Is Invisalign Covered By Medicaid


Is It Worth The Investment

Can I Use Medicaid to Pay For Invisalign?

Having perfectly aligned teeth that you can be proud to smile about is one of the worth the cost. But there are some things you need to consider, particularly with this type of treatment. For instance, it can treat mild to moderate cases of bite issues, but it cannot treat complex bite problems. Attachments can help move the teeth in the right direction, but only to some extent, unlike braces where the wires and brackets assist with the movement.

The Invisalign advantage is that it makes it more convenient to use than metal braces. Brushing and flossing with brackets and wires in your teeth can be a challenge. There are particular foods that may get stuck in between the wire and brackets that could take time to clean. With Invisalign, all you have to do is remove the aligners when you eat or brush your treat and wear it back once you’re done.

Check out our great Before and After pictures and find out How to care for Invisalign. More on Limitations and treatment timeline for Invisalign

Making Invisalign Cheaper With Metlife

MetLifes dental coverage may be able to cover Invisalign clear aligners, provided that a licensed dental professional is administering the care. They have a wide assortment of dental plans, including those exclusive to veterans and federal government employees. By far though, their PPO plans offer the widest range of coverage options and dental providers to choose from.

They also offer an HMO plan that allows you to preselect a dental provider when you enroll. However, such plans usually do not cover Invisalign, so do not choose an HMO as your first option affordable clear aligners. For the best results, we recommend looking into their PPO options and consulting a provider directly.

Does Medicaid Cover Invisalign Braces

Medicaid is supposed to serve as a health insurance safety net. It is government-provided health insurance for people who cant afford insurance on their own. Its available to low-income individuals and to families who meet certain eligibility requirements. Payments are made directly to health care providers and sometimes a small copay is required from the patient.

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Even Without Insurance Payment Plans Can Help You Pay For Invisalign

There are still ways to make Invisalign affordable, even without insurance! Most orthodontic practices offer flexible payment plans to help break up the cost of Invisalign into smaller monthly payments.

Ask your orthodontic provider if they offer these kinds of payments by paying in monthly installments, you can achieve a healthy, happy smile with all the benefits of invisible aligners without stretching your finances!

Other Options If Youre Not Covered

Is Orthodontics Covered By Medicaid

What if youre ready to get started with braces or aligners, but your current insurance plan doesnt cover the treatment you want?

If you have a Health Savings Account or Flexible Spending Account , you can use either one to pay for your treatment. These accounts deduct money from your income before taxes and lets you use it for qualifying medical and dental expenses. Theyre often an option with plans sponsored by employers, and if you have one, you can use its funds to pay for your orthodontic treatment. Even if you received partial coverage from MetLife, you could use an HSA or FSA account to pay the remaining balance.

Otherwise, you can look for other ways to make the price tag more manageable, like financing plans. Dentist and orthodontist offices will usually offer payment plans, as will most at-home aligner companies, although a credit check might be necessary to qualify. Or, you can check out third party options like CareCredit, which provide financing specifically for medical and dental expenses .

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Best Invisalign Pennsylvania Providers

Looking for an Invisalign doctor in Pennsylvania? Continue reading to learn about a couple of great options!

One of the top Invisalign providers in Pennsylvania is Orthodontics Limited, which has three locations: Center City Philadelphia, Northeast Philadelphia, and Hatboro, PA. In 2020, Orthodontics Limited was named a Diamond+ Top 1% Invisalign Provider, the highest possible honor an Invisalign Provider can achieve. Their website makes it clear that the affordability of Invisalign treatment is a top priority, and they offer low or no down payment options as well as a discount when payment is made in full.

Another quality Pennsylvania Invisalign provider is Dental Solutions. With several locations, Dental Solutions offers information about several financing plans to its patients, including DentRite and DentRite Plus discount plans. Other options include CareCredit and a page dedicated to special offers, which updates periodically.

How Much Is Invisalign Without Insurance

If you don’t have insurance to help you cover the costs of Invisalign, the cost of your treatment will partially depend on the type of Invisalign treatment you get. There are a variety of Invisalign plans. These include:

  • Invisalign Full: $3,500$8,500
  • Express 5: $1,500$3,000
  • Teen: $3,000$6,500

That being said, your Invisalign treatment could cost up to $10,000, it all depends on the severity of your malocclusion and the level of treatment you’ll need.

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Answer: #invisalign And Medicaid #drsofttouch

Hello there,It’s possible that state assistance would cover the cost of orthodontics if it is considered medically necessary and the patient is under the age of 21. Invisalign is an excellent solution for teens and adults who have teeth that are gapped, crowded or misaligned. I would suggest scheduling a complete evaluation with an orthodontist who accepts your insurance to determine your options after having your wisdom teeth removed. Good luck and I hope this helps. Follow me if you have more questions.Sarah Thompson, DMDSt. Louis, MO area Real Self 100

Does Dental Insurance Cover Invisalign

Invisalign Insurance

While some dental insurance policies cover Invisalign, its not necessarily a given. For example, some may view it as a cosmetic service and not cover it at all, while others may only cover a portion of it for patients under the age of 18. Whatever the case may be, our team at Avion Dental & Orthodontics can help you navigate the details of your plan. Were in-network with many of the most prevalent insurance providers. We also welcome Medicaid and CHIP to make the cost of your childs Invisalign treatment more manageable.

