Are there any limitations on pre-existing dental conditions?

Asked 2 years ago
United Concordia generally addresses pre-existing dental conditions within the framework of their policy terms and guidelines. Most dental insurance plans typically include some limitations regarding coverage of pre-existing conditions. This is often to mitigate risk for the insurer and ensure that coverage is equitable for all members. It is common for waiting periods to be applied for certain treatments related to pre-existing conditions. This means that a member may have to wait a specified period before becoming eligible for coverage for services that are required due to a pre-existing condition. Moreover, the specifics can vary considerably depending on the exact plan chosen by the member. Different plans may have different stipulations regarding what is considered a pre-existing condition and how that impacts coverage. It is also important for members to be aware that not all services may be covered, and certain types of dental treatment might require prior authorization. For the most accurate and personalized information regarding pre-existing conditions and any limitations that may apply, it is advised to consult the policy documents associated with the specific plan. Additionally, members may find it useful to visit the United Concordia website for detailed information or resources to help clarify their coverage options.
Jeff Whelpley is the editor / author responsible for this content.
Answered Jul 19, 2025

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