General Anesthesia Coverage and Exclusions
Provider Type
- Physicians
- Hospitals
- Participating Physician Groups (PPG)
- Ancillary
General Anesthesia Coverage
Health Net does not cover any charges for the dental procedure itself, including the professional fee of the dentist or any other provider.
However, general anesthesia and associated facility charges for non-covered dental care rendered in a hospital or surgery setting are covered if under one or more of the following circumstances:
- Members are under age seven
- Members are developmentally disabled, regardless of age
- Members' health is compromised and for whom general anesthesia is medically necessary, regardless of age
Health Net provides coverage if the services are rendered in a Health Net participating facility. Prior authorization is required. Refer to the Prior Authorization section for more information regarding prior authorization procedures.
General Anesthesia Exclusions
Health Net does not cover any charges for the dental procedure itself, including the professional fee of the dentist or any other provider for administration of anesthesia.