Will my Insurance Cover Invisalign?

Question

Currently wearing what's called a space maintainer...  not sure why ( they didn't really explain) just want straighter teeth. Can Invisalign be covered with insurance?

Ryan Sellinger, DMD · Answer

In some cases Invisalign is covered by insurance.
Call your insurance company and ask... you may be surprised!
With regard to your space maintainer...typically if teeth are lost prematurely, the space is maintained to prevent the adjacent teeth from shifting into the spot.

Jessica Wyatt, DDS · Answer

Some insurance companies do cover Invisalign to some degree, it depends on which plan you have, your available benefits, sometimes your age has a factor, etc. You can call you insurance company directly and get an EOB (Explanation of Benefits) which will outline all of the things your insurance covers and to what degree (or you can just call them to ask them if they will cover invisalign). 
Just a quick note on the space maintainer, it does exactly what it's name suggests! It maintains a space in the mouth (so that teeth do not shift into or around the space). Often times a space maintainer is done to hold a space open for a future implant. Hope this helps!

Michael Ayzin, DDS · Answer

Thank you for your question. Absolutely, Invisalign can be and often is covered by the insurance. It all depends on the plan your employer purchased for you.

Steve Alper, DMD · Answer

If your insurance covers orthodontics, then Invisalign is covered.  The doctor doesnt tell the insurance company what method (Invisalign or Braces) is being used.

	 

	Just call your insurance company and ask if they cover code D8090.

	 

	Remember there may be dollar maximums on your plan for orthodontic work, so find out what they are, and what percentage the insurance company will cover.

Mojdah Akhavan, DDS · Answer

Yes! happily i can say that orthodontic insurance will cover invisalign treatmentI

R. William McNeill, DDS, MS · Answer

Dental insurance policies that have an orthodontic benefit provide coverage without limiting it to a specific type of braces. Traditional braces, Invisalign, retainers, and all other tools that orthodontists use are are treated the same for insurance purposes.

Lawrence Singer, DMD (in memoriam) · Answer

Most insurance companies will cover orthodontic work. It is the treatment process that is being paid for, not the results. Call you insurance company and see what they cover, as most will usually pay a portion of the orthodontic fees.

Doug Depew, DMD, MS - Account Suspended · Answer

In dentistry we are used to the insurance company paying for a filling or a crown on a specific tooth. Unlike other areas of dentistry, in orthododontics the treatment process is what is being paid for. The insurance company doesn't care what we use to accomplish the task. It can be fixed braces, removable aligners, or a kitchen fork (just kidding).  They don't care. As long as we have realistic treatment goals, that is what they are paying for. 
You should also be aware that insurance companies usually pay a portion of the orhtodontic fee. A typical reimbursement would be 50% of the orthodontic fee with a maximum of $1500. That is still a big help for a case that might have a total fee of over $5000.

Lance Timmerman, DMD, MAGD - Account Suspended · Answer

It would be wise to contact the insurance company first, but most of the time they don't ask what tools will be used, just the service (in this case, orthodontics).  If you have an ortho benefit, then you have a benefit. 
Contacting the insurance company MAY get them to change this stance, as they may not have considered it before.  Remember, the goal of any insurance company is to NOT pay out money if they can help it.  The less specific you can be, the more likely you will have a benefit.

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