Dental Implants - (0585)

Cigna covers subperiosteal (CPT 21245/21246), endosteal (CPT 21248/21249) and transosteal (CPT 21244) dental implants only when plan benefits exist and ALL specified criteria are met, and excludes implants for tooth loss from non-cancer decay, periodontal disease, cosmetic reconstruction, or other non-listed indications. Key requirements: repair must be impossible, conventional bridgework/partials not feasible (no abutment teeth), indication must be congenital/developmental, accidental injury occurring after coverage within 12 months (chewing injuries excluded), or cancer-related loss/reconstruction, replacement must occur within 24 months while covered, and claims need supporting documentation and the listed CPT codes.

"If there are benefits available, subperiosteal implants (CPT code 21245, 21246), endosteal implants (CPT code 21248, 21249), and transosteal bone plate implants (CPT 21244) are considered medically..."