Does Medi-Cal cover dental implants?

Asked by: Kendrick DuBuque Sr.  |  Last update: July 18, 2025
Score: 4.3/5 (66 votes)

Currently, Medi-Cal covers implants only when “exceptional medical conditions are documented,” according to the state's 2024 benefits guide.

How to get dental implants covered by Medi-Cal?

For medical insurance to cover dental implants, the procedure often must be connected to a medical condition or an accident. The key is finding a medically necessary reason to justify the implant procedure.

How to prove dental implants are medically necessary?

In many cases, dental implants can be defined as medically necessary because:
  1. They improve chewing power, which can lead to improved nutrition and a reduced risk of some systemic diseases.
  2. They can prevent further tooth loss.
  3. They are superior to other forms of tooth replacement.

Does Medicaid pay for teeth implants?

Medi-Cal is California's Medicaid program. It is very common in California. Medi-Cal doesn't cover Dental Implants. If you have Medi-Cal and need Dental Implants, you can make use of our attractive financing options.

Can I get implants with Medi-Cal?

With respect to your specific question regarding full mouth implants, implant services are a benefit only when exceptional medical conditions are documented, and those conditions are reviewed by the Medi-Cal Dental Program for medical necessity (as defined by law) for prior authorization.

Does California Medi Cal Cover Dental Implants?

29 related questions found

How do you get dental implants when you can't afford it?

To help patients with and without insurance, most dentists will offer in-house financing for dental implants. All you have to do is ask. You can also cover the cost of dental implants with 3rd party, no-interest financing companies like Lending Club and Care Credit.

Is it true that Medicare will pay for dental implants?

Medicare won't cover the dental implants procedure itself, but it will cover related services such as hospital costs.

Does dental insurance cover implants in California?

Depending on the policy, your dental plan may provide partial payment for dental implants. Otherwise, most plans cover some or all of the costs related to medically necessary dental care — which may not include implants.

Will dental implants ever be affordable?

Technological improvements could lead to cost reductions. New manufacturing methods, materials, and techniques may lower overhead costs, making implants cheaper over time. However, while technology can enhance efficiency, the initial investment in new equipment could temporarily maintain or increase costs.

Who is not eligible for dental implants?

A dental implant relies on the bone structure in your jaw for support. If the bone structure is lacking, this can prevent you from getting a dental implant. Bone loss happens for various reasons, including osteoporosis and gum disease. Conditions such as these can lead to the deterioration of the bones in your mouth.

Who is not a good candidate for dental implants?

Who Is Not a Good Candidate for Dental Implants?
  • Smoking — Smoking slows the body's natural healing process and affects the process of osseointegration through which a dental implant becomes fused with your natural bone tissue. ...
  • Gum disease. ...
  • General health. ...
  • Diabetes. ...
  • Medications. ...
  • Radiation therapy.

Is there a medical reason for dental implants?

When a tooth is lost due to injury or disease, a person can experience complications such as rapid bone loss, defective speech, or changes to chewing patterns that result in discomfort. Replacing a lost tooth with a dental implant can significantly improve the patient's quality of life and health.

How can I fix my teeth if I don't have money?

Free Dental Clinics
  1. Nonprofit clinics. Some cities have dental clinics that specifically serve people with low incomes, no insurance, or who otherwise can't afford care.
  2. Donated services. Some state or national charities use donated labor and materials to give free care. ...
  3. Private dentists.

How much does Medi-Cal cover for dental?

If you have any concerns about your teeth, schedule an appointment to see your dentist right away. Medi‑Cal will pay up to $1,800 in a year for covered dental services. You may qualify for no yearly limit if you are pregnant. Dental services may go over the $1,800 limit if shown to be medically needed.

What is the Smile Act in California?

This bill, The Smile Act, for purposes of the above-described Medi-Cal coverage for laboratory-processed crowns, would remove the condition that the tooth be posterior and would apply the coverage to persons 13 years of age or older.

Does Medi cal cover full mouth implants?

Currently, Medi-Cal covers implants only when “exceptional medical conditions are documented,” according to the state's 2024 benefits guide.

How much does a single tooth implant cost without insurance in California?

In California, the typical cost of a dental implant for a single tooth is between $3,000 and $5,000.

How long do dental implants last?

With brushing, flossing and regular dental visits, implants can last a lifetime. The restoration part of your dental implant will need replacing at some point. Most crowns and bridges last around 15 years and most dentures last at least seven years, but this timeline varies.

How can I get money to pay for dental implants?

7 Ways to Pay for Your Dental Implants
  1. Out of Pocket/Personal Savings. Consider tapping into your rainy-day fund to cover dental implant costs. ...
  2. Dental Insurance. ...
  3. Dental Financing. ...
  4. Flexible Spending Account (FSA) ...
  5. Health Savings Account (HSA) ...
  6. Borrow From Your Retirement Plan or Home Equity. ...
  7. Dental Grants.

Are dental implants ever covered by medical insurance?

Dental implants are sometimes required to replace teeth that were lost in an accident or trauma, such as an automobile collision. In these cases, while dental implants may fall outside the realm of dental insurance, they will likely be covered by regular medical insurance.

Does social security pay for dental implants?

In conclusion, Social Security generally does not cover the cost of dental implants. However, there may be exceptions for medically necessary procedures under Medicare or Medicaid.

What is the cheapest way to get teeth implants?

10 Easy Ways To Get Affordable Dental Implants In 2024
  • Research Payment Options. ...
  • Check Your Insurance Coverage. ...
  • Look for Discounts and Special Offers. ...
  • Consider Dental Schools. ...
  • Explore Dental Tourism. ...
  • Ask About Cash Discounts. ...
  • Consider All-on-4 or All-on-6 Implants. ...
  • Discuss Treatment Phases.

Do you have to go without teeth when getting implants?

Immediate Implants and Temporary Restorations

This approach, known as immediate implant placement, aims to minimise the time without a tooth in the extraction site. To address the concern of being without teeth, temporary restorations such as temporary crowns or dentures may be provided.

What credit score do you need for dental implants?

Typical Requirements for Dental Implant Financing

Credit Score – Most standard medical financing options require a minimum score of around 650. Credit History – Late payments, high utilization, or previous bankruptcies may affect approval.