Orthodontist Insurance for Adults

As an adult, you may think that getting orthodontic treatment is not an option, either because you believe it is too late or because you think it is too expensive. However, there are several options for orthodontist insurance for adults that can make the treatment more affordable and accessible. In this article, we will explore the different types of insurance that cover orthodontic treatment, how to choose the best one for your needs, and some frequently asked questions about orthodontics for adults.

Types of Orthodontist Insurance for Adults

There are several types of insurance that cover orthodontic treatment for adults, including:

Type of Insurance
Coverage
Limits
Employer-Sponsored Insurance
Some employer-sponsored insurance plans cover orthodontic treatment for adults, usually up to a certain dollar amount or percentage of the total cost.
Varies depending on the plan.
Individual Insurance
Some individual insurance plans cover orthodontic treatment for adults, usually up to a certain dollar amount or percentage of the total cost.
Varies depending on the plan.
Medicaid
Medicaid may cover orthodontic treatment for adults in some states, but only in certain cases (e.g., severe malocclusion, cleft palate).
Varies depending on the state and the case.
Medicare
Medicare does not usually cover orthodontic treatment for adults, unless it is medically necessary (e.g., due to accidents, tumors).
Varies depending on the case.

It is important to note that not all insurance plans cover orthodontic treatment for adults, and even those that do may have limitations, exclusions, deductibles, and co-payments that can affect the final cost. Therefore, it is recommended that you review your insurance policy carefully, ask questions to your insurance provider, and compare different options before choosing the best one for your needs and budget.

How to Choose the Best Orthodontist Insurance for Adults

When choosing an orthodontist insurance for adults, you should consider several factors, such as:

Coverage

Check what orthodontic treatments are covered and under what conditions (e.g., length of treatment, age limit, severity). Make sure the coverage is comprehensive enough to meet your needs and avoid surprises.

Cost

Compare the premiums, deductibles, co-insurance, co-payments, and any other fees that may apply. Calculate the total cost of the treatment, including after the insurance coverage, and see if it fits your budget.

Network

Check if the insurance plan has a network of orthodontists that you can choose from. If you have a preferred orthodontist, make sure they are in the network to avoid out-of-network costs. If you don’t have a preferred orthodontist, check the quality, experience, and credentials of the ones in the network.

Customer Service

Check the reputation, responsiveness, and availability of the insurance provider. You may need to contact them for questions, claims, or disputes, so make sure they are easy to reach and helpful.

Reviews

Check the reviews and ratings of the insurance plan and the orthodontists in the network. See what other patients have said about their experience, results, and satisfaction.

FAQ about Orthodontics for Adults

Is it too late to get braces as an adult?

No, it is never too late to get braces as an adult. As long as your teeth, gums, and bones are healthy, you can benefit from orthodontic treatment at any age.

What are the benefits of orthodontic treatment for adults?

Orthodontic treatment for adults can improve the alignment, bite, function, and aesthetics of your teeth and jaws. It can also reduce the risk of dental problems (e.g., decay, gum disease, TMJ), enhance your speech and chewing ability, and boost your self-confidence and social life.

What are the different types of braces for adults?

There are several types of braces for adults, including:

  • Metal braces
  • Ceramic braces
  • Lingual braces
  • Invisalign clear aligners

Your orthodontist can help you choose the best type for your needs and preferences.

How long does orthodontic treatment for adults last?

The duration of orthodontic treatment for adults depends on several factors, such as the severity of the case, the type of braces, the compliance of the patient, and the recommendations of the orthodontist. On average, the treatment can last from 12 to 36 months.

What should I expect during my orthodontic treatment as an adult?

You should expect to visit your orthodontist regularly (usually every 4 to 8 weeks) for adjustments, cleaning, and monitoring. You may experience some discomfort, soreness, or difficulty eating or speaking during the first few days or weeks, but this should subside gradually. You should also maintain good oral hygiene, follow your orthodontist’s instructions, and avoid hard, sticky, or sugary foods that can damage the braces or teeth.

Can I still play sports, eat out, or travel with braces as an adult?

Yes, you can still engage in your usual activities with braces as an adult, although you may need to take some precautions to protect your braces and avoid complications. For example, you may need to wear a mouthguard while playing sports, choose soft or easy-to-eat foods while eating out, and pack some essential orthodontic supplies while traveling (e.g., toothbrush, floss, wax).

Conclusion

Orthodontic treatment for adults is a viable and beneficial option that can enhance your oral health, function, and appearance. By choosing the right orthodontist insurance for adults, you can make the treatment more affordable and accessible, while also enjoying peace of mind and quality care. If you have any questions or concerns about your orthodontic treatment, be sure to consult with your orthodontist and insurance provider.