Overview of Delta Dental coverage for braces
As a leading provider of dental insurance, Delta Dental offers comprehensive coverage for orthodontic treatment such as braces. When it comes to braces, Delta Dental typically covers a portion of the overall costs, making it more affordable for patients seeking to correct their dental alignment. This coverage is beneficial as orthodontic treatments, including braces, can be a significant investment in one’s oral health.
It’s important to note that Delta Dental coverage for braces varies depending on the specific plan and individual circumstances. Factors such as age, type of treatment required, and the severity of the orthodontic issue can affect the extent of coverage provided. Patients are encouraged to consult with their dentist and review their insurance plan details to fully understand the coverage available for braces under their Delta Dental policy.
Criteria for coverage eligibility
Delta Dental provides coverage for braces to individuals who meet specific eligibility criteria. To qualify for coverage, patients typically need to have a diagnosed malocclusion that requires orthodontic treatment. This may include issues such as overcrowding, overbites, underbites, or crooked teeth that could impact their oral health and overall well-being. Additionally, the age of the patient often plays a role in determining eligibility for coverage, with many plans limiting orthodontic benefits to individuals under the age of 18.
Moreover, Delta Dental may require patients to obtain a referral from their primary dentist or orthodontist before approving coverage for braces. This referral serves to ensure that the recommended orthodontic treatment is necessary and aligns with the patient’s dental health goals. Additionally, patients may need to undergo a thorough examination and consultation with an orthodontist to assess the severity of their malocclusion and determine the most appropriate treatment plan for their specific needs.
Types of braces covered by Delta Dental
When considering orthodontic treatment, it is important to understand the types of braces that are covered by Delta Dental. Delta Dental typically covers traditional metal braces for both children and adults. These braces consist of metal brackets and wires that are adjusted over time to shift teeth into their correct position. While metal braces are the most common option, Delta Dental may also provide coverage for ceramic braces, which are less noticeable due to their tooth-colored appearance.
For those looking for a more discreet option, Delta Dental may cover clear aligners such as Invisalign. These custom-made aligners are virtually invisible and can be removed for eating, drinking, and oral hygiene. It is important to consult with your orthodontist to determine if clear aligners are the right choice for your specific orthodontic needs and to verify coverage with Delta Dental.
Coverage limits and restrictions
When considering braces coverage under Delta Dental, it is important to be aware of the various limits and restrictions that may apply. Delta Dental typically has a maximum annual coverage limit for orthodontic treatments, which can vary depending on the specific plan you have. It is crucial to review your policy details to understand the exact coverage limits in place for braces.
Additionally, Delta Dental often requires a waiting period before orthodontic treatment coverage kicks in. This waiting period can range from six months to a year, so it is advisable to plan ahead and factor this timeline into your orthodontic treatment schedule. Understanding these coverage limits and restrictions upfront can help you make informed decisions about your orthodontic care and financial planning.
What is the coverage limit for braces under Delta Dental?
The coverage limit for braces under Delta Dental varies depending on your specific plan. It is important to review your plan details to understand the coverage limits for braces.
Are there any restrictions on the type of braces covered by Delta Dental?
Delta Dental typically covers traditional metal braces, as well as ceramic braces and clear aligners such as Invisalign. However, there may be restrictions on the type of braces covered based on your specific plan.
How do I know if I am eligible for coverage for braces under Delta Dental?
To be eligible for coverage for braces under Delta Dental, you must meet certain criteria outlined in your plan. This may include factors such as age, medical necessity, and prior authorization from your dentist or orthodontist.
Can I request additional coverage for braces if I exceed the coverage limit?
If you exceed the coverage limit for braces under Delta Dental, you may have the option to request additional coverage. This would typically involve submitting a claim for review by Delta Dental to determine if additional coverage can be provided.