Which services are typically excluded from dental plans?

Study for the Ohio Health Insurance Exam. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

Cosmetic services are typically excluded from dental plans because such services are primarily aimed at improving the appearance of teeth rather than addressing functional or health-related issues. This exclusion is based on the premise that cosmetic dentistry is often not deemed medically necessary, and therefore, insurance providers do not cover the associated costs. Common examples of cosmetic services include teeth whitening, veneers, and gum contouring.

In contrast, emergency dental care is generally covered as it relates to urgent health needs. Orthodontic treatments may have varying levels of coverage depending on the specific plan and the age of the patient, as some plans provide partial coverage for braces or aligners. In-office sedation can also be covered if deemed necessary for specific procedures to ensure patient comfort and safety. Hence, these options can often be found within dental plans whereas cosmetic procedures are less likely to be included.

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