How Does Orthodontic Insurance Work?

As a standard rule, Orthodontic Coverage is a special coverage that may or may not be included with your Dental Plan.  It is usually a separate benefit to the General Dentistry coverage and the benefits are typical to be 50% of cost UP TO a Lifetime Max.  Each plan max is different and can be as little as $500 up to as much as $3000 (in our year’s of experience this is what we’ve seen.)

Some key points I like to explain to patients who may be considering getting orthodontic insurance is to make sure the BENEFIT outweighs the COST…meaning: insurance for a specific purpose such as orthodontic may require a set amount of time BEFORE benefits kick in (verify if there is a WAITING PERIOD) to determine if the plan cost $$ x the number of months needed to get the benefit = or is LESS THAN the actual benefit that would be received.  In most cases, orthodontic treatment could be held off starting until insurance benefits would kick-in, but there are some instances that waiting on treatment could extend the amount / type of treatment otherwise.  CONSULT with your orthodontist first to decide what you need to do for the most benefit of the patient.

Treatment Cost – Insurance = Patient Balance which we are happy to make an arrangement with you for the payment of the balance.  Our Outside Office Plans include: Springstone, Care Credit and if neither of those will work for your budget then we do have an In-Office Plan.

We accept most major insurance plans and are happy to check your benefits level at our FREE Consultation.  If you have specific questions, feel free to give us a call at 513-229-3100.

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