HomeCoverDoes Health Insurance Cover Dental Braces

Does Health Insurance Cover Dental Braces

Alternatives To Insurance For Braces

Does Dental Insurance Cover The Cost Of Braces

Another option to consider is enrolling in a dental savings plan. This specific type of discount dental program applies a set amount off of your braces treatment, regardless as to which type of appliances you choose to get.

Plus, discount dental plans dont have maximum allowable amounts, so you can apply the discount to the total cost of your braces instead of up to a set dollar figure.

Ask one of Aetna Dental Offers savings representatives if a discount plan is right for you!

How Do You Claim On Orthodontic Treatment

To make a claim, you’ll need to ask your orthodontist for a ‘treatment plan’.

This plan should outline how long the treatment could take and how you will be paying for the cost of the treatment.

Once you have the treatment plan, you’ll need to give it to your health fund to start claiming benefits.

There are two ways to pay and claim on treatment:

1. In instalments: Your orthodontist or dentist can process your claim on the spot by swiping your health insurance card using HICAPS .

With this method, you only need to pay the out-of-pocket gap amount, if there is one.

2. Upfront: If you pay the full amount upfront, you’ll need to give your fund a tax invoice so you can claim back the benefit amount.

Tips For Getting The Best Price

Whether you’re choosing between insurance providers or dental clinics, costs vary wildly. It’s therefore well worth doing a dental insurance comparison of your own to assess different options. Try to get quotes from two or three providers so you can be sure you’re getting a good deal. Make sure you are comparing like for like, since there are so many variations in levels of cover.

Once you have settled on a plan you’re happy with, double-check the small print to be sure it covers everything you need.

Also consider how much of an excess you are prepared to pay, if your insurer offers this as an option. As with car insurance, a higher excess will mean lower premiums, but you’ll have to fork out more whenever you make a claim. If you opt for a high excess which may make sense if you want it mainly for emergency cover set that amount aside in a savings account, just in case.

Don’t Miss: Part Time Starbucks Benefits

What Is The Cost Of Braces With Insurance

According to the Canadian Association of Orthodontics, braces are often covered at 50% via dental insurance plans .

While this varies based on your dental plan, dental insurances that cover braces normally do so at a 50% discount. However, this is not the case everywhere. Furthermore, there is no certainty that your dental insurance will cover braces at all.

An orthodontist, not a dentist, installs braces. Unfortunately, some insurance policies may not cover orthodontics expenditures. If thats the case with your plan, youll have to pay for your braces out of pocket.

This is why its important to check to see if your insurance covers orthodontic services. Even if you dont require braces, it doesnt mean you wont require the services of an orthodontist in the future.

While it is beneficial to investigate various insurance choices, the harsh reality is that even with 50 percent coverage, you may face a significant expense. Unless you accept low-quality, low-cost braces, you could end up paying $3,000 or more. Even if many offices provide monthly payment plans for braces financing, youre still going to lose a lot of money.

What if there was a less expensive and more effective way to straighten your teeth? Do you want to straighten your teeth without breaking the bank? If this is the case, you should think about using clear aligners as a viable option.

Does Dental Insurance Cover Braces For Adults

Does Insurance Cover Braces ~ news word

Last updated on

Its hard to match the teeth-moving power of braces. Theyre studier and more effective than most other options. But that effectiveness comes at a price. Braces are one of the most expensive orthodontic options, which leads many to wonder whether dental insurance can help reduce the overall cost. And the answer is yes, but only sometimes.

Dental insurance plans sometimes cover braces treatment, although it depends on your specific provider and plan. This guide will help you navigate your insurance details and know what to expect.

Also Check: Starbucks Health Care Benefits

Does Insurance Cover Invisalign In The Uk: All You Need To Know

Traditional metal braces are no longer the only way to straighten your teeth. Traditional wire braces aside, there are other options available.

One popular, safe, and very effective treatment chosen by young professionals in London are Invisalign adult braces.

So its no wonder, more and more people are pondering the question: Does insurance cover Invisalign?

This is an orthodontic treatment that uses transparent tooth aligners made in aligner trays with not a wire and bracket brace insight.

If you have previously discounted Invisalign as an option because of the expense, but are still on the lookout for cheaper ways to afford braces in London, keep reading.

Orthodontic braces can be a very successful treatment. However, suppose you have previously been deterred by the cost of Invisalign clear aligners.

In that case, it may still be possible for you to have the smile youve always wanted without incurring high one-off costs. In light of that does insurance cover Invisalign? Lets dive in and consider the question.

Does Length Of Treatment Affect Costs

Some people have to wear braces longer than others. Maybe you have an offset jaw or severe tooth misalignment. One person could complete their orthodontic therapy in just 12 months, while you need closer to 18-24.

Does this affect the cost of your braces? Yes, but not as much as you would think. While more complicated treatments do involve additional time and subsequent fees, wearing them for half has long does not cut the treatment costs in half. The total amount may only fluctuate by 15-25%, depending on your provider.

