Successful Dental Implant Appeal Letters: Tips and Samples

Learn More

To write a dental implant appeal letter, follow these steps:

1. Begin with a professional heading that includes your name, address, and contact information, as well as the date and the recipient’s name, title, and address.

2. In the first paragraph, introduce yourself and explain the purpose of your letter. State that you are writing to appeal the denial of coverage for dental implants.

3. In the second paragraph, provide background information about your dental health and explain why you need dental implants. Be sure to include any relevant medical history or information about your current dental condition.

4. In the third paragraph, explain why you believe the dental implants are medically necessary. Provide any supporting documentation, such as a letter from your dentist or other medical professionals, to help support your claim.

5. In the fourth paragraph, request that the insurance company reconsider their decision and approve coverage for the dental implants.

6. In the final paragraph, thank the insurance company for their time and consideration, and include your contact information in case they have any further questions.

Here are samples of a dental implant appeal letter:

sample 1 - dental implant appeal letter

Dear [Insurance Company],

I am writing to appeal the denial of coverage for dental implants that I recently received from your company.

As you may be aware, I have a history of dental problems that have resulted in the loss of several teeth. Despite my efforts to maintain good oral hygiene, I have been unable to prevent the deterioration of my dental health. 

My dentist has recommended that I receive dental implants to replace my missing teeth and restore my oral function.

I strongly believe that these implants are medically necessary and will significantly improve my overall health and well-being. 

I have enclosed a letter from my dentist and other medical professionals that outlines the specific benefits of the implants and the need for this treatment.

I respectfully request that you reconsider your decision and approve coverage for the dental implants. I understand that this is a significant financial investment, but I believe it is essential for my long-term dental health.

Thank you for your time and consideration. If you have any further questions or require additional information, please do not hesitate to contact me.

Sincerely,

[Your Name]

sample 2 - dental implant appeal letter

Dear [Insurance Company],

I am writing to appeal the recent denial of coverage for my dental implants. As you are aware, I have been struggling with dental issues for many years and have lost a significant number of teeth as a result. 

My dentist has recommended that I receive dental implants to replace my missing teeth and restore my oral function.

I understand that dental implants can be a significant financial investment, but I believe they are medically necessary in my case. The loss of my teeth has caused me significant discomfort and has impacted my ability to eat and speak properly. 

I have included a letter from my dentist explaining the benefits of the implants and the need for this treatment.

I am confident that the dental implants will greatly improve my quality of life and I respectfully request that you reconsider your decision and approve coverage for this procedure. 

I understand that this is a complex issue and I am willing to provide any additional information or documentation that you may need to reconsider your decision.

Thank you for your time and consideration. I look forward to your response.

Sincerely,

[Your Name]