How Much Does A Crown Cost With Delta Dental Insurance

How Much Does A Crown Cost With Delta Dental Insurance

When it comes to dental procedures, the cost can often be a significant concern for patients. Dental crowns, in particular, are a common treatment that can help restore damaged or decayed teeth. If you have Delta Dental insurance, you may be wondering how much a crown will cost you. In this article, we will explore the factors that influence the cost of a crown with Delta Dental insurance and provide valuable insights to help you understand the potential expenses involved.

Understanding Dental Crowns

Dental crowns are custom-made caps that are placed over damaged teeth to restore their shape, size, strength, and appearance. They can be made from various materials, including porcelain, metal, or a combination of both. Crowns are typically recommended for teeth that have undergone root canal treatment, have large fillings, or are severely decayed or fractured.

The Cost of Dental Crowns

The cost of a dental crown can vary depending on several factors, including the location, the dentist’s experience, the materials used, and the complexity of the case. With Delta Dental insurance, the cost of a crown can be significantly reduced, as insurance plans typically cover a portion of the expenses.

Delta Dental Coverage

Delta Dental is one of the largest dental insurance providers in the United States, offering coverage to millions of individuals and families. The specific coverage and benefits provided by Delta Dental can vary depending on the plan you have. It is essential to review your plan details or contact Delta Dental directly to understand the coverage for dental crowns.

Out-of-Pocket Expenses

Even with dental insurance, you may still have out-of-pocket expenses for a dental crown. Delta Dental plans often require patients to pay a portion of the cost, known as a copayment or coinsurance. The exact amount will depend on your specific plan and the fee schedule set by Delta Dental.

Delta Dental Fee Schedule

Delta Dental establishes a fee schedule that outlines the maximum amount they will cover for each dental procedure. Dentists who are part of the Delta Dental network agree to accept these fees as payment in full. However, if you choose to see an out-of-network dentist, they may charge higher fees, and you may be responsible for the difference.

Factors Affecting Crown Costs

Several factors can influence the cost of a dental crown, regardless of your insurance coverage. Understanding these factors can help you estimate the potential expenses involved:

  • Material: The type of material used for the crown can affect the cost. Porcelain crowns tend to be more expensive than metal or porcelain-fused-to-metal crowns.
  • Location: The cost of dental procedures can vary depending on your geographic location. Dental services in urban areas may be more expensive than in rural areas.
  • Dentist’s Experience: Dentists with more experience and expertise may charge higher fees for their services.
  • Additional Procedures: If additional procedures, such as root canal treatment or tooth extraction, are required before placing the crown, it can increase the overall cost.

Frequently Asked Questions

1. Does Delta Dental cover the entire cost of a dental crown?

No, Delta Dental typically covers a portion of the cost of a dental crown. The exact coverage will depend on your specific plan and the fee schedule set by Delta Dental.

2. How much can I expect to pay out-of-pocket for a dental crown with Delta Dental insurance?

The out-of-pocket expenses for a dental crown with Delta Dental insurance will depend on your plan’s copayment or coinsurance. It is best to review your plan details or contact Delta Dental directly for an accurate estimate.

3. Can I choose any dentist with Delta Dental insurance?

Delta Dental offers both in-network and out-of-network coverage. However, choosing an in-network dentist can help you maximize your benefits and reduce your out-of-pocket expenses.

4. Are there any alternatives to dental crowns that may be more affordable?

Depending on your specific dental needs, there may be alternative treatments that are more cost-effective. Discuss with your dentist to explore all available options.

5. Can I get a dental crown without insurance?

Yes, you can still get a dental crown without insurance. However, the cost will be higher as you will be responsible for the full payment. It is advisable to discuss payment options and potential discounts with your dentist.

6. How long do dental crowns typically last?

The lifespan of a dental crown can vary depending on various factors, including oral hygiene practices, habits such as teeth grinding, and the material used for the crown. On average, dental crowns can last between 10 to 15 years.

Summary

When considering the cost of a dental crown with Delta Dental insurance, it is essential to understand the coverage provided by your specific plan. While Delta Dental can help reduce the cost, you may still have out-of-pocket expenses. Factors such as the material used, location, and additional procedures can also influence the overall cost. By discussing your options with your dentist and understanding your insurance coverage, you can make an informed decision about your dental crown treatment.