Are cavities a pre existing condition? (2023)

Is a cavity a pre-existing condition?

The term “pre-existing condition” usually refers to major work rather than minor problems like cavities or deep fillings that eventually need to be crowned. For example, replacement of a missing tooth would be considered a pre-existing condition if it was lost or removed before you joined the insurance plan.

What is excluded in a dental insurance plan?

These include preexisting conditions, annual maximums, and managed care cost containment measures. Some group health plans restrict coverage for dental conditions that are present before an individual enrolls in the plan, such as missing teeth. These restrictions are known as “preexisting condition” exclusions.

Does dental insurance cover white fillings?

Does Insurance Pay for Dental Fillings? Most dental fillings fall under your insurance plan benefits. It typically does not matter if your filling is silver or white.

What does no waiting period mean in dental insurance?

Dental plans with no waiting periods allow patients to get coverage for preventive, basic, and major services—and sometimes even orthodontics—without having to wait a single day. These plans are ideal for patients who are putting off dental care due to cost or who need to undertake a major dental procedure.

Is cavities a medical condition?

Tooth decay is the disease known as caries or cavities. Tooth decay is caused by certain bacteria in the mouth that thrive on sugars and refined carbohydrates and produce acids as a side effect.

Is a cavity filling considered basic or major?

Dental insurance plans often describe dental services in three classes of service: Class 1: Preventative and diagnostic care, such as x-rays and cleanings. Class 2: Basic restorative care, including fillings and root canals. Class 3: Major restorative care, including dentures, bridges, and crowns.

Why is dental treatment not covered in insurance?

Most health insurance providers do not cover dental procedures because they are considered cosmetic treatments. And generally, health insurance plans do not cover elective procedures done for aesthetic purposes.

Is root canal covered by medical insurance?

Yes, dental procedures like root canal procedures, extractions and fillings are part of OPD dental care and are covered under Tata AIG's MediCare Premier with a cover of up to ₹10,000 per year.

Is filling a cavity considered an invasive procedure?

Non-invasive dental procedures include fillings (dental restorations), root canal therapy (endodontic therapy), crowns, bridges and removable prosthodontic devices such as dentures.

What are the restrictions after getting a cavity filled?

It is best to avoid any hard, chewy, or sticky foods after a dental filling for up to two weeks. If you are experiencing tooth sensitivity you may also benefit from avoiding hot or cold drinks and foods. There is no need to wait to brush your teeth after a dental filling.

What happens if you have a cavity and don't go to the dentist?

Cavities don't go away on their own, and if you don't treat them in time, they can spread to the entire surface of the tooth, and then to other teeth. Cavities tend to widen and deepen, making your teeth brittle and more prone to cracking or breaking.

How many years can you have a cavity?

It can, on average, take anywhere from six months to four or five years before a cavity requires treatment. The length of time it takes will vary on a case-by-case basis because the conditions of your mouth differ daily.

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