How Can I Get Medicaid to Help Pay for New Porcelain Veneers?

Posted by AllSmiles

Cancer and bulimia have caused my gums to recede. Although I’ve had veneers for 20 years, it is easy to tell that they are not my natural teeth, so it’s time to replace them. I only have Medicaid now. Is there anything I can do to get Medicaid to help pay for my new porcelain veneers? – Thanks. Emma from RI

 

Emma,

We understand your frustration regarding the limitations of Medicaid coverage for your dental needs.

Will Medicaid Cover Porcelain Veneers?

Medicaid usually does not provide coverage for porcelain veneers. However, benefits vary with each state, so check with the Medicaid program office where you live. Medicaid provides coverage for essential treatments and cost-effective materials, which can create barriers to receiving more complex or cosmetic procedures. The reimbursement rates provided by Medicaid are often considerably lower than typical dental fees, which can impact whether providers accept Medicaid patients.

From Medicaid’s perspective, solutions like complete dental extractions and removable dentures might be considered standard. While you’ve explained the link between your dental health and medical conditions, obtaining Medicaid approval for more specialized treatments, such as porcelain veneers, can be challenging.

Even if Medicaid approved veneers, the reimbursement structure would likely restrict the quality of materials and the artistry in crafting the veneers. This financial reality can compromise the aesthetic outcome because a dentist must prioritize cost-effectiveness over aesthetics. Contact your state Medicaid office.

 

Chandler, Arizona, dentists Dr. William Walden and Dr. Tyrel Beavers sponsor this post. Read how they strive to provide some of the best dentistry in Chandler. Read our financial policies for insurance and financing.