Are Braces Covered By Dental Insurance?

Are you considering getting braces but worried about the cost? The good news is that dental insurance can help cover some of the expenses. However, understanding what your dental insurance covers can be confusing and overwhelming.

In this blog post, we will break down the basics of dental insurance coverage for braces and provide tips on how to make sure you’re maximizing your benefits. So, whether you’re a teenager or an adult looking to improve your smile, read on to learn more about how dental insurance can help with the cost of braces!

Dental Insurance Basics

Dental insurance is a type of health insurance that covers expenses related to dental care. It’s important to note that not all dental insurance plans are the same, and they vary in terms of coverage and cost.

Most dental plans fall under one of two categories: indemnity or managed-care plans. Indemnity plans typically offer more flexibility when choosing a dentist but can be more expensive than managed-care options. Managed-care plans usually have lower costs and often require patients to choose from a network of dentists.

When considering dental insurance, it’s crucial to understand what your plan covers – some may only cover routine cleanings and exams while others may provide benefits for orthodontic treatment like braces.

It’s also essential to know whether your preferred dentist is considered an “in-network” provider by your plan. Choosing an out-of-network provider could result in higher out-of-pocket costs or even no coverage at all.

Understanding the basics of dental insurance can help you make informed decisions about which plan best fits your needs and budget when seeking orthodontic treatment like braces.

In-Network and Out-of-Network Providers

When it comes to dental insurance, it’s important to understand the differences between in-network and out-of-network providers. In-network providers are dentists who have an agreement with your insurance company to provide services at a discounted rate. Out-of-network providers do not have this agreement and may charge higher fees.

Choosing an in-network provider can save you money on dental treatments, as your insurance plan will cover a larger portion of the cost. However, if you choose an out-of-network provider, you may end up paying more out of pocket.

It’s also important to note that some dental plans only cover treatment provided by in-network providers. If you see an out-of-network dentist when coverage is limited to in-network care only, you could be responsible for the entire bill.

To find out whether a dentist is in or out of network, simply call your insurance provider or check their website. Most plans offer online directories that list all participating dentists.

Choosing between in and out-of network providers depends on individual needs and budget constraints. It’s always best to weigh the pros and cons before making any decisions about dental care coverage.

What Does Dental Insurance Cover?

Dental insurance is designed to help you cover the costs of routine dental care, as well as more extensive treatments like braces or oral surgery. However, it’s important to remember that not all plans are created equal. Here’s what dental insurance typically covers:

Preventative Care: Most dental insurance policies will cover preventive services such as regular cleanings and checkups, X-rays, and fluoride treatments.

Basic Procedures: Basic procedures such as fillings, extractions and simple root canals are often covered by dental insurance plans. Keep in mind that there may be a limit on the number of procedures covered each year.

Major Procedures: More complex procedures like bridges, crowns, and dentures may also be partially covered by some plans. These types of treatments can come with higher out-of-pocket expenses than basic procedures.

Orthodontics: If you’re considering getting braces for yourself or your child, it’s a good idea to check if orthodontic treatment is covered by your plan. Many plans only offer partial coverage for these types of treatments.

It’s important to carefully review your policy before undergoing any kind of dental procedure so that you understand exactly what is and isn’t included in your coverage.

How Much Does Dental Insurance Cost?

Dental insurance is an important investment for those seeking to maintain optimal oral health. The cost of dental insurance can vary depending on several factors, such as the type of plan you choose, your location, and the extent of coverage.

Some dental plans offer basic coverage for preventive care such as routine cleanings and checkups at a relatively low monthly premium. However, if you need more extensive procedures like braces or root canal therapy, then expect to pay a higher premium.

It’s crucial to note that while some employers may provide dental benefits as part of their employee benefit package; others may require employees to contribute towards their premiums.

Another factor that affects the cost of dental insurance is whether you opt for in-network providers versus out-of-network providers. Choosing an in-network provider may lead to lower costs since they have already agreed on discounted rates with your insurer.

Be sure to compare plans from different insurers before choosing one that meets your needs and budget. Some carriers even offer discounts for families who enroll together or pay upfront annually instead of monthly.

Investing in good dental insurance now will ultimately save you money down the road by helping prevent costly future treatments caused by neglecting oral hygiene practices today.

How to Get Dental Insurance

If you’re interested in getting dental insurance, there are a few ways to go about it. One option is through your employer. Many companies offer dental insurance as part of their employee benefits package.

If you’re self-employed or your employer doesn’t offer dental insurance, you can also purchase individual plans on the marketplace or through private insurers. It’s important to carefully compare plans and read the fine print before choosing one that meets your specific needs.

Another option for obtaining dental coverage is by enrolling in a discount plan. These plans typically don’t cover all procedures like traditional insurance does, but they do provide discounts on certain services and treatments.

Whichever route you choose, make sure to research thoroughly and ask questions about what’s covered and any limitations or exclusions of the policy. Taking these steps will help ensure that you find a plan that fits your budget and provides adequate coverage for your oral health needs.


Dental insurance can be a great investment when it comes to maintaining good oral health and getting the necessary treatments done. However, it is important to understand what exactly your plan covers and how much you will need to pay out of pocket for services that are not covered.

When it comes to braces specifically, many dental insurance plans do offer coverage but there may be certain limitations or requirements that must be met in order to qualify. It’s always best to check with your provider directly or speak with an orthodontist about options for payment plans or financing if needed.

Investing in dental insurance can provide peace of mind and ensure that you receive the care you need without breaking the bank. By understanding the basics of coverage and costs associated with various treatment options, you’ll be able to make informed decisions about your oral health needs now and in the future.