Understanding your Insurance benefits
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Navigating orthodontic insurance can feel confusing, but our team is here to make the process as simple and stress-free as possible. We'll help you understand your benefits, explain your coverage, and answer any questions you may have before treatment begins.
Lifetime Maximums
Most orthodontic insurance plans include a lifetime maximum benefit. Unlike medical insurance, this amount does not renew each year. Once the orthodontic benefit has been used, it is no longer available for future treatment.
Coverage during treatment
Orthodontic benefits are typically paid throughout treatment rather than in one lump sum. To continue receiving benefits, your insurance coverage must remain active during treatment.
If your insurance changes or ends before treatment is complete, any remaining balance may become your responsibility. If this happens, our team will communicate with you every step of the way.
Changes in Insurance plans
Additional procedures
Some orthodontic cases may require additional procedures, such as oral surgery or tooth exposure treatments. Depending on your insurance plan, these services may impact the amount of orthodontic benefits available.
Insurance benefits can vary significantly from plan to plan. If your insurance changes during treatment, your new plan may not automatically continue orthodontic coverage unless it includes a "work in progress" provision.
Our team can help review any changes and explain how they may affect your treatment benefits.
Questions About Your Coverage?
We're happy to help you understand your benefits and explore all available payment options.
Two-Phase Treatment
Some patients benefit from treatment completed in multiple phases. Because orthodontic insurance benefits are based on a lifetime maximum, a portion of the available benefit may be used during the first phase, leaving reduced or no remaining benefits for future treatment phases.
