Does Maxicare Cover Wisdom Tooth Extraction? Yes!

Yes, Maxicare covers wisdom tooth extraction. Maxicare, a leading HMO in the Philippines, provides coverage for dental procedures including wisdom tooth extraction as part of their dental benefits.

Maxicare’s dental coverage includes oral prophylaxis, tooth extractions, and emergency dental treatments.

Wisdom tooth extraction is covered by Maxicare’s dental benefits but may be subject to certain limitations and exclusions.

Maxicare members can avail of the service through accredited dental clinics and practitioners.

The approval and extent of coverage depend on the type of Maxicare plan the member has.

Maxicare’s dental benefits ensure the overall oral health of its members by covering essential dental procedures like wisdom tooth extraction.

However, members must check their specific Maxicare plan’s inclusions, and limitations, and consult with accredited dental providers to ensure a smooth process in availing of the service.

Does Maxicare Cover Wisdom Tooth Extraction Yes

Table of Contents

Key Takeaway

Maxicare generally covers wisdom tooth extraction under their dental care plans, but coverage may vary depending on the specific plan you have.

It’s crucial to review your Maxicare policy to understand the extent of coverage for wisdom tooth extraction and any associated costs or limitations.

Some plans may require pre-authorization or a referral from a dentist before undergoing wisdom tooth extraction to ensure coverage.

Factors such as the reason for extraction and the complexity of the procedure may also impact coverage and out-of-pocket expenses.

Before scheduling any dental procedures, it’s advisable to contact Maxicare or check your policy documents to clarify coverage details and avoid unexpected costs.

What Is Maxicare?

Maxicare is a leading Health Maintenance Organization (HMO) in the Philippines, providing comprehensive healthcare services to its members.

The company offers various healthcare plans including individual, family, and corporate packages tailored to cater to different needs.

Apart from the basic healthcare coverage, some Maxicare plans also cover dental services like wisdom tooth extraction, depending on the specific plan chosen by the member.

Leading HMO in the Philippines
Offers individual, family, and corporate healthcare plans
Provides basic healthcare coverage and select dental services, depending on the plan

What Are Wisdom Teeth?

Wisdom teeth, also known as third molars, are the last set of adult teeth to emerge in the oral cavity.

They usually appear between the ages of 17 and 25 and are located at the back of the mouth. Wisdom teeth often cause dental issues due to their location, size, and the potential for impaction (when they fail to fully emerge from the gums).

Maxicare, a health care provider, may provide coverage for wisdom tooth extraction depending on the terms of your insurance plan.

Wisdom teeth are the third set of molars that emerge between ages 17-25.

They can cause dental issues due to their location, size, and potential impaction.
Wisdom tooth extraction may be necessary to prevent issues like pain, infection, and damage to neighboring teeth.
Maxicare may cover the extraction, depending on the terms of your insurance plan.

What Is Involved in Wisdom Tooth Extraction?

Wisdom tooth extraction is a dental procedure that involves the removal of one or more wisdom teeth, also known as third molars, which are located at the back of the mouth.

Maxicare, a leading health maintenance organization in the Philippines, may cover wisdom tooth extraction depending on the plan and package you have availed of.

Key aspects involved in wisdom tooth extraction include:

Pre-extraction consultation and dental examination
Anesthesia administration for pain management
Surgical removal of the impacted or troublesome wisdom teeth

Post-operative care instructions and follow-ups

It is crucial to consult with a Maxicare-accredited dentist to determine if your specific dental plan covers wisdom tooth extraction and to discuss any concerns you may have regarding the procedure.

Keep in mind that the coverage for dental procedures may vary based on your chosen healthcare package.

What Are Maxicare’s Coverage Policies for Wisdom Tooth Extraction?

Maxicare, a leading healthcare provider in the Philippines, offers various plans that cover dental procedures, including wisdom tooth extraction.

The coverage may vary depending on the Maxicare plan you have, so it’s essential to understand the specific benefits provided under your policy before proceeding with the wisdom tooth extraction.

Also Read: Why is My Gum Loose around My Wisdom Tooth

Generally, Maxicare offers basic dental services, and wisdom tooth extraction may not be included in all packages.

