Will dental insurance pay for Invisalign?
If your teeth need some TLC treatment, you can get dental insurance plans that cover Invisalign. Invisalign is an orthodontic procedure that works to straighten your teeth without using traditional orthodontics (braces).
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Brandon Frady
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Brandon Frady has been a licensed insurance agent and insurance office manager since 2018. He has experience in ventures from retail to finance, working positions from cashier to management, but it wasn’t until Brandon started working in the insurance industry that he truly felt at home in his career. In his day-to-day interactions, he aims to live out his business philosophy in how he treats hi...
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UPDATED: Feb 22, 2024
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UPDATED: Feb 22, 2024
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance providers please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.
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If your teeth are in need of some TLC treatment, you can get dental insurance plans that cover Invisalign. Invisalign is an orthodontic procedure that works to straighten your teeth without using traditional orthodontics (braces).
These braces are invisible and removable aligners that are designed specifically to push teeth into the right places. This is can be expensive, but effective, and particularly preferred by those who find out when they are older that they require orthodontic treatment. It’s a great way to improve a smile at any time.
How much does Invisalign cost if I don’t have dental insurance?
Again, this is not a cheap treatment and can differ from patient to patient depending on what sort of price you want to pay and what kind of dental plan you’re going to need. Whether you see an orthodontist or just a dentist, you will be able to get a real estimate of what Invisalign will cost you. Factors such as; what exactly you want or need to be corrected, how difficult your specific case is, and how long your treatment time would be in order to help determine the actual treatment cost of your situation.
For the most part, the cost for treatment with Invisalign is very comparable to that of the more traditional braces. The average cost for U.S. customers ranges anywhere between $3000 and $8000. The national average comes in around $5000 for 18 months. Invisalign states that they offer payment options. One of the most popular types of flexible payment options with consumers is being able to work within a monthly payment plan. Sometimes there are dental discount plans that are offered to offset some of the costs. It’s always worth looking into the insurance options that are available.
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Who wants Invisalign?
The better question might be, who doesn’t want Invisalign? Many people want to use Invisalign to help with misaligned teeth or alignment issues. Most people consider Invisalign because it does not use traditional metal braces. Furthermore, Invisalign is like invisible braces that are supposed to be typically less invasive (less painful) than conventional braces.
The teeth are fitted with clear aligners that are hard to detect with the naked eye. Every month or so, you will get a new aligner to pull your teeth in straighter and straighter. Many people have to do this for at least 18 months (some people a bit more, just like how some of those who wear regular braces need them longer than others). This is why it can get so costly; you are getting fitted every month or so!
So, what about insurance?
You can get dental insurance coverage that covers only the basics of cleaning and other preventative care. These kinds of plans rarely cover anything other than:
- Annual cleanings
- A set of new X-rays every year or so
- The cost of fillings
It is totally possible, though, to get plans that cover more than this, including insurance for braces and serious dental work. Some, however, will not cover the cost of braces because they are considered cosmetic work and perform no preventative function.
If you think Invisalign is something that you would be interested in at some point in the future, ask your insurance company (or, better yet, the person who sold you your plan) directly if they cover this. They will likely cover something, even if you need to change your plan slightly to accommodate it.
They may consider Invisalign as a purely cosmetic procedure regardless of the situation. Or, they may have a set of guidelines in determining whether or not it would be a dental procedure. Ask about those guidelines and get everything in writing.
If your dental insurance company does not specifically cover this treatment, it is still possible to get insurance coverage through an orthodontic policy, which is what many people get when they need to afford braces for themselves or for someone in their families. Orthodontic coverage usually covers at least $1000 and up to $2500 for this treatment. You can sometimes add this to your basic dental plan policy.
Case Studies: In-Depth Examination: Unveiling Case Studies on Dental Insurance Coverage for Invisalign
Case Study 1: Jessica’s Insurance Coverage
Jessica, a 29-year-old professional, sought Invisalign for correcting her misaligned teeth. She checked her dental insurance and found out that her plan covered orthodontic treatments, including Invisalign. The insurance covered a substantial part of the expenses, resulting in a reasonable out-of-pocket cost for Jessica.
Case Study 2: Mark’s Partial Coverage
Mark, a 35-year-old teacher with employer-provided dental insurance, discovered limited coverage for orthodontics, including Invisalign. Despite the insurance plan covering only a portion of the cost, Mark chose to proceed with the treatment, acknowledging the need to budget for the significant out-of-pocket expenses.
