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Utah Orthodontic Care Logo
  • Home
  • Services
    • Phase I Orthodontics
      • Space & Growth Management
        • Space Maintainers
        • Palatal Expanders
        • Lower Lingual Holding Arch
        • Distalizers or Headgear
      • Alignment & Bite Correction
        • Limited (Partial) Braces
        • Crossbite Correction Appliances
        • Functional Appliances
        • Habit Appliances
        • Removable Orthodontic Plates
      • Developmental Guidance & Monitoring
        • Growth and Development Evaluation
        • Interceptive Extractions
        • Early Alignment Checkups
      • Transition & Retention
        • Observation Phase
        • Holding Appliances
    • Phase II Orthodontics
      • Braces for Kids
      • Adult Orthodontics in Utah
      • Teen Invisalign & Braces
      • Types of Braces
      • Retainers
      • Invisalign for Adults
      • Emergency Orthodontics
  • Patient Resources
    First Visit
    What you should expect at your first visit with UOC
    Common Orthodontic Problems
    A list of common problems that can be treated at UOC
    Frequently Asked Questions
    FAQs asked by people considering braces
    Why Get Braces
    Love your smile
    What Sets Us Apart
    Learn how we’re different
    Parts of Braces
    An explanation of the different parts of braces
    Life With Braces
    Tips for new braces wearers
    Food to Avoid with Braces
    Foods to avoid and foods that are easy to eat with braces
    Oral Hygiene
    Tips for braces wearers for maintaining good oral hygiene
    Emergency Orthodontics
    How to handle emergency situations with braces
    Retainer Instructions
    Wearing and caring for your retainer
    • Your First Visit
    • Common Orthodontic Problems
    • Frequently Asked Questions
    • Why Get Braces?
    • What Sets Us Apart
    • Parts of Braces
    • Life With Braces
    • Foods To Avoid With Braces
    • Oral Hygiene
    • Emergency Orthodontics
    • Retainer Instructions
  • Locations
    • Layton
    • North Ogden
    • Orem
    • Roy
    • Sugarhouse
    • Valley Fair
    • West Jordan
    • West Valley
  • News
  • About
    • Dr. Craig Young
    • Dr. Jared C. Jesperson
    • Dr. Paul Naylor
    • Dr. Brian Randle
    • Dr. Aaron Tolman
  • Contact

Dental Insurance and Braces

September 15, 2022|

Our mission at Utah Orthodontic Care has been to make braces affordable for Salt Lake City residents for over 35 years. Our father founded the practice in 1976 to make braces affordable to everyone. We continue to provide high-quality, affordable orthodontic treatment in our nine locations throughout Utah today.

What Dental Insurance Typically Covers for Braces

Most dental plans that include orthodontic benefits cover a percentage of treatment rather than the full amount, usually up to a lifetime maximum that applies per patient rather than per year. Coverage varies considerably between plans, so the only way to know your exact benefit is to have it verified.

Common Coverage Questions

Does my plan have orthodontic benefits? Not all dental plans include them. Orthodontic coverage is frequently a separate rider from general dental coverage.

Is there an age limit? Many plans limit orthodontic benefits to dependents under 19. Adult orthodontic coverage exists but is less common. We can confirm whether your plan includes it.

What is a lifetime maximum? Most orthodontic benefits are capped at a lifetime dollar amount per person rather than resetting annually. Once it is used, it does not renew.

Does insurance cover Invisalign? Plans that cover braces generally cover Invisalign at the same percentage, since both are orthodontic treatment.

What if I have no insurance? Most of our patients finance treatment regardless of coverage. We offer interest-free payment plans from $119 per month with no credit check and $0 down.

Plans We Accept

We accept Medicaid at all 8 locations and work with most major dental insurance providers, including Delta Dental, MetLife, Blue Cross Blue Shield, and Cigna. We also accept TriCare and Concordia Dental for military families.

Our billing team handles claims and paperwork on your behalf, and if your treatment requires prior authorization we will pursue it to secure your maximum benefit.

Find Out What You Are Covered For

We verify your benefits at your free consultation and tell you exactly what insurance will pay and what your monthly payment will be. There is no cost and no obligation.

Call (801) 999-4431 or book online.

How Dental Insurance Works

Orthodontics are usually covered by dental insurance at a percentage of the cost, making the treatment more affordable.

As an example, if your dental insurance plan covers 50 percent of orthodontic treatment, and your orthodontist recommends a $3,000 treatment plan, your insurance would cover $1,500. The remaining $1,500 would be your responsibility. We have payment plans that are never over $119 a month and in-house, no credit check financing.

You should check with your insurance company before starting orthodontic treatment to see how much coverage you have. Insurance companies offer different coverage levels for orthodontics (and other dental procedures). For instance, ask your agent, “Does dental insurance cover braces?”

Some plans do not cover orthodontics, while others may cover 100 percent of the cost. Keep in mind that most dental insurance plans will only cover a certain amount for all dental procedures combined each year–so even if your plan covers orthodontics, there may be a limit.

However, we can assist you with that. We’ll sit down with you to review your dental insurance to ensure you’re getting the maximum benefits. We can also answer your questions, such as “Does dental insurance cover braces?”

We’ll explain your coverage and find any savings opportunities you may be missing. Let us help you get the coverage you need.

Are You Considering Braces?

The use of braces can be used to correct a wide range of orthodontic issues. For instance, braces can close gaps between teeth, align crooked teeth, or even correct an overbite or underbite.

Many people choose braces for functional as well as cosmetic reasons. