Our dental insurance defines “missing teeth” as adult teeth that have been permanently removed and not replaced. This definition affects both eligibility and coverage limits under the Advanced dental plan, which includes benefits for tooth replacement. People with four or more missing teeth aren’t eligible for the Advanced plan.
What does dental insurance mean by "missing teeth"?
We define missing teeth as adult teeth that have been completely and permanently removed and have not been replaced by implants, bridges, crowns, or other prosthetic solutions. Teeth that have been extracted but replaced do not count as missing.
Which teeth are not considered missing?
Wisdom teeth, even if they have been removed.
Teeth that have been replaced by implants or prostheses.
Teeth that are damaged but still present even if they may require treatment later.
Teeth removed as part of orthodontic treatment if the resulting gaps have been closed.
Why is it important how missing teeth are defined?
The number of missing teeth you have at the start of your Advanced dental plan affects your eligibility and the maximum yearly reimbursement limit for tooth replacement treatments such as implants, bridges, and crowns. This limit increases with each year you maintain the policy.
What are the eligibility rules related to missing teeth for the Advanced dental plan?
If you have four or more missing teeth, you are not eligible for the Advanced dental plan. If you fall into this category, you might receive limited support from statutory health insurance but should consider the Basic dental plan instead.
Does missing teeth status affect the Basic dental plan?
No, it doesn't. The Basic dental plan doesn’t cover tooth replacement, so the number of missing teeth won’t affect your eligibility or benefits.
What should I do if I am unsure about which teeth to count as missing?
If you’re unsure, just ask. Our dental experts can help you figure out whether a tooth should be counted as missing—it's best to check before signing up.