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Invisalign Cost Vs Traditional Metal Braces

Invisalign is almost always more expensive than traditional metal braces.

One of the biggest reasons for Invisaligns higher cost is the substantial laboratory cost to the orthodontist to fabricate the custom clear aligners. Invisalign charges dental practices anywhere from $1,500 to $2,000 depending on how many cases a dentist does per year and the status with Invisalign.

Treatment costs will always depend on the severity of the case, the dentist treating the case, the location, and your dental insurance policy.

Invisalign typically costs $3,000 to $10,000, while traditional braces average $3,000 to $7,000. These costs may also not include records like x-rays and models, and retainers following the treatment.

It is always wise to discuss all out-of-pocket costs before treatment starts, even if a bracket breaks or an Invisalign tray cracks or becomes lost.

How To Use Medicaid Insurance Coverage For Orthodontia

It is possible to get braces covered by Medicaid insurance. Like many areas of coverage under subsidized insurance, however, Medicaid only covers certain kind of patients and procedures.

To qualify for coverage under Medicaid, the patient must be under 21 years old, and the patients general dentist must determine that orthodontic intervention is necessary.

Medicaid covers metal braces only: other orthodontic procedures, like ceramic braces or clear aligners, are considered cosmetic procedures and arent covered by subsidized insurance programs like Medicaid.

In sum: Medicaid insurance can be used to cover patients under 21 with a referral from a dentist for metal braces. If you dont meet these criteria, youll need to pay out-of-pocket, or find another insurance provider.

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Does Aflac Cover Invisalign

Orthodontics are a listed benefit under Aflac Dentals coverage, as the Orthodontic Benefit Rider option. To reap this benefit, the individual must have completed a 24-month waiting period. Then, the patient will pay $500 for initial orthodontic treatment. Following the initial appointment, Aflac will then pay $50 for each continued treatment.

As limited treatment is listed under Aflacs official benefit form, and Invisalign treats limited sets of teeth at a time, you should be able to receive at least some coverage for Invisalign clear aligners. However, these benefits are not payable to patients who began treatment before the waiting period ended. Coverage may also vary depending on locale, age, or the location where you seek treatment. Be sure to review your case with an Aflac provider before making any big commitments.

What Insurance Plans Cover Invisalign In Ny And Nj

Is Orthodontics Covered By Medicaid

Invisalign clear aligners offer many potential perks that could appeal to patients over traditional metal braces or ceramic braces. Unlike other orthodontic appliances, Invisalign clear aligners can be:

  • Removed at your discretion
  • Appear nearly invisible when worn
  • Less irritating than traditional braces
  • Less prone to breakage as compared to braces

Its easy to see why those things could be advantageous for patients. Unfortunately, those advantages of Invisalign clear aligners will typically come at a bit of a higher cost if you opt for Invisalign clear aligners over traditional braces, expect to pay at least a few hundred dollars more on average.

Still, there are ways to make bearing the brunt of that cost a little easier. FSA and HSA savings accounts can help cover a portion of the costs, or here in NJ and NY, so can certain insurance plans.

But how exactly do you find out how much your insurance plan will cover Invisalign clear aligners, or whether your plan will cover any costs at all? Hopefully, this coverage guide will help you gain more insight into whether you can afford Invisalign under your state-sponsored or private network insurance plan.

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Medicaid & Chip Dental Benefits For Affordable Dentistry

At the Castleberry Center in Houston, we know the importance of offering affordable dentistry services to ensure every patient can receive the dental care they need to maintain optimal oral health. Thats why our knowledgeable team members will process and file dental insurance claims for most major benefit providers, and we are even happy to accept coverage from Medicaid and CHIP insurance plans for children and adults. If you want to learn more about dental insurance coverage, Medicaid, or CHIP, please dont hesitate to talk to our dentistry team members at your next appointment or give our Houston dental office a . We look forward to working with you and your loved ones to achieve and maintain your healthiest smiles and keep them for a lifetime.

Does Medicaid Cover Braces For Adults And Kids

For children who are enrolled in Medicaid, the dental coverage ranges from any infection and pain relief to regular checkups. States are required to provide orthodontic services to children to the extent necessary to prevent disease and promote oral health, and restore oral structures to health and functionality. Illinois has two Medicaid braces programs specifically for children & those plans are All Kids and Family Care program.

The All Kids insurance provides health care to children of low-income families, while Family Care provides coverage for children and their parents. Each of these programs includes dental care for kids and it might assist in paying for orthodontic treatments such as braces and Invisalign®. This dental program is administered by DentaQuest of Illinois.