Since most people apply their insurance benefits to their total treatment costs, then finance the remaining balance, your overall month-to-month expenses will not vary by much.

Also Check: Starbucks Benefits Part Time

Is Dental Free In Canada

In Canada, general oral health care is not included in the Canada Health Act . Most Canadians receive oral health care through privately operated dental clinics and pay for services through insurance or by paying for it themselves. Some dental services are covered through government dental programs.

How Dental Insurance Works

Did You Know That Most Dental Insurance Doesn’t Cover Braces?

In most cases you pay a premium set by the insurer. When you visit a dentist for a check-up or treatment, you pay the costs as normal, then bill the insurance company afterwards.

As long as your dental work is included in the policy, you will be reimbursed at the percentage agreed but up to 100% on certain plans) in the timeframe set out by the insurer.

Another type of dental cover you might encounter is called a discount scheme or cashback plan, which is not strictly insurance, but it offers a percentage off the cost of any treatment you incur while paying into the scheme.

Don’t Miss: How Long Do I Have Insurance After I Quit

How To Get Orthodontic Coverage With Blue Cross Blue Shield

First, we should note that Blue Cross Blue Shield isnt a single company. Rather, its a national association of 36 independent, community-based and locally operated Blue Cross Blue Shield companies. This includes subsidiaries like Anthem and Empire. Your insurers name might be slightly different, but youll still receive BCBS insurance, although the plan details might vary slightly.

Second, orthodontic coverage isnt something you need to buy separately its simply included in certain BCBS plans. There are two ways to get enrolled in a suitable BCBS plan: through your employer, or by purchasing an individual plan.

About half of all adults in the US receive dental insurance through their employer . There are a couple of advantages to enrolling in dental insurance through an employer plan. For one thing, insurance premiums get deducted directly from your wages before tax, reducing what you owe in taxes. For another, employers often contribute toward the cost of their plans, which results in lower premiums.

Payment Plans For Braces

This depends entirely on the clinic/dental practice where youre having your braces fitted. Many offices do offer payment plans but these are subject to medical checks and other factors.

Cheaper Alternatives for Braces

Universities usually offer cheaper dental care simply due to the fact that apprentices are the ones that provide the service. Obviously, these apprentices are fully supervised by an experienced orthodontist, the only difference is youll be worked on by a lesser experienced orthodontist, at a greatly lowered cost.

The Cost of Braces Abroad

As with any surgery or medical practice abroad, it is vital that you do your research before committing to anything, as you may find that practices abroad do not offer the same level of aftercare or expertise the UK does. Here are some important factors to consider:

Travel Costs

Reputation of the clinic Consultation fees


You may also want to strongly consider if the potential savings are worth it. Travel costs, hotels and holiday packages may seem like nice additions, but theyre usually used as bait to lure you to cheaper and sometimes less trustworthy clinics and/or dental practitioners.

Further Information

Recommended Reading: Can You Add A Boyfriend To Your Health Insurance

Things To Check First

Before you commit to anything, check that you’re not covered elsewhere. Some employers provide medical insurance as a benefit to employees, and that may include some level of dental health care. Even credit cards can throw in health cover as an incentive to new customers.

If you do find that you already have dental cover under another policy, be sure to check it carefully to ensure the levels of cover are sufficient for your situation if not, you may still want to take out your own private dental insurance.

And we’ve said it already but it’s worth repeating: check and double-check the small print of your policy so you know exactly what you are and are not covered for.

Does Insurance Cover Braces In Canada

Does Your Dental Insurance coverage Cowl Braces For Your Youngsters ...

Getting braces in Canada can be very expensive and its process can be lengthy. Before you consider getting braces, its important to find a trustworthy orthodontist, know the type of braces to go for, and also try to lower your expenses by knowing if it is covered by insurance.

However, all these are covered in this article but before we answer all these questions, lets know what braces are, the cost, and how your choice of selection can affect your expenses.

Recommended Reading: What Health Insurance Does Starbucks Offer

Free Braces For Adults

While it is not common to get braces treatment fully covered as an adult, there are certain exceptions. If you qualify for Medicaid, and have a medical condition treatable with braces, may be able to get your braces expenses fully covered. This requires the orthodontist to determine that the braces are medically necessary.

Some orthodontic conditions frequently covered by Medicaid:

  • Accidental trauma to the mouth, teeth, or jaw
  • TMJ
  • Sleep apnea
  • Severe malocclusion causing physical or emotional harm

You may be subject to a lifetime maximum with Medicaid orthodontic care. Eligibility also varies by state, and not all orthodontists take Medicaid. Talk to your orthodontic provider if you would like to use Medicaid to pay for your braces.

