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What Dental Insurance Covers Invisalign

How Much Does Invisalign Treatment Cost

Will my insurance cover Invisalign?

If you check their website, you will see that Invisalign does not have a fixed pricing rate compared to other invisible braces brands. This is because Invisalign will charge you depending on the specific dental condition you have, the fees of your Invisalign provider, your location, and many more.

If you have a minor issue, you can expect the cost to be lesser. The more serious your issues are, the more expensive your Invisalign total cost will be.

Does Dental Insurance Cover Invisalign For Adults

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Invisalign is an investment in your smile, one that can last forever. As a result, its fairly expensive. Between all the office visits, dentists fees, and manufacturing costs, Invisalign can cost a few thousand dollars, which you might not be ready to pay. Fortunately, your dental insurance might be able to help.

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

Recap Of Invisalign Treatment

Before we dive into how to find dental insurance that covers Invisalign for adults, let’s first do a quick recap of what exactly Invisalign is. Invisalign is not the same as traditional metal braces, and this is important because it can actually affect your insurance options. That is, some plans that may cover traditional orthodontic care may not cover Invisalign.

That’s because Invisalign isn’t actually braces. Instead, it’s a system of clear aligners, or invisible braces, that fixes problems with teeth and bite alignment. This method is recognized and approved by the medical community, and can only be carried out with in-office supervision from a licensed dentist or orthodontist.

It’s a very popular method of treatment as more and more adults decide they want to straighten their teeth, and teens prefer a method that isn’t as noticeable.

Invisalign can be used to treat a variety of malocclusion issues, including:

And while Invisalign can successfully treat 90% of cases, if you have a particularly severe case of misalignment in your teeth or jaw, then you will still probably have to get treatment with a more traditional method. Either way, your orthodontist or dentist will let you know the best route for you.

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How Do I Know If I Need Invisalign Or Braces

Are you happy with your smile? If you have an overbite, underbite, overlapping teeth, an orthodontist can come up with a treatment plan to help straighten your teeth. This plan may include braces, clear aligners such as Invisalign, or other types of dental appliances. Be sure to check your specific plan documents to see if Invisalign is covered.

Speaking With Your Orthodontist

Can Insurance Cover Invisalign

If you dont know how much braces cost, your orthodontist should be able to help. They can provide you with an estimate of the total cost of treatment. In addition, they can work with you to develop a payment plan that fits your budget.

With braces for teens and adults becoming increasingly common, many orthodontists have flexible financing options to make Invisalign® affordable. You might be able to pay for your braces with a credit card or through a third-party lender. In addition, many orthodontists have an in-house financing plan.

If youre worried about finding affordable braces, dont be afraid to ask your orthodontist about their payment options. They may surprise you or offer deals that you arent aware of.

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Which Insurance Providers Does Smiledirectclub Work With

SmileDirectClub has partnered with UnitedHealthcare, Aetna, MetLife, Anthem Blue Cross, Anthem Blue Cross Blue Shield, Empire BlueCross BlueShield, Blue Shield of California, Dominion National, and Capital Blue Cross to accept coverage. We can also check for eligibility with Cigna, Humana, Guardian, and many more. Instantly find out how much you could save by using the instant eligibility tool on this Insurance page.

Does Delta Dental Cover Invisalign

Some Delta plans cover Invisalign treatment. However, others dont.

Delta PPO plans may cover some of the cost or provide an allowance for Invisalign. Most DeltaCare USA plans wont cover Invisalign treatment.

How much Delta covers depends on the plan. It can be around 50 percent for children and adults. Youll likely need to visit a dentist or orthodontist thats in-network with Delta for coverage.

Other treatments similar to Invisalign may or may not be covered by Delta. Be sure to check your plan and with your dentist to find out.

Here are two insurance-related terms you should know about:

  • Non-covered service: A non-covered service or a non-covered expense clause means you won’t have any coverage for Invisalign.
  • Limitations and exclusions: There may be a clause that states that orthodontic benefits are offered to people ages 19 or under only. This specific limitation excludes all insured members over the age of 19 from receiving the orthodontic benefit, including coverage for Invisalign treatment.

Clear aligners can save you thousands of dollars compared to braces. Learn about clear aligners.

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Dental Insurance That Covers Invisalign

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The International Journal of Dental Clinics is reader supported. We may earn a commission if you purchase something using one of our links.

Invisalign is one of the best clear braces that you can get in the market today. However, it is also no secret that this orthodontic treatment can be very expensive.