Also Check: How To Obtain A Medicaid Provider Number

Are Retainers Covered By Dental Insurance & Insights

If youve already had your teeth straightened you probably still wear a retainer at night to maintain the position and spacing of your teeth and prevent them from shifting back to their original location. Your children also may need retainers if they have had braces. Retainers are considered to be cosmetic appliances and therefore are not covered by dental insurance, although the Guardian Direct® top-tier dental insurance plan will pay for one retainer per lifetime if needed. Night guards are also not usually covered by insurance. If you want to learn more about cosmetic dentistry, dental bonding, and what is covered by dental insurance you can browse through the Guardian Direct® library of resources. With articles on everything from dental care and Medicaid to lifestyle tips to help keep your mouth healthy you can get insights on how to keep your smile looking great and to keep your teeth healthy. Invisalign® is a registered trademark of Align Technology, Inc.

SmileDirect® is a registered trademark of SmileDirectClub.

Answer: Invisalign Wisdom Teeth And Medicaid

Can Invisalign Cause Gum Recession?

Pretty good bet that Medicaid will not cover the third molar extractions or the Invisalign treatment.However, removing the wisdom teeth will eliminate the cause of the tooth movements-twisting, moving forward, becoming crooked.Invisalign treatment will guide the teeth into proper alignment to promote good dental health, function and beauty.You may not attain the “perfect teeth” you remember, but Invisalign treatment will deliver a healthy, functional bite that is good looking.Definitely worth the investment at any age!

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Dental Services For Children

Apple Health pays for covered dental services for eligible children, age 20 and younger. The Academy of Pediatric Dentistry recommends all children see a dentist by 12 months of age. Be sure to check the Health Care Authoritys website for the most up to date and accurate list of what is covered services.

Some covered dental services include but are not limited to:

  • Routine exams

How Can I Get Braces With Medicaid

First, it is important to understand that Medicaid will only cover orthodontic braces for children under 21. There are some new dental benefits of Medicaid braces for adults but this does not extend to braces or orthodontics. So if you are an adult with Medicaid and want braces, while our Medicaid orthodontist can definitely support you, it is important to understand that Medicaid insurance may not help you with the costs associated with braces. However, this is why we have a large variety of payment options

Moreover, if your orthodontic needs are declared medically necessary, we will help you find out if your Medicaid insurance will cover the costs for braces. Even though your childs braces may not be completely free, but Medicaid orthodontic coverage can help pay for most of the costs. Additionally, It is important to note that Medicaid will not cover adult braces for free.

Also Check: What’s Better Medicare Or Medicaid

What If My Child Does Not Qualify For Braces Through All Kids Program

If your child does not qualify for orthodontic treatment through All Kids program, you will get a letter from , the All Kids administrators stating that the treatment wad denied. Unfortunately, the case can only be submited once in a lifetime, therefore previously denied cases cannot be re-submitted.

However, at Orthodontic Experts we believe that every child deserves a beautiful, confident smile, so we will work with you to help you establish a financial arrangement that will work for your familys budget. We understand that your childs future is very important to you and we will try to do everything possible to help you provide your child with a beautiful and healthy smile for a lifetime. We have multiple payment plans and options that could be customized to your budget.

Does Medicare Cover Invisalign In 2022

Does Medicaid Cover Orthodontics

Who doesnt want a beautiful smile? Especially these days, when were taking more photos than in any prior generation.

But then again, it can be embarrassing to have traditional metal braces for adults.

Enter Invisalign. Lets look at how this product helps consumers and whether your Medicare coverage will pay for this.

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Typical Cost Of Braces

If your child needs braces, you should will have to cough out some $3,000$10,000. Quite naturally, its impossible to pin a particular figure as the price of braces. The price could fluctuate as a result of many factors such as the presence or absence of insurance coverage the amount of time the braces is to be worn the existence of broken or loose wires, cracked brackets and other complications the type of braces chosen and the severity of the dental conditions like an overcrowded teeth or a bad bite.While people with Medicaid pay lower for braces, with privately-insured patients paying around $3,500 because of their partial coverage for orthodontic treatment, those without Medicaid or those whose Medicaid cannot cover cosmetic dentistry, can expect to pay close to $6,000 for childrens braces.

Why Doesnt Medicaid Cover Invisalign

Medicaid is a public, subsidized insurance program, which offers heath-care coverage for low or no premiums. It doesnt cover everything, however: like many other areas of healthcare, there are restrictions to what procedures are covered with Medicaid.

Metal braces are the original form of orthodontic care: they are safe, effective, and comfortable to wear. They are still the most popular form of orthodontic care!

Metal braces have been followed by several innovations in orthodontic care, including invisible braces. These other forms of treatment are equally effective, safe to use, and comfortable. Many of them add an aesthetic advantage: Invisalign clear aligners, for instance, are nearly invisible when worn, making them a go-to option for adults or anyone concerned with their appearance.

But because this is a cosmetic feature, Medicaid doesnt consider it for coverage. They cover the original form of treatment, metal braces, much like a generic drug: it is safe and effective.

This is why Medicaid does not cover Invisalign.

Read Also: How To Recertify For Medicaid

The Difference Between Invisalign And Braces

While Invisalign is a clear, removable set of aligners custom-fit to your teeth, braces are fixed brackets and wires that are permanently attached to your teeth.

Here are several things to consider when choosing between the two:

  • How severe is your dental misalignment?
  • What is your budget?
  • How important is it that people do not see your braces?
  • Are you willing to wear a retainer?


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