Results 1 to 41 of 41

Thread: How much did insurance cover on Invisalign?

  1. #1
    smboiser is offline Junior Member
    Join Date
    Aug 2009
    Location
    Texas
    Posts
    2

    Red face How much did insurance cover on Invisalign?

    Starting in October i will have Cigna HDMO coverage and that is when i will start my invisalign process. I am just wondering what insurance company people have and about how much money did there insurance company cover for there invisalign?

  2. #2
    ajs2294's Avatar
    ajs2294 is offline Member
    Join Date
    Aug 2009
    Location
    Tampa, Florida
    Posts
    53
    Blog Entries
    9
    Though I do not have invisalign my orthodontist said with my insurance (metlife ppo) that it would max at 1,500 dollars of coverage.
    Braces on August 19th, 2009
    Ceramic Upper, Metal Lower

  3. #3
    SunGod is offline Junior Member
    Join Date
    Jul 2009
    Posts
    7
    Blog Entries
    3
    Since I am over 19, my dental insurance will cover $0.

  4. #4
    MCOMarkhamOrthodontist's Avatar
    MCOMarkhamOrthodontist is offline Certified Orthodontist
    Join Date
    Mar 2009
    Location
    Markham, Toronto, Richmond Hill, Stouffville
    Posts
    987
    At this time, insurance companies don't distinguish between traditional fixed braces and Invisalign. While more and more plans are eliminating any kind of coverage for orthodontics, those that do cover it are generally 50% up to a lifetime maximum. This maximum usually ranges from about $1000 to $3000. Our office has found that government and automaker plans to have the best coverage, with some going up to 75%.

    A common mistake is for patients to assume that their dental coverage is the same as that for orthodontics. They are very different and some may require being under the plan for a few years before being able to use orthodontic benefits.

    Every company has several tiers of benefit coverage, so it is best to check the details of your particular coverage when you get it. Good luck!
    Dr Jason K Tam
    Certified Markham Orthodontist Serving Adults, Teens, and Children in Greater Toronto
    2 offices: MCO Markham Orthodontist , MCO Stouffville Orthodontist
    Invisalign Elite Provider 2012, Invisalign Teen Provider

    *NEW* Blog Invisalign in Toronto
    Video of Before and After Invisalign

    For the best Toronto Invisalign results, check out how to choose an Invisalign doctor, and Invisalign vs Braces
    Markham Braces Blog

    Stouffville Orthodontist Facebook

  5. #5
    Punkin is offline Senior Member
    Join Date
    Feb 2008
    Posts
    290
    Blog Entries
    3
    It's going to depend on your plan, not your insurance provider (mostly). When we had Cigna, our plan covered $1000/lifetime, and everything else was 50% coverage. Our new plan provided us with $1500/lifetime, with 50% on everything else. (I have MetLife).

    There are also dental HMO's, which provide more coverage, but in my case, I would have been severely limited in who I could have chosen as a provider (for both dental and orthodontic).

    Pick up the phone, call your insurance company - they can answer you pretty quickly.
    -Brenda








  6. #6
    radaly is offline Member
    Join Date
    Aug 2009
    Location
    San Diego, CA
    Posts
    34
    I have Delta Dental. For our plan, it covered 50% of costs up to $500, which is waaaaaaaaaaaaaaaaaay too little, in my opinion. If I was under 23, they'd pay up to $1500. Illogical, just because I'm over 23 that I get less coverage.

  7. #7
    MlleMo is offline Junior Member
    Join Date
    Aug 2009
    Posts
    10
    mine covered 50% up to 2000 max for adult ortho paid quarterly. I have aetna. so my invisalign cost 5600 total, 2000 down payment and initial order, -2000 insurance. I have 1600 on an interest free payment plan for 18 months

  8. #8
    Rosieee's Avatar
    Rosieee is offline Senior Member
    Join Date
    Mar 2009
    Location
    New Zealand
    Posts
    213
    Quote Originally Posted by MlleMo View Post
    mine covered 50% up to 2000 max for adult ortho paid quarterly. I have aetna. so my invisalign cost 5600 total, 2000 down payment and initial order, -2000 insurance. I have 1600 on an interest free payment plan for 18 months
    LUCKYYYYYY - In New Zealand there is no insurance on orthodontist work...so lots of people have yucky teeth hahaha.
    .oO ROSIEEE Oo.

  9. #9
    Moonstone is offline Junior Member
    Join Date
    Jul 2009
    Location
    USA
    Posts
    8
    I have Delta and it covers NOTHING after age 19. I'm paying it all. Another reason for teens to wear their retainers (religiously) as directed! They'll probably end up needing orthodontic treatment again if they don't. I haven't heard of many insurance plans that include ortho treatment for adults. Live and learn (& pay big money!)!!!!

  10. #10
    350GT is offline Member
    Join Date
    Aug 2009
    Location
    Dallas, TX
    Posts
    55
    Blog Entries
    7
    Aetna doesn't pay anything for adults, only children under a certain age.

