Flipper (Removable Partial Denture)
What Is a Flipper?
A "flipper" is an informal term for an interim or temporary removable partial denture, usually made of acrylic. It's a lightweight, removable appliance that replaces one or a few missing teeth. Flippers are often used:
- As a temporary solution while healing from extractions
- While waiting for a permanent prosthesis
- As a lower-cost alternative to a permanent partial denture
Coverage Status: LIKELY COVERED (as a partial denture)
Removable partial dentures are a covered benefit under Health First Colorado adult dental.
| Service | Frequency | Cost | Prior Auth? |
|---|---|---|---|
| Partial denture (removable) | 1x every 7 years | $0 | Yes |
| Rebase/reline denture | 1x every 4 years (7+ months after placement) | $0 | No |
| Repair of denture | 1x per year per denture | $0 | No |
Important Caveats
DentaQuest Approves the "Most Cost-Effective" Option
DentaQuest's policy is to authorize the most cost-effective treatment that meets clinical standards. This means:
- They may approve a standard acrylic partial denture rather than a more elaborate flipper
- The specific type and material may be determined during the prior authorization process
- Your dentist should discuss options and submit the auth with clinical justification
The 7-Year Rule
Once you receive a partial denture (including a flipper), you're generally not eligible for a replacement for 7 years. Plan carefully:
- If you get a flipper now as a temporary measure, you may not be able to get a different partial denture for 7 years
- Discuss with your dentist whether to go with a temporary flipper or invest in a more durable partial from the start
Lost/Stolen/Broken Replacement
Replacement of lost, stolen, or irreparably broken dentures is a once per member lifetime benefit. Use this wisely.
What to Ask Your Dentist
- "Will DentaQuest authorize a flipper, or should we request a standard partial denture?"
- "Given the 7-year replacement limit, what type of partial denture gives me the best long-term value?"
- "How long after my extraction(s) should we wait before making the flipper/partial?"
See also: Procedures/Extractions | Coverage Summary | Your Treatment Plan