An orthodontic procedure is care that treats conditions in which the teeth are not correctly positioned, resulting in improper bite. An orthodontist specializes in making the teeth straight. These claims often
employ the use of braces or other devices.
- Orthodontic procedures are set at their own coverage level within a benefit plan and they are subject to a lifetime maximum.
- The lifetime maximum for orthodontic procedures includes claim history prior to current benefits coverage.
- Most plans cover juvenile orthodontics (up to age 19).
- Adult orthodontics may be covered; check your benefit summary for detail.
Common forms of orthodontic procedure include:
- Conventional braces
- Clear aligners