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Dental Insurance vs. Orthodontic Insurance vs. Medicaid... Which cover braces?

We have been getting a lot of questions lately as to what types of insurance plans cover braces, which ones do not, and what the difference is between the different types of insurances so we decided to make this blog post about INSURANCE FAQs.

If we both have dental insurance through the same company, do we have the coverage?

There are many different types of insurance plans, and just because you have dental insurance through one company does not mean that you have the same coverage as another person who has their dental insurance through the same company. Furthermore, just because you are employed by the same company and have the same dental insurance, that still does not mean you have the same coverage.

Dental insurance can be a confusing thing and we are here to help you navigate the complex world of insurance!

What is the difference between dental insurance and orthodontic insurance?

There is actually quite a big difference between these types of insurances. You cannot have orthodontic insurance without having some sort of dental insurance, but you certainly can have dental insurance without having orthodontic insurance. A lot of times you can choose to have orthodontic coverage when purchasing your dental insurance for the upcoming year. In terms of the orthodontic insurance, sometimes this will only cover children up to a certain age, like 19 or 26 for example. Other times there will be no age limit and there will be adult coverage for treatment, which is great news if you do have that type of coverage since we are seeing more and more adults who are interested in orthodontic treatment. If you do have dental insurance and would like us to check on it to see if there is any orthodontic benefit we would be happy to do so!

Does Medicaid cover orthodontic treatment in the state of Texas?

In years past medicaid did cover a fair amount of orthodontic treatment, based on complexity/severity of the case. However, this is not the case anymore. It is rather difficult now to get approved for medicaid coverage of orthodontic treatment, even in the most complex and severe cases of orthodontic need.

We understand this though and are committed to making treatment affordable for everyone and are proud to offer consultations at no charge for anyone who is interested in orthodontic treatment or wants to learn about what their orthodontic needs are and what type of affordable payment plan they can be on when it comes to orthodontic treatment.

If you have any additional questions about Mack and Hansen Orthodontics or want to discover how Dr. Spencer Mack and Dr. Andrew Hansen can help you gain straighter teeth and a healthier smile with braces or Invisalign please contact us today! You can also visit www.etxortho.com to learn more about our orthodontists and request a complimentary consult, or you can call us at 903-212-7737. We’re conveniently located in Longview, TX and are just a quick drive from Marshall, Carthage, Henderson, Kilgore, and Gilmer.

Giving East Texas a Reason to Smile