Users' questions

Does Medicaid cover braces?

Does Medicaid cover braces?

Many times, Medicaid covers dental care and orthodontic services, like braces, when they are deemed medically necessary for your child. Medicaid will typically cover children 21 and under with orthodontic needs, that are deemed medically necessary.

Does medical cover braces for adults 2021?

Does Medi-Cal Cover Braces? Yes. But, not everyone with Medi-Cal/Denti-Cal qualifies for benefits. A patient must first be evaluated to rate or degree of the malocclusion, which is a problem in the way the upper and lower teeth fit together in biting or chewing, such as an overbite or under bite.

Does Medicaid actually cover braces?

Medicaid covers dental braces across the country for both children and adults, but only under narrowly defined circumstances for each group. Access to financial assistance could plug the gap for some low-income families who do not meet these qualifications.

How much does insurance really cover for braces?

While some insurance companies may state 50% coverage for braces, that does not necessarily mean half of the fees will be covered – many traditional plans also state a lifetime orthodontic maximum of $1,000 to $1,500. This means that if your treatment costs $5,000 overall, you may still be responsible for paying the remaining $3,500 to $4,000.

Does Medicaid or private health insurance cover braces?

Many times, Medicaid covers dental care and orthodontic services, like braces, when they are deemed medically necessary for your child. Medicaid will typically cover children 21 and under with orthodontic needs, that are deemed medically necessary.

Does Medicaid cover Invisalign or clear braces treatment?

This is why Medicaid does not cover Invisalign. Other Insurance Providers Do Cover Invisalign . If you want to use insurance to cover your Invisalign clear aligners, it is possible! You just need to shop around for another plan. Many private insurance plans cover at least part of Invisalign – often up to several thousand dollars. They also likely cover other orthodontic treatments such as ceramic braces or lingual braces.