Does Dental Insurance Cover Clear Correct Aligners In Pikesville?


Dr. Mark Guevarra

Dr. Mark Guevarra
Orthodontist In Ellicott City, MD

One of the first things to consider when looking into clear aligner therapy like ClearCorrect is if your dental insurance will pay for it. It’s normal to be worried about this, especially since orthodontic care is a big investment in your health and looks. Many of our patients at Level Orthodontics in Pikesville want to know what their insurance covers before they start treatment. The good news is that many dental insurance plans do cover clear aligners to some extent. But the specifics of this coverage can vary greatly from one policy to another.

Most dental insurance plans that cover orthodontics will pay for some of the cost of clear aligner therapy just like they would for traditional metal braces. Your standard dental benefits don’t cover orthodontics and they usually have a lifetime maximum benefit amount. This means the benefit doesn’t reset or renew after you use it. The maximum amount you can get for your whole life can be anywhere from a few hundred dollars to several thousand dollars depending on your plan. Most insurance plans will pay for a portion of the total cost of treatment, usually around 50% up to the maximum benefit. Clear aligners offer a comfortable and nearly invisible way to straighten teeth. They are custom-made to guide your smile into a healthier position. Patients appreciate the convenience of removing them for meals and brushing.

But remember, not all insurance plans cover braces for adults. Most plans only cover orthodontic care for kids and teens and they usually stop covering it after the person turns 18 or 19. If you’re an adult looking for clear aligner treatment in Pikesville you should read your policy to see if you qualify for coverage. Some companies do offer plans that include orthodontics for adults but this is less common than plans that cover orthodontics for kids. Before you start treatment we always recommend you call your insurance company directly or let us help you check your benefits to make sure there are no surprises later on. Braces remain a reliable option for correcting a wide range of orthodontic concerns. They gently guide teeth into proper alignment over time. With today’s modern materials, treatment is more precise and comfortable than ever.

Another thing to consider is that insurance companies have rules or criteria for clear aligners. Some plans only pay for certain brands or types of orthodontic appliances and they may need to be approved or authorized before treatment can start. This means we would have to send your treatment plan and supporting documents to your insurance company for them to review and approve before they will pay for any of the costs. Level Orthodontics has a lot of experience working with insurance carriers so we can guide you through this process to make sure you get the most out of your plan.

There are other ways to make treatment more affordable and accessible even if your insurance doesn’t cover clear aligners or if your coverage is limited. Our orthodontic office like many others offers flexible payment options that allow you to pay for treatment over a period of months or even years. This can make it a lot easier to work orthodontic care into your budget without having to pay for it all at once. We really believe everyone should have good orthodontic care and a healthy, confident smile. That’s why we work hard to find ways to help our patients pay for their treatment.

Some health savings accounts or flexible spending accounts can also help pay for clear aligners which is something else to consider. You may be able to use money from your employer’s HSA or FSA to pay for braces before taxes. This can help you save more money and lower the total cost of your care.

It can be confusing to understand your insurance coverage but you don’t have to do it all by yourself. When you come in for a consultation we’ll go over your insurance information with you and make sure you understand exactly what your plan covers. We may call your insurance carrier for you to confirm your coverage and give you a clear, detailed list of how much you’ll have to pay out of pocket. We want to make the money part of treatment as easy and stress free as possible so you can focus on what really matters: getting the smile you’ve always wanted.