Does insurance cover treatment for a cracked tooth?

Yes, no and maybe.

It depends on the treatment necessary for the problem. There are times when root canal treatment and a crown may be necessary. Usually insurance plans cover fillings and root canal treatment at the benefit level they allow for basic services. Crowns, if covered, may be considered under basic or major categories. There may be a deductible and copay with the amount determined by the insurance contract. Also, some plans may only cover diagnostic and preventive services. In addition, there is often an additional copay for a tooth colored composite restoration in the posterior areas due to plan limitations. Annual maximums, frequency limitations and other restrictions may also affect coverage.

As with many dental services when you have a dental plan, it is often best to predetermine treatment for an estimate of your out-of-pocket costs.

Continue Learning about Dental Emergency

How to Deal with 4 Common Dental Emergencies
How to Deal with 4 Common Dental Emergencies
Whether your idea of vacation fun is sun and sandcastles, city slicking or sleeping under the stars, dental emergencies can happen anywhere. Here’s ho...
Read More
Why is pulpitis a dental emergency?
Todd A. Welch, DMDTodd A. Welch, DMD
Irreversible pulpitis is a severe inflammation of the dental pulp. Irreversible pulpitis is often oc...
More Answers
What medications are used during a dental emergency?
Dr. Saul N. Miller, DDSDr. Saul N. Miller, DDS
It depends on the emergency or urgency. Often no medications are necessary other than local anest...
More Answers
Can I prevent my child swimmer from having a dental emergency?
Teach your children to follow the rules of the pool: No running near the swimming pool No divi...
More Answers

Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.