Maxicare coverage policies:

Basic dental treatments (consultation, cleaning, and simple tooth extraction)
Comprehensive plans may cover wisdom tooth extraction

Detailed benefits and coverage limits vary depending on the specific plan

To ensure that your wisdom tooth extraction is covered by Maxicare, consider the following steps:

Review your Maxicare policy thoroughly to determine the extent of your dental coverage.

Consult with your Maxicare-affiliated dentist for a proper assessment and to confirm if your plan includes wisdom tooth extraction.
Seek pre-authorization from Maxicare if required, to avoid any surprises regarding coverage and expenses.

Maxicare Tooth Extraction Coverage

Maxicare is a Philippine health maintenance organization that provides comprehensive care for its members.

With Maxicare, members are covered a wide range of services like dental care. This includes procedures like tooth extraction which is a regular type of procedure for a lot of Maxicare members.

Maxicare offers coverage specifically for wisdom tooth extraction which can be a bit more costly compared to extracting regular teeth.

Although there are some restrictions, Maxicare still provides coverage for wisdom tooth extraction.

Here are some of the benefits of Maxicare for tooth extractions:

Maxicare provides comprehensive coverage for tooth extractions.
They cover both regular tooth extraction and wisdom tooth extraction.

Maxicare allows members to choose from accredited dentists by the network provider.
Maxicare offers coverage for preventive measures like check-ups, cleanings, and exams.
With Maxicare, members don’t have to pay for big up-front costs for certain services and procedures.

Maxicare offers great benefits for tooth extractions and other dental services. From regular to wisdom tooth extractions, Maxicare is a great partner for those who needs dental care and services.

Maxicare Dental Coverage 2022

Maxicare is one of the country’s leading health insurance providers. It offers a wide variety of plans, from basic medical and accident insurance, to comprehensive dental coverage.

Yes, Maxicare covers wisdom tooth extraction for the year 2022. Most people experience pain, swollen gums, and jaw stiffness due to overcrowded wisdom teeth.

Wisdom tooth extraction is a common procedure to alleviate these problems and prevent long-term damage to the jaw or oral cavity.

As part of its comprehensive dental coverage, Maxicare offers coverage for wisdom tooth extractions, for a certain number of days of hospital confinement or outpatient consultations in a calendar year.

Also Read: Is It Normal for Wisdom Tooth Hole to Be Black

Here are other features of Maxicare’s Dental Coverage for 2022:

Basic oral examinations and consults
Scaling and debridement of teeth
Filling of dental cavities

Root canal treatments
Replacement of lost teeth
Surgical removal of impacted teeth

Maintenance cleaning of dentures

Maxicare’s dental coverage includes coverage for preventive, restorative, and therapeutic dental services.

Maxicare also follows a Demineralization Policy which applies to treatments that require continuity, such as removing decay or other dental diseases. It also has a strict Fraud and Abuse Policy, which helps to keep the cost of

Is Wisdom Tooth Extraction Claimable?

The short answer is yes. Under Maxicare health insurance plans, wisdom tooth extraction is a covered procedure.

Wisdom teeth or third molars are the last teeth to develop and usually appear in a person’s late teens or early twenties.

When not properly aligned, impacted teeth may need to be surgically removed.

Depending on the plan, Maxicare may cover not only wisdom teeth extraction but related services such as:

Anesthesia, either local or general
Radiology and X-ray imaging

Pre/Post-operation medications
Oral evaluation

Whether you need to provide proof of need for wisdom tooth extraction requires a different review.

Do check your Maxicare policy for what information they require in order to process a claim. In general, pre-authorization is necessary for specialist services such as dental surgeries.

Conclusion

Maxicare does cover wisdom tooth extraction, but it depends on the specific plan and coverage of the policy. It is essential to check with the insurance provider beforehand to ensure that the procedure is covered.

Wisdom tooth extraction is a common dental procedure involving the removal of one or more wisdom teeth.

It is done to prevent or address various dental problems. Maxicare is a reputable health insurance provider in the Philippines that offers various health plans that include dental coverage.

If you are considering wisdom tooth extraction, it is best to check with your Maxicare provider to understand what the coverage includes.

If Maxicare does not cover the procedure, some alternatives include availing dental services from other insurance providers or seeking treatment from independent dental clinics.

FAQ On Does Maxicare Cover Wisdom Tooth Extraction