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Obviously, Express10 is a more brief treatment approach compared to Invisalign Full. Not only is it limited to 10 sets of aligners, it does not include the built-in opportunities to refine the treatment along the way if treatment is not tracking as expected. In your case, you could see very nice changes with Express 10 but maybe not all of the changes that could be possible if given a more through appliance system. From your photos, it looks like you could benefit from some widening (expansion) in the bicuspid areas to gain some space and for esthetics and this would be better in the Full treatment. Ask your provider and compare the costs....you may be better treated for a few hundred dollars more. Good Luck!!
As long as your expectations are not to finish with a 100% correction you could use Imvisalign express but I really don't think you will get a full correction without using full treatment :)
From the picture you show, it is not immediately obvious what your concern is with the simulated treatment result. Try to be as specific as you can be in addressing your concern with your doctor, so he can take it into account for the refinement phase. Several factors besides alignment affect...
Insurance companies have their own rules and change them all the time. Any questions with those are up to them. The fee to the dentist is what it is, regardless of insurance input, whether they pay or not. You are fortunate to have insurance assistance at ALL for orthdontics.
The Clincheck software is available only to approved providers. Your provider can email you what Invisalign calls a video - it is a low-res version of your Clincheck that has fewer options for interaction.