no coordination of benefits with the CDCP.If you have dental benefits through a private plan, then insurance providers should not submit claims to the CDCP.
Q: Does OHIP cover dentures in Ontario?
No, OHIP does not cover dentures. If you need dentures, it’s smart to look into extra dental insurance or government programs that might offer some coverage. You can also ask us about Beautifi® Financing, which offers flexible payment plans to spread the cost of your dental procedures over time.
Q: What’s the difference between full and partial dentures?
Full dentures are designed to replace all teeth on the upper or lower jaw. Partial dentures are used when nearby teeth are not strong enough to hold restorations and there are just a few teeth missing.