In fact, Invisalign costs more than traditional metal braces! Invisalign can cost anywhere between $3000 and $8000 and this is an amount that not everyone can pay upfront.

If you want to have this orthodontic treatment to get straighter teeth and a better smile, you might need financial assistance through dental insurance.

Insurance plans are a big deal because they help lessen out-of-pocket costs and the difference is a big deal! However, not all dental plans can cover Invisalign treatment. So, you have to choose a dental insurance company and dental insurance plan carefully.

Here, we will discuss which dental insurance companies cover Invisalign.

Does Cigna Dental Cover Invisalign

How Much Does Invisalign Cost? | Invisalign | Dr. Nate

Invisalign aligners are a popular alternative to braces for correcting crooked teeth. They are clear, removable trays you wear over your teeth to gradually realign them into their proper positions. Its a popular choice for adults who want to straighten their teeth but dont want the hassle of wearing braces.

But does Cigna dental insurance cover Invisalign aligners? If so, how do you go about getting coverage? The answer depends on several factors, including what kind of plan you have and where you live. For example, some plans have a maximum number of trays they will cover per yearif your dentist exceeds this because of the severity of malocclusion, there will be an out-of-pocket cost. Other plans require pre-approval before any treatment beginsthis usually entails sending in photos or x-rays showing evidence of the problem area so they can verify that it qualifies as eligible treatment under the terms of their policy. So, weve put together this handy guide to help you figure out if your Cigna policy includes coverage for invisalign aligners, and more.

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Dental Insurance Plans Have Limitations

Many plans have a low cap on what they will pay during a plan year. The maximum is set each year. Over that amount, you are responsible for all expenses. There is an annual maximum of less than $1,500 for about half of dental PPOs. All expenses over $1,500 would be your responsibility under that plan. You can reach the maximum quickly if you need a crown, root canal, or oral surgery.

Orthodontics costs are generally subject to a separate lifetime maximum.

Certain services or treatments may be excluded from some plans in order to reduce costs. Make sure you understand what is covered and what is not covered by the plan.

Check The Dental Insurance Plan For Any Coverage Limits

Your dental plan may have a maximum or exclusions on the amount you spend on orthodontic services. For example, you may only have a certain amount of money you can spend per year and be covered for orthodontics, or there may be a waiting period between dental treatments. Many plans also apply a lifetime maximum to orthodontic treatment, if this coverage is included with the dental insurance plan.

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How Much Is Invisalign With Insurance

You’ll find a wide range of coverage when it comes to different insurance plans, but oftentimes, larger insurance carriers will cover a percentage of your treatment with Invisalign.

Unfortunately, many insurance companies still consider Invisalign to be a purely cosmetic treatment, so they won’t cover any part of your dental treatment costs. The Invisalign insurance coverage will of course depend on the provider you have, but you can expect your Invisalign cost with insurance to be discounted from 25% to 50% of your treatment costs.

Keep in mind that most insurance plans will also have a lifetime limit, which means that once your provider has paid that amount, you’ll have to pay the rest.

When you’re searching for a dental insurance plan to cover Invisalign, you’re most likely to find plans with coverage from the following providers:

A bit further down we’ll have a closer look of what kind of coverage you can get from these providers.

Invisalign Cost Vs Traditional Metal Braces

What Insurance Covers Invisalign 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.


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Invisalign Cost Vs Traditional Braces

Invisalign is generally more expensive than traditional braces treatment. That’s because your clear aligners are custom-made in a laboratory. Invisalign also charges the practices it works with a fee between $1,000 to $2,000 for permission to offer their treatment.

The cost to the dental practice will depend on how many Invisalign cases they do a year, and all of this brings the final price for the patient up. Traditional braces can cost anywhere from $2,500 and $7,500, and like Invisalign, depend on the severity of treatment you need and which dentist you go to.

Whether you go with traditional braces or Invisalign, these costs might not include additional treatment you need, including x-rays, tooth extraction, and your retainers after treatment. That’s why it’s important to fully understand all of the costs involved before you sign on to any treatment option.

How To Get Orthodontic Benefits

Orthodontic coverage isnt something you need to buy separately its simply included in certain plans. There are two ways to get enrolled in a suitable dental 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.

However, there are also some important drawbacks with employer-sponsored dental plans. First, youre limited to the plan options offered by your employer. This can be especially problematic if youre interested in braces or clear aligners, as many dental insurance plans do not cover orthodontics, or offer very limited coverage. Second, employer-sponsored dental plans are often bundled together with health plans, so you may need to wait for an open enrollment period to modify your plan. Lastly, many companies simply dont offer dental insurance at all.