Case Study 3: Sarah’s No Coverage
Sarah, a 21-year-old student, had an independently purchased dental insurance plan that excluded coverage for orthodontics, including Invisalign. Disappointed, she had to shoulder the entire expense of the treatment on her own or explore alternative payment options like financing or payment plans provided by the orthodontist.
Case Study 4: John’s In-Network Advantage
John, a 42-year-old professional, utilized his employer’s dental insurance network for an in-network orthodontist. His insurance covered a significant part of the Invisalign treatment, maximizing affordability and cost-effectiveness.
Case Study 5: Maria’s Pre-authorization Process
Maria, a 31-year-old freelancer, obtained pre-authorization from her dental insurance for Invisalign treatment after her orthodontist submitted the treatment plan. The confirmation of significant coverage allowed Maria to plan her budget and proceed with the treatment with peace of mind.
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The Bottom Line
Being a consumer means you have choices, and that extends to the type of treatment and braces that are available. If you want and need Invisalign then finding the top dental insurance coverage doesn’t have to be a painful and tolling process. You can get free insurance quotes using our online tool on this page that can connect you to national and local private insurance providers that will offer you fast quotes on the kind of insurance you are looking for.
Before you purchase any plan type, make sure you get all your questions asked by a representative of the company, and that you see the answers you are looking for in writing. Never take someone’s word about that something is covered in your policy that you do not actually see written in the policy, because you will have a hard time getting it covered later down the line. That includes not only the coverage for braces, but also any additional costs for anything else included in the procedure.
One insurance plan will never be able to do everything you would like for it to do, so you’ll want to really sit and compare your options until you get the best mix of services and relative cost. Your health is incredibly important, and that means your teeth need taking care of, too! They do a lot more than just create beautiful smiles. Find the insurance that is the right fit for you and your family right now.
Frequently Asked Questions
Will dental insurance cover the cost of Invisalign treatment?
Yes, dental insurance may cover Invisalign treatment, but it ultimately depends on your specific insurance plan. Many dental insurance plans now offer coverage for orthodontic treatments, including Invisalign, as it has become a popular and effective alternative to traditional braces. It is advisable to review your insurance policy or contact your insurance provider to determine the extent of coverage and any requirements or limitations associated with Invisalign treatment.
Can I use my dental insurance to help with the cost of Invisalign?
Absolutely! Dental insurance can be used to help offset the cost of Invisalign treatment. As long as your insurance policy covers orthodontic procedures, including clear aligners like Invisalign, you may be eligible for reimbursement or direct coverage. It’s important to check the details of your insurance plan, such as deductibles, co-pays, and coverage limits, to understand the extent of your benefits for Invisalign treatment.
Is Invisalign typically covered by dental insurance plans?
Yes, Invisalign is often covered by dental insurance plans that include orthodontic coverage. Over the years, Invisalign has gained recognition and acceptance as an effective teeth-straightening solution. As a result, many dental insurance providers now include coverage for Invisalign treatment.
Will my dental insurance fully pay for Invisalign treatment?
Dental insurance typically covers a portion of the cost of Invisalign treatment, but it’s unlikely to fully cover the entire expense. The extent of coverage varies depending on your insurance plan and its specific orthodontic benefits. While some plans may cover a significant percentage of the cost, others may only provide a fixed dollar amount or a specific maximum benefit.
Can I combine my dental insurance with a Flexible Spending Account (FSA) to cover Invisalign costs?
Yes, you can often combine dental insurance with a Flexible Spending Account (FSA) to help cover the cost of Invisalign treatment. An FSA allows you to set aside pre-tax dollars from your salary to use for eligible healthcare expenses, including orthodontic treatments like Invisalign. By utilizing your FSA funds along with your dental insurance coverage, you can potentially reduce your out-of-pocket expenses and make Invisalign treatment more affordable.
Are there any specific requirements I need to meet for my dental insurance to cover Invisalign?
Some dental insurance plans have specific requirements or criteria that need to be met for Invisalign coverage. These requirements can vary between insurance providers and policies. For example, your insurance might require pre-authorization, meaning you need to obtain approval from the insurer before starting treatment.
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Brandon Frady
Licensed Insurance Agent
Brandon Frady has been a licensed insurance agent and insurance office manager since 2018. He has experience in ventures from retail to finance, working positions from cashier to management, but it wasn’t until Brandon started working in the insurance industry that he truly felt at home in his career. In his day-to-day interactions, he aims to live out his business philosophy in how he treats hi...
Licensed Insurance Agent
Editorial Guidelines: We are a free online resource for anyone interested in learning more about auto insurance. Our goal is to be an objective, third-party resource for everything auto insurance related. We update our site regularly, and all content is reviewed by auto insurance experts.