Does Medicaid Cover Invisalign? | The Smile Architects

Does Medicaid Cover Invisalign? | The Smile Architects

Team Invisalign

Invisalign is an innovative popular method of straightening teeth. Many patients prefer Invisalign over traditional metal braces because they are more discreet, comfortable, and convenient. However, not all types of insurance will cover teeth straightening treatment, including Invisalign. 

If you have Medicaid for your insurance coverage, you might wonder if Invisalign is covered. It’s always best to check with your orthodontic provider and your Medicaid office to determine what coverage might be available to you. However, in general, Medicaid will not cover Invisalign treatment.

Using Medicaid Coverage for Orthodontic Treatment

While Medicaid usually covers routine dental services such as check-ups, cleanings, and basic dental treatments, coverage for orthodontic treatments like Invisalign is far less common. Medicaid programs prioritize coverage for essential dental needs and don’t often provide extensive coverage for orthodontic treatments since they are considered elective and usually cost more.

Medicaid will cover orthodontic treatment for some patients. However, the patient must be less than 21 years of age, and their general dentist must determine that it’s necessary for them to have orthodontic intervention. Dentists typically only determine this if severe dental issues require orthodontic correction for functional or health-related reasons.

In addition, Medicaid only covers traditional metal braces, not ceramic braces, Invisalign, or other clear aligners. Suppose you don’t meet this criteria, or you want a treatment option that isn’t covered, like Invisalign. In that case, you will need to pay out of pocket or find an insurance provider who will cover your desired treatment.

Other Options for Invisalign Coverage

The good news is that finding an insurance plan to cover your Invisalign clear aligners is possible. You just need to shop around for another plan. Some private insurance plans cover at least a portion of Invisalign treatment – frequently up to several thousand dollars. They may also cover other orthodontic treatments, such as ceramic or lingual braces.

Keep in mind that many jobs offer competitive benefits packages with dental or orthodontic insurance coverage – be sure to ask about these benefits when applying to new jobs.

If you can’t find insurance coverage to help pay for your Invisalign treatment or if it doesn’t cover as much as you would like, we offer convenient payment plans. With monthly payment plans, treatment can become more affordable for you.

Learn More About Invisalign at The Smile Architects

The best way to find out if Medicaid or another insurance provider will cover your Invisalign treatment or how much treatment will be if you pay out of pocket is to make an appointment with us. Our Huntersville, North Carolina team will do everything possible to help make orthodontic treatments, including Invisalign, budget-friendly for you.

We can review your insurance coverage and talk to you about your available options. If necessary, we will set up a payment arrangement so you can pay for your treatment over several months. 

At The Smile Architects, we welcome your questions about Invisalign and its costs and insurance coverage. Call us today at 704-875-1621 or contact us online to request an appointment.