Is There Dental Insurance For Braces With No Waiting Period

Nearly all dental insurance that covers braces involves a waiting period. This means that even if youve found a great plan that covers braces to enroll in, youll likely have to wait at least 12 months before you can receive orthodontic benefits. Waiting periods typically depend on the state you live in the dental insurance policy you have, among other factors. So, if youve been thinking of getting braces either for yourself or for your children, get dental insurance that covers braces as soon as possible so you can save on the cost of orthodontic treatment a year or more from now.

However, even if your dental insurance that covers braces has a waiting period for orthodontic treatment, you still may be able to enjoy certain dental benefits from when coverage begins. All Guardian Direct dental plans have no waiting periods whatsoever for preventative treatment, such as oral exams, cleanings, and X-rays. Plus, these procedures can be covered from 50%-100%, depending on the plan*. This can help you take great care of your teeth in the year leading up to getting braces.

You May Like: What Is Evolve Health Insurance

Trouble Finding An Nhs Dentist

It’s no secret that finding an NHS dentist in some parts of the country is hard work, as this Channel 4 piece shows.

People may end up travelling miles out of their way to find a dentist who will accept them. In other cases, it’s just impossible and the only option is to visit a private dentist and pay for treatment yourself .

Dentists very often carry out some work for the NHS as well as treating patients privately. If your nearest dentist isn’t accepting any new patients on the NHS they may still be able to offer private treatment.

Can I Purchase Dental Insurance Only


Insurers offer stand-alone dental coverage. Our tool lets you shop for dental only plans.

More often, dental is include as a part of a comprehensive private health and dental insurance plan. You can get private insurance with dental care through many employers or by purchasing it on your own. These plans also help pay for prescription drugs, vision care, ambulance services, medical devices, specialists and more. We recommend private health insurance regardless of your province. Provincial public health care has significant gaps. Dental care is a significant one.

Private health and dental insurance is a cost-effective way to ensure you can pay for care.

Want to learn more about public and private health insurance in Canada? Our summary article has answers to all your questions.

Read Also: Burger King Health Insurance

Which Companies Cover Orthodontic Treatment

Most dental insurance companies have a plan or plans that include some type of orthodontic benefits. These benefits will often cover braces, Invisalign, and at-home aligners. But if you want more information on specific insurance providers, take a look at our specific provider guides:

How Can A Pregnant Woman Apply For Medicaid

If you cannot apply online or by mail, you can apply in person at your local county health department, federally qualified health care center or some local hospitals. Pregnant women under age 19 may receive full Medicaid coverage if the parents income is counted and they meet the income guidelines for a child.

You May Like: 8448679890

Blue Cross Blue Shield At

It might come as a surprise, but sometimes BCBS plans cover home aligners. Anthem, specifically, has established partnerships with Byte and SmileDirectClub, so those treatments are considered in-network. This doesnt mean that every Anthem plan will cover home aligners. Plans that dont have orthodontic benefits likely wont cover at-home aligners either. But lets say you have an Anthem plan that includes orthodontic benefits as well as treatment from Byte or SmileDirectClub. You might be covered.

What about BCBS plans that arent under Anthem? You could still get your treatment covered, but again, youll have to see if you have orthodontic benefits.

Can I Get Dental Insurance With No Waiting Period In Canada

Can Orthodontics Be Covered Under Medical Insurance?

Most insurance plans include a waiting period. The waiting period exists to prevent people from picking up insurance only when they have a health need.

Preventive care like cleaning and x-rays are usually available quickly without a long waiting period. Expensive procedures, including orthodontics and oral surgery, have a waiting period. Sometimes it can stretch to two or even three years.

For this reason, getting a plan now, when you do not yet need it, makes sense. It helps ensure that you are eligible once you have a claim.

Do not wait until you have a problem to start looking for dental insurance. Waiting periods can be long! Shop now so that you are covered when you have a need.

Recommended Reading: How To Keep Health Insurance Between Jobs

Are Braces Effective For Adults

Most people who need dental braces get them during their early teenage years , but adults can also benefit from wearing braces. The goal is to properly align your teeth and jaws in order to achieve an even bite and pleasing smile. There are numerous orthodontic specialists in Hong Kong who can perform an excellent procedure to give you the straight teeth and beautiful smile that you deserve even as an adult. Furthermore, more and more Hong Kong dental plans have adult coverage for orthodontic services.

Government Programs For Braces In Australia

There are no specific government programs in Australia that subsidise the cost of getting braces. The Australian governments Child Dental Benefits Schedule helps for two to17-year-olds to access a range of dental services and procedures for free. However, benefits for orthodontic treatment such as braces are not covered under the CDBS.

The Australian Society of Orthodontist operates a charitable organisation called Give A Smile, where orthodontists around the country volunteer to help under privileged children access safe and reliable orthodontic care. You can learn more about Give A Smile here.

Want to learn more? Speaking to an orthodontist can help you to understand the cost, duration and potential future requirements of orthodontic treatment for your family so that you can be better prepared for the future. Use our Finder Tool to locate an orthodontist near you.

Recommended Reading: Does Starbucks Offer Health Insurance To Part Time Employees

Popular Articles

explore more