Most dental insurance plans cover CEREC crowns the same way they cover traditional lab-made crowns, typically paying 50% of the cost after you've met your annual deductible. However, coverage details vary significantly between insurance plans, so it's important to understand your specific benefits.
How Insurance Views CEREC Crowns
Insurance companies generally don't distinguish between same-day CEREC crowns and traditional crowns that require multiple appointments. Both are considered major restorative procedures and receive the same level of coverage.
The key factor is whether the crown is medically necessary to restore a damaged or decayed tooth; cosmetic crowns for purely aesthetic reasons may not be covered.
Understanding Your Coverage
Your specific coverage depends on several factors
- Your plan's annual maximum benefit
- Whether you've met your deductible
- What percentage your plan covers for major procedures
- Whether our practice is in-network with your insurance provider
This may sound confusing, but we're here to help. Our knowledgeable team at Smilehaus Newmarket will verify your insurance benefits before treatment and provide a detailed cost estimate. We'll explain what your insurance will cover and what your approximate out-of-pocket costs will be; however, it's always a good idea to check with your insurer directly.
We also offer flexible payment options, including third-party and in-house financing.
Call us at (647) 927-6912 to discuss your insurance coverage and payment options. We serve patients throughout Newmarket, East Gwillimbury, Aurora, and surrounding communities.