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How Do Orthodontic Benefits Work

Its natural to think that every dental insurance plan includes orthodontia, but this isnt always true. Some dental insurance plans have orthodontic benefits and some dont. And even the plans that include orthodontia can come with restrictions.

You can enroll in a dental insurance plan either through your employer or on your own. Once you have insurance, you can use it for whichever treatments it includes . Often, orthodontic benefits will cover a certain percentage of your orthodontic treatment or pay up to a certain amount.

Why Is Invisalign Treatment Better Than Traditional Braces

Payment Options For Invisalign® Treatment | Invisalign

Compared to metal braces that are the traditional standard to straighten teeth, Invisalign is a more discreet way to improve your smile. Instead of the obvious metal wirings, Invisalign uses clear aligner trays made out of transparent plastic. People would not even notice that you have them on. There is no need to feel self-conscious about it.

Aside from its aesthetical value, Invisalign is also less intrusive. The clear aligners are removable so you can easily take them off when you eat or drink. They are not permanently fixed on your teeth so you do not have to deal with a lot of dietary restrictions.

The only downside is that Invisalign is most of the time more expensive compared to traditional metal braces. Keep in mind thought that Invisalign and braces cost heavily depends on the particular dental issue you want to fix.

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Will I Be Notified When My Account Has Been Credited

Yes. Well send you an email detailing your adjustment and/or refund, which you can verify by checking your bank statement or SmilePay statement.

If you receive only a discount, that amount will be reflected immediately in your SmilePay balance , or youll see it applied to your credit or debit card within 23 weeks.

How Long Will It Take For Me To Receive My Credit

If you have insurance coverage with a provider in our network and have submitted a request for eligibility, well submit your claim and wait for it to be accepted and paid. This initial step takes 45 weeks.

Once we receive payment, well make either a refund or an adjustment to your account . If you paid in full using Single Pay, the refund will be credited to the credit or debit card you have on file. If you used SmilePay, the adjustment will be applied to your balance, and any remaining amount will be credited to your debit or credit card. Refunds take 23 weeks to process. Adjustments are processed immediately.

If you dont have a valid credit or debit card on file, well mail you a check for the balance.

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How Can I Save Costs On Orthodontic Services And Treatments

Orthodontic treatments can be very expensive. Here are a few ways to potentially reduce costs.

First, make sure your orthodontic coverage is in place and you satisfy any waiting periods before treatment begins. Make sure you clearly understand the details of your dental plan so you dont have to pay for unexpected costs.

Knowing exactly what treatments you need will help you find dental insurance that covers braces. While many dental plans include coverage for braces, be aware of any additional costs that may be a part of your treatment. Once your orthodontic treatment begins, closely follow the terms of your plan so that you can take advantage of any discounts youre qualified for under your dental insurance plan.

How Do I Find A Dental Insurance That Covers Orthodontics

What Insurance Covers Invisalign Braces

If you do not currently have a dental plan, you can get dental coverage in one of two ways:

  • Purchase through your employer – If you have an employer that offers dental you can choose a dental plan as part of your benefits.
  • Purchase your own dental plan – If you do not have employer coverage, you can buy one on your own through a health insurance carrier that sells individual and family dental insurance plans , or through the Health Insurance Marketplace.

With any type of plan, be sure to review how your dental insurance works to check if orthodontic coverage is included. There are usually limits, and not every plan includes coverage for braces and other orthodontic services. For example, a plan may cover braces for children but not for adults.

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Does Dental Insurance Cover Invisalign Top Plans And Average Costs

Invisalign is a popular way to straighten teeth, but it’s also very expensive, which leaves many to wonder, does insurance cover Invisalign?

Even some of the best dental insurance plans won’t cover orthodontic care, but there are some that do, or you may be able to purchase a supplemental orthodontic plan.

There are other options too when it comes to Invisalign insurance, including discount or savings plans. In this article, we’ll go over your options for dental insurance that covers Invisalign, including the carriers who offer coverage and your other options when it comes to getting the orthodontic coverage you need. is a hassle-free way to find a dental insurance plan for Invisalign braces in your area. You can find dental plans that include orthodontic coverage, or supplemental orthodontic insurance plans.

You can also browse a wide range of dental savings and discount plans that can help you save on treatment with Invisalign.

Just enter your zip code and date of birth, and you’ll be able to browse the top dental insurance plans available in your state and get free Invisalign insurance quotes.

And if you need guidance along the way, you can call to speak to a helpful licensed agent.

  • 7.3 Does dental insurance cover Invisalign for adults?
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