Will Insurance Pay for Braces If I Have a Medical Reason?
Getting braces can be a huge step for adults and teens alike. Not only is it a great way to brighten your smile, it can also make it easier to care for your teeth as you age.
Of course, some people may avoid braces because of their high-ticket cost — even if they may have more financial resources than they realize thanks to their insurance coverage. If you’re wondering what kind of assistance you’ll find for orthodontic work and whether it will cover the costs for a medical condition, we’ll look at the details below.
Does Insurance Cover Braces?
All dental insurance plans vary, not just by carrier but by policy type and location. In general, if you have coverage for orthodontic work, it’s up to a certain limit (e.g., $2,500 for the lifetime of the policy). However, even if you don’t have coverage for braces, you may still be able to file a claim through your health insurance. If your orthodontist in Shawnee, KS determines that you need braces to fix a medical necessity, you may be eligible under your current coverage.
What Counts as a Medical Necessity?
Medical necessity is something of a grey area, but it usually comes down to severity. For example, if you have extreme abnormalities, such as a life-impacting underbite that affects your ability to chew or speak. Or if you’re experiencing severe pain due to misaligned jaw or breathing obstructions while you sleep.
Find an Orthodontist in Shawnee
Braces in Shawnee, KS can solve a wide range of issues, especially if you have more severe developmental concerns. At Bulleigh Orthodontics, our team can help you learn more about your payment options, so that you can make the decision based on health and not budget.













