Let’s chat about the cost of your orthodontic treatment. It will be different for everyone because it all depends on what you need and the plan we come up with together. Our team’s here to walk you through all the costs and the payment options you’ve got.
We’ll help you figure out the best plan that fits your budget so there are no surprises. You’ll have all the info you need to make the best decision for your smile before we get started. We’ll also be your partners in navigating the financial and insurance maze to receive the orthodontic care and reimbursement you and your family deserve.
Insurance can be confusing.
Even if we're "Out-of-Network," we can often snag those benefits from your insurance carrier for you.
Our team is eager to help you understand and maximize your orthodontic insurance benefits, ensuring you get the most out of your plan.
Orthodontic treatment is an investment in your family’s smiles. We want nothing to stand in the way of receiving these treatments. Here’s a quick guide to making sense of orthodontic insurance:
We’ll verify your coverage upfront, so there are no surprises down the road. If you have orthodontic coverage through your employer, we will help you confirm that your policy is active and ensure you are eligible for orthodontic coverage. Some policies might have a waiting period or age limits.
Orthodontic benefits are unique and often separate from regular dental coverage. We’ll help you understand your plan’s specifics, including eligibility for two-phase treatments and how benefits are paid out.
If our orthodontists recommend 2 phases of treatment, our office may only receive partial insurance reimbursement for Phase I in anticipation of Phase 2 using a portion of benefits at a later date. Those unused benefits may be applied toward Phase II if the policy remains active.
If extractions or exposures are needed to accomplish the orthodontic treatment, please note that those procedures are often billed from a dental benefit. Still, they can be billed from your orthodontic benefit in rare instances. Any remaining balance not paid by insurance for this orthodontic benefit will be transferred to your account balance.
Maintaining active coverage throughout treatment is essential to ensure you receive the full benefits. Life happens—job changes, job loss, or new insurance. We’re here to adjust and refile claims as needed to keep your treatment on track.
Note: Not all insurance plans cover “work in progress” (aka treatment that has already begun.) If there is a loss in coverage due to a job change or loss, any remaining costs from your prior insurance company that remains will be transferred to your balance.
When a patient is covered under two active policies, we’ll help figure out the coordination between policies. Note: Some exclusions may be present on your policy under a non-duplication rule, making it impossible to collect on both.
Before diving into orthodontic treatment, arm yourself with knowledge. Here are some savvy questions to help you unravel the mysteries of your insurance coverage:
Not all health plans cover orthodontics, so it’s wise to check the specifics under your dental section or chat with your HR department.