Covered conditions 1

Medical Insurance Coverage for Dental Procedures in Children

Georgia law guarantees that medical insurance cover dental anesthesia for many children. Coverage inclusion criteria include the child's age, extent of the dental work needed, and any medical conditions he or she may have. Please see the table below for additional details. Specifics may vary by particular insurance plan, and whether the insurance plan is regulated at the federal rather than the state level. Most insurance plans insist on pre-authorization before any procedure. In the absence of pre-authorization, medical insurance may refuse to pay for anesthesia that would otherwise have been covered. Please don't worry, we can help.

Children 7 years old or younger requiring significant dental work

Covered

Children older than age 7 with:
Failed attempt at moderate sedation	Covered
Need for extensive dental surgery but unable to cooperate	Covered
Developmental or emotional condition	Covered
Dental disease sufficiently complex that treatment is mandated due to significant risk of secondary medical disease	Covered

INSPIRED ANESTHESIA SERVICES, RATES, AND MEDICAL INSURANCE COVERAGE

LEARN MORE ABOUT COVERED MEDICAL AND DENTAL CONDITIONS

What We Provide

We provide trained professionals with extensive knowledge and experience dealing with medical insurance companies. Our staff will coordinate with you, your child's dentist, and your pediatrician to develop an appropriate care plan. We can use this information to help you get pre-authorization from your medical insurance provider for general anesthesia during your child's dental procedure.

Along with pre-authorization, your medical insurance company can also give you an estimate of your expected amount of coverage for anesthesia, including the amount of any individual or family deductible, copay, or other anticipated out of pocket costs. We are in network with Aetna in Georgia. This can result in significant savings to you if you have coverage with Aetna.