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Dental Insurance and SHA at Celestial Dental: What Is Covered?
By the Celestial Dental Centre clinical team · Published
Many patients want to know whether they can use their insurance or SHA cover for dental treatment at Celestial Dental.
In many cases, selected routine and necessary dental services may be covered. However, the exact benefits depend on your insurer, member category, scheme rules and whether pre-authorisation is required.
What dental services may be covered?
Depending on your insurance plan or eligible SHA scheme, the following services may be included:
Dental consultation and check-up
Dental cleaning, including scaling and polishing
Tooth fillings
Root canal treatment
Tooth extractions
Dental X-rays
Coverage is not always the same for every patient. A treatment may be fully covered, partially covered or excluded depending on your specific plan.
Does SHA cover dental treatment?
Some eligible SHA-linked schemes may include selected dental services.
Your cover may depend on:
Your membership category
Your employment or scheme classification
The treatment you need
Your available benefit limit
Whether approval is required before treatment
For this reason, it is important to verify your eligibility before your appointment.
Does dental insurance cover all treatments?
Not always.
Most insurance plans focus on routine, preventive or medically necessary dental care.
Treatments such as:
Braces
Teeth whitening
Cosmetic masking
Veneers
Other elective cosmetic procedures
may not be covered under standard plans.
Some insurers may offer enhanced dental benefits, so it is always best to confirm before starting treatment.
Do you need pre-authorisation?
Some dental procedures may require approval from your insurer before treatment begins.
This is more common for treatments such as:
Root canal treatment
More complex restorations
Certain X-rays
Extractions
Other higher-value procedures
The Celestial Dental team can help guide you on the information needed for verification.
What should you bring to your appointment?
To make the verification process easier, bring:
Your insurance card or SHA details
Your national ID
Your membership number
Your employer or member category, where applicable
Any referral or authorisation documents
You may also be asked to confirm your preferred branch and the treatment you need.
What happens during insurance verification?
Before treatment, the team may check:
Whether your cover is active
Whether the treatment is included in your benefits
Whether pre-authorisation is required
Whether a co-pay applies
Whether you have enough remaining dental benefits
This process helps you understand what your cover can pay for before treatment begins.
Can you receive treatment if your insurance does not cover it?
Yes.
If a treatment is not included in your insurance or SHA benefits, you can still receive treatment as a self-paying patient.
Your dentist will explain the available treatment options and expected cost before you proceed.
Why should you verify your dental cover before visiting?
Verifying your cover in advance can help you:
Understand which services are covered
Avoid unexpected payment issues
Know whether pre-authorisation is required
Prepare any necessary documents
Plan your treatment more easily
How to verify your insurance or SHA cover at Celestial Dental
Before your visit, send us:
Your insurer or SHA scheme name
Your membership category
The treatment you need
Your preferred Celestial Dental branch
Our team will guide you on the next steps and confirm whether additional authorisation is required.
Insurance and SHA coverage depends on your insurer, scheme, member category and current benefit limits. Always confirm eligibility before treatment.
Book your dental appointment
Celestial Dental provides a range of preventive, restorative and general dental services across our branches.
Kasarani: 0707 535 000
Kamakis: 0724 202 252
Eldoret: 0794 585 217
Website: www.celestialdental.org
Email: info@celestialdental.org