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Does Dental Insurance Cover Gold Crowns?

Cecilia by Cecilia
05/07/2025
in teeth
Does Dental Insurance Cover Gold Crowns?

Gold crowns are a popular choice for dental restorations. They are durable, strong, and have a long lifespan. However, one question many people have is whether dental insurance will cover the cost of these crowns. In this article, we will dive into the details of dental insurance coverage for gold crowns. We will also explore alternative options and considerations when choosing a crown material for your teeth.

What Are Gold Crowns?

Gold crowns are a type of dental restoration used to cover damaged or decayed teeth. They are made from a combination of gold and other metals. Gold crowns are known for their strength and longevity. They are a great choice for people who need a long-lasting solution for a tooth that has been compromised due to decay or injury.

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Why Choose Gold Crowns?

Gold crowns are chosen for several reasons. One of the biggest advantages is their strength. Gold crowns can withstand the pressure of chewing and grinding better than other materials. They also tend to last longer than other types of crowns, making them a cost-effective option in the long run.

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Another reason gold crowns are preferred is their biocompatibility. They are less likely to cause allergic reactions compared to other materials, making them a good option for individuals with sensitivities.

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Does Dental Insurance Cover Gold Crowns?

Dental insurance coverage varies depending on the provider and the specific plan. In general, most dental insurance plans offer some level of coverage for crowns, but there are a few things to keep in mind when it comes to gold crowns.

Types of Dental Insurance Plans

There are two main types of dental insurance plans that can affect coverage for gold crowns:

  • Health Maintenance Organization (HMO): This plan usually offers lower premiums but has fewer choices for dentists. The coverage for gold crowns may be limited.
  • Preferred Provider Organization (PPO): PPO plans typically offer more flexibility in choosing a dentist. They may offer a higher level of coverage for gold crowns, but you may need to pay a higher premium.

Before deciding on a gold crown, check with your insurance provider to understand the specifics of your coverage.

Coverage for Gold Crowns

Dental insurance plans generally cover a percentage of the cost of dental crowns. However, they may not cover the full cost of a gold crown. Most insurance companies tend to favor less expensive materials like porcelain or metal crowns. Gold crowns can be seen as an elective or more expensive option, which means they may not be covered under many plans.

If your dental insurance does cover crowns, it might only cover basic or standard materials like porcelain or ceramic. The additional cost of a gold crown may need to be paid out of pocket.

How Much Do Gold Crowns Cost?

The cost of a gold crown varies depending on several factors, including the location of the dentist, the materials used, and the complexity of the procedure. On average, the cost of a gold crown ranges from $800 to $2,500 per tooth. Since gold crowns are more expensive than other options, it is important to check if your insurance will cover any part of the cost.

Alternatives to Gold Crowns

If your dental insurance does not cover gold crowns or if you are looking for a more affordable option, there are alternatives to consider.

Porcelain Crowns

Porcelain crowns are a popular alternative to gold crowns. They are made from a durable, tooth-colored material that blends well with the natural color of your teeth. Porcelain crowns are often covered by dental insurance, especially if they are used for visible teeth.

Metal Alloys

Another option is metal alloy crowns. These crowns are made from a mix of metals and are stronger than porcelain crowns. Metal alloy crowns may be covered by insurance, depending on the specific plan.

Resin Crowns

Resin crowns are another cost-effective option. They are less durable than gold or porcelain crowns, but they are often covered by dental insurance. Resin crowns are typically used for back teeth, where strength is less important.

When Should You Choose a Gold Crown?

While gold crowns may not always be the first choice due to their cost, they are a great option for certain situations. Gold crowns are best suited for back teeth, where strength and durability are more important than appearance. If you need a long-lasting restoration, a gold crown might be worth the investment.

Considerations for Choosing Gold Crowns

Before choosing a gold crown, consider the following factors:

  • Durability: Gold crowns last longer than most other crowns.
  • Location of the Tooth: Gold crowns are more noticeable in the back of the mouth but may not be ideal for front teeth.
  • Cost: Gold crowns tend to be more expensive than other options, so ensure that your insurance covers at least part of the cost.
  • Insurance Coverage: Verify with your insurance company whether gold crowns are covered under your plan.

What to Do If Your Insurance Doesn’t Cover Gold Crowns

If your dental insurance does not cover gold crowns, there are a few options to consider:

Paying Out of Pocket

If you want a gold crown and your insurance doesn’t cover it, you may choose to pay the difference out of pocket. While this can be expensive, it can also be a good investment if you need a durable and long-lasting solution.

Payment Plans

Some dental offices offer payment plans to help spread the cost of the crown over time. If you choose this option, be sure to inquire about any interest rates or fees associated with the payment plan.

Exploring Other Insurance Options

If gold crowns are important to you, consider switching to a dental insurance plan that offers better coverage for dental restorations. Make sure to compare different plans and providers to find the best option for your needs.

Conclusion

In conclusion, dental insurance coverage for gold crowns varies based on your provider and plan. While many plans do not fully cover gold crowns, some may cover part of the cost. If you need a durable and long-lasting solution for damaged teeth, gold crowns may be a good option. However, it’s important to check your insurance coverage and weigh your options before making a decision.

If you are interested in enhancing the appearance of your teeth, you may also want to consider other treatments such as teeth whitening or teeth bonding. These treatments can help improve the overall health and appearance of your smile.

Whether you opt for a gold crown or another treatment, it’s essential to consult with your dentist to determine the best option for your dental needs and budget.

Related topics:

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