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 your Aetna ID card
  • Ask for the Oral Surgery Center of Excellence

Get more information

News

JavaScript is required

In order to have the best experience on Aetna.com, Javascript needs to be enabled.
Learn how to change your browser settings to enable Javascript.

You are now leaving the Aetna website

Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.

Continue >

I'm shopping for

NY and NJ only, call 1-800-234-8454

 

Speak with an agent

Shopping for your area is currently served by a different website.

 

Shop for a plan

Shopping for your area is currently served by a different website.

 

Shop for a plan

We have plans in your zip code through Coventry One, an Aetna affiliate.

 

Shop for a plan

We have plans in your zip code through Coventry One, an Aetna affiliate.

 

Shop for a plan

We have plans in your zip code through Innovation Health, an Aetna affiliate.

 

Shop for a plan

We have plans in your zip code through Innovation Health, an Aetna affiliate.

 

Speak with an agent

Please enter a valid ZIP code

You have entered an invalid zip code. Please try again.

 

Shop for a plan Speak with an agent

Please enter your ZIP code
Please enter a valid ZIP code

 

You’ll find excellent plans for seniors on our Medicare site.

 

Shop

 

You’ll find excellent plans for seniors on our Medicare site.

 

Speak with an agent

 

You’ll find great plans on our Aetna Student Insurance website

 

Shop

 

You’ll find great plans on our Aetna Student Insurance website

 

Speak with an agent

 

You’ll find great insurance for expats on our Aetna International site

 

Shop

 

You’ll find great insurance for expats on our Aetna International site

 

Speak with an agent