You can't get around all of it! I have been with my same dentist for so long that he is absorbing the cost of the third cleaning (they will only pay for 2 a year -period). They wouldn't pay for the dental trays either. I told my dentist that I would have the doctor to write a letter that they were a "medical necessity" and that may have worked, but it fell through the cracks. They will only pay for x-rays once a year also. I had a baseline set taken and then I had a repeat set taken when I was finished with treatment because my teeth were so beat up from xerostomia, etc. I had to pay for that. I can only imagine the nightmares of getting them to pay for implants.