  11. #11
    SweetPea is offline Junior Member
    Join Date
    Jun 2009
    Posts
    10
    I have both Blue Cross Blue Shield- government wide and United Concordia. Neither of them are pitching in a dime I'm too old apparently. This should be a great case for age discrimination right? Ha ha.

  12. #12
    Punkin is offline Senior Member
    Join Date
    Feb 2008
    Posts
    290
    Blog Entries
    3
    Again, folks, it's going to depend on the plan you have with the company, not the company itself.
    -Brenda








  13. #13
    myhollywoodsmile is offline Senior Member
    Join Date
    Jan 2009
    Location
    Brisbane, Australia
    Posts
    400
    I am in Australia and have an all singing, all dancing plan with MBF. They pay 80% up to a lifetime max of $3k I think, so they will pay about half of mine. I'm pretty happy with that.
    Visit my Invisalign Braces Blog MY Hollywood Smile

  14. #14
    MillionDollarSmile is offline Junior Member
    Join Date
    Mar 2010
    Posts
    3
    Mine is only going to cover 1000 of my 4500 bill

  15. #15
    kathi29 is offline Junior Member
    Join Date
    Dec 2009
    Posts
    6
    Aetna is covering exactly $0 for me. They would cover traditional braces to $1500 even though I am an adult, but the consider Invisalign to be cosmetic so no coverage.

  16. #16
    lemon tree is offline Senior Member
    Join Date
    Dec 2008
    Posts
    142
    Blog Entries
    62
    I got 60% coverage (of a $4400 bill) through my employer sponsored insurance (blue cross). I'm a pretty happy camper.
    Last edited by lemon tree; 03-09-2010 at 11:47 AM.

  17. #17
    Ryleigh is offline Junior Member
    Join Date
    Jan 2010
    Posts
    8
    I have $2500 life time as does my husband, so $5000 for the $5500 is paid. Very lucky as daugh currently has traditional braces so $5000 of $5900 for her.

  18. #18
    angel9165's Avatar
    angel9165 is offline Senior Member
    Join Date
    Jan 2010
    Location
    Lincoln, NE
    Posts
    102
    My insurance won't cover Adult Orthodontics but they will pay for 1/2 of a child's and my son is turning 14 in a few months and will need braces so at least they'll help me there.

  19. #19
    Phantom Muse's Avatar
    Phantom Muse is offline Senior Member
    Join Date
    Jan 2010
    Location
    Chicago, IL
    Posts
    652
    No coverage for me through Blue Cross/Blue Shield in Illinois, but fortunately we were able to get $1500.00 of my daughter's braces covered. Not much, but better than nothing!

  20. #20
    TeeWee's Avatar
    TeeWee is offline Junior Member
    Join Date
    Mar 2010
    Location
    USA
    Posts
    14
    My insurance did not cover anything. After I am 21, they no longer will cover ANY dental work. (I.E. Cleanings, impressions, Xrays)... I'd be happy with even $500 worth of help from my insurance. Mine were $4000, so, I'm happy they weren't too "pricey"-- even though I could of bought a lot of clothes with $4000 bahaha

  21. #21
    Mr. Z's Avatar
    Mr. Z is offline Member
    Join Date
    Feb 2010
    Location
    Philadelphia
    Posts
    33
    You guys are getting a good deal. I'm paying around 8,000 for my invisalign! My dentist is in NYC, not exactly the cheapest place to have work done. Not sure if Aetna will cover it or not. With normal braces they'll cover 50% up to 1500 lifetime. But, i have my doubts that they're going to cover anything for invisalign.

  22. #22
    lemon tree is offline Senior Member
    Join Date
    Dec 2008
    Posts
    142
    Blog Entries
    62
    ^ that's too bad that some insurance companies choose not to update their plans when it is not in their favor to do so.

    I didn't realize how lucky I was to be covered as an adult.

  23. #23
    tman314 is offline Member
    Join Date
    Oct 2009
    Location
    NYC
    Posts
    61
    Paying full price out of pocket. I'm in NYC too but am only paying $3900 which according to my ortho should include free retainers. Being a grad student in NYC though originally from the midwest, I'm definitely happy with my deal as I thought it would be much much worse.
    Last edited by tman314; 03-09-2010 at 12:10 PM.

  24. #24
    bpp
    bpp is offline Member
    Join Date
    Jan 2010
    Posts
    63
    I have Cigna Pro... but they will only cover orthodontics until age 19... man this sucks.. absolutely no coverage at all. 6k on my own

  25. #25
    myhollywoodsmile is offline Senior Member
    Join Date
    Jan 2009
    Location
    Brisbane, Australia
    Posts
    400
    I actually just discovered today that although I have $2500 lifetime coverage that is for orthodontics and major dental combined. That means that as I have now used up all of mine, all my crowns, root canals etc won't be covered in the future. Better stick to this flossing/ brushing routine!
    Visit my Invisalign Braces Blog MY Hollywood Smile

  26. #26
    annabella is offline Member
    Join Date
    Jan 2010
    Location
    Houston Texas
    Posts
    87
    We have cigna ppo and it pays a max of 1500 for adults and children. May have to get some myself.

  27. #27
    Slider is offline Member
    Join Date
    Apr 2010
    Location
    Hope Mills, NC
    Posts
    38
    Metlife paid 50% with a max of $2000 for me. I also used the Flex Spending Account offered by my employer which is pretax money taken from my paycheck for medical expenses. I recommend that to anyone that has an employer that offers a FSA plan.

  28. #28
    rozealbert is offline Junior Member
    Join Date
    Oct 2011
    Posts
    1
    If you have taken Orthodontic Dental Insurance then it will pay about half of your expenses incurred during adjustment of invisalign braces. So, you don't need to worry if you don't have enough money to go for adjustment of braces as insurance company will pay for it.

    For more information visit: Orthodontic Dental Insurance | Orthodontic Insurance

  29. #29
    Boira's Avatar
    Boira is offline Member
    Join Date
    Mar 2011
    Location
    Far Far Away
    Posts
    90
    Blog Entries
    8
    Nothing.
    I'm paying it all.
    Invisalign: 23/26U - 23/48L - 13 attachments
    Blog: I want a new smile!

  30. #30
    Dissy is offline Member
    Join Date
    Jan 2011
    Location
    Los Angeles, CA
    Posts
    35
    I have Aetna and they are covering 50% up to $2000!

    My total cost is going to be US $5200

  31. #31
    SharonV's Avatar
    SharonV is offline Member
    Join Date
    Sep 2011
    Location
    Boynton Beach, FL
    Posts
    46
    I have Delta Dental and they are covering $1500. My total treatment is $4400.
    U - 17 of 19
    L - 17 of 21
    6 - Attachments

  32. #32
    Sassee's Avatar
    Sassee is offline Member
    Join Date
    May 2011
    Location
    Edmonton, Alberta, Canada
    Posts
    76
    Blog Entries
    3
    I am from Canada, my insurence is through Sunlife Finachial and they cover 60% with a life max of $2500. However my job also gives me the flex benefits like Slider and i put my payments through there as well. I also pay monthly payments so that makes it way easier. When all is said and done I think I will pay about $1500.00 out of pocket and my total treatment is $8200.00

  33. #33
    lanabyte is offline Member
    Join Date
    Jun 2009
    Location
    Charleston, WV
    Posts
    59
    I don't have insurance and could never find any company that would pay for braces for anyone over 19. Luckily, my ortho offers in-house, interest-free financing, but the entire $5500 is still out of pocket.
    Currently on trays 22 of 28 U/L --- OVER HALFWAY DONE!

    My Invisalign blog: http://lana.wordpress.com/

  34. #34
    GoofyGG is offline Senior Member
    Join Date
    Sep 2010
    Location
    United Kingdom
    Posts
    316
    it's not common to have dental insurance here in the UK because of the NHS. So I'm paying for it all, £4,000. Anyone still at school would be entitled to free orthodontic work should it be deemed necessary.
    U31 & L23 finished.
    Refinements U9 & L9 of 13 or 16?!

  35. #35
    emilylaurence is offline Junior Member
    Join Date
    Nov 2011
    Posts
    1
    As you are owing Cigna HDMO dental coverage that will start after your invisalign process and seeking for any insurance plan by opting which can be able to afford the cost for the treatment, so you can opt Orthodontic Insurance Plan that provides and cover the cost of your treatment upto 50%.

  36. #36
    bluegray is online now Member
    Join Date
    Oct 2011
    Posts
    63
    Nothing. My dental insurance only covers childhood orthodontics.

  37. #37
    alecsteva is offline Junior Member
    Join Date
    Dec 2011
    Posts
    1
    If you have already taken orthodontic insurance then you can easily manage the expenses of Invisalign Braces. You will be glad to know that insurance company will pay approx half of the expenses incurred during treatment.

  38. #38
    mommamorin is offline Senior Member
    Join Date
    Jan 2009
    Posts
    360
    I did not have ortho coverage at the time of my treatment but picked it up to pay for retainers. My insurance will cover 1500 lifetime.
    momma

  39. #39
    Headkels0h is offline Junior Member
    Join Date
    Oct 2011
    Posts
    3
    my invisalign is
    Last edited by Headkels0h; 01-04-2012 at 01:07 AM.

  40. #40
    richerdey is offline Junior Member
    Join Date
    Feb 2012
    Posts
    1
    Now there are many affordable Dental Insurance are available for adults as well as child. These orthodontics insurance plans covers full dental Implants or Invisalign. According to your orthodontics insurance plans which provided by the insurance company provides all expenses of dental treatments as well as dental equipments.

  41. #41
    LindaBinda is offline Junior Member
    Join Date
    Feb 2012
    Location
    Michigan
    Posts
    9
    zilch!

Similar Threads

  1. What good is insurance?
    By lcremin86 in forum Jaw Surgery (Orthognathic)
    Replies: 1
    Last Post: 07-14-2009, 07:53 PM
  2. Does Dentemax cover invisalign?
    By Erica29 in forum Invisalign
    Replies: 1
    Last Post: 01-23-2009, 02:16 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •