Oral surgery coverage

Oral and maxillofacial surgery can correct a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the mouth.

A medical or dental benefits and insurance plan may cover oral surgery. Which plan covers it depends upon:

• The treatment needed
• How your medical or dental plan is designed

Coverage under your medical or dental plan

We define oral surgery in two ways:

• Dental in nature, or
• Medical in nature

Oral surgery that is medical in nature is typically covered by a medical plan. It involves:

• Disease of the facial bones
• Trauma to the soft and hard tissue structures of the face and oral cavity
• Treatment of a jaw disorder commonly known as TMJ
• Correcting facial deformities present at birth or later

Surgery that is dental in nature involves the teeth. Tooth surgery is typically covered by a dental plan.

Getting reimbursed
You will be reimbursed under the plan that considers oral surgery a covered service.

To verify how your surgery may be covered:

• Get a pre-treatment estimate
• Call the Customer Service number listed on you Aetna ID card
• Ask for the Oral Surgery Center of Excellence

Get more information

• See the answers to our most frequently asked oral surgery questions at FAQs 
• Learn more about oral surgery at Simple Steps to Better Dental Health®