Is Invisalign Covered by Insurance?: Navigating the Smile Journey and Maximizing Your Coverage

How to Get Invisalign Covered by Insurance in the USA

Invisalign is a popular and effective way to straighten your teeth without the hassle and discomfort of metal braces.

However, many people wonder if Invisalign is covered by insurance, and how much it costs to get this treatment.

In this blog post, we will answer these questions and provide you with some tips and resources to help you get Invisalign covered by insurance.

Invisalign Insurance
Photo Courtesy: drjustinhong.com

 

What is Invisalign, and How Does It Work?

Invisalign is a system of clear, removable aligners that gradually move your teeth into the desired position. Unlike traditional braces, Invisalign is virtually invisible, comfortable, and easy to maintain.

You can remove the aligners to eat, drink, brush, and floss, and you only need to visit your dentist or orthodontist every six to eight weeks for check-ups and adjustments.

Invisalign can treat a variety of dental issues, such as:

1. Crooked teeth
2. Crowded teeth
3.  Gaps between teeth
4. Overbite
5. Underbite
6. Crossbite
7. Open bite

To get started with Invisalign, you need to consult with an Invisalign-trained provider who will examine your teeth, take digital impressions, and create a customized treatment plan for you.

You will then receive a series of aligners that you will wear for 20 to 22 hours a day, changing them every one to two weeks. The average treatment time with Invisalign is 12 to 18 months, depending on the complexity of your case.

Invisalign Insurance
Photo Courtesy: familydentalcare.com

 

Is Invisalign Covered by Insurance?

The answer to this question depends on your insurance plan and provider. Some dental insurance plans cover Invisalign treatment the same way they cover braces, while others may not cover it at all.

According to Invisalign.com, your insurance may pay for a certain percentage or dollar amount of your Invisalign treatment, up to a lifetime cap. The average insurance coverage for Invisalign is around $500 to $1,500.

To find out if your insurance covers Invisalign, you can do the following:

How to Save Money on Invisalign Treatment
An Image Illustration on How to Save Money on Invisalign Treatment

How to Initiate Invisalign Claim process

The Invisalign claim process is similar to other orthodontic treatments, but there are some tips and tricks to maximize your benefits and reimbursement.

Here are the main steps you need to follow:

  • Check your eligibility and coverage with your insurance company before starting the treatment. Use the ‘Insurance Call Reference Guide’ to collect information on your plan’s lifetime orthodontic maximum, annual dental maximum, percentage of coverage, and any limitations or exclusions.
  • Fill out the insurance claim form correctly and accurately, using the appropriate CDT codes and descriptions for Invisalign services. You may need to submit separate claims for different stages of the treatment, such as the pre-orthodontic visit, the records visit, the initial treatment start, the periodic treatment visits, and the retention phase.
  • Submit the claim form along with any supporting documentation, such as x-rays, photographs, treatment plan, and progress reports, to your insurance company. You can use the My Invisalign mobile app to check your insurance eligibility and estimate your out-of-pocket costs.
  • Follow up with your insurance company to make sure they received and processed your claim. If your claim is rejected or denied, review the reasons and appeal if necessary. You can also contact your Invisalign provider or Customer Care for assistance.
Invisalign Insurance
Photo Courtesy: familydentalcare.com

 

 

What is the average cost of Invisalign?

According to the web search results, the average cost of Invisalign is $4,862 in the USA, based on 1,061 reviews on RealSelf. However, the cost may vary depending on your insurance plan, provider, location, and the complexity of your case.

Some dental insurance plans may cover Invisalign the same way they cover braces, up to a certain amount or percentage. You can also use pre-tax dollars from your FSA or HSA, or arrange a monthly payment plan with your provider, to make Invisalign more affordable.

To get a personalized quote and estimate your out-of-pocket costs, you should consult with an Invisalign-trained doctor near you. You can use the Invisalign Doctor Locator to find a provider in your area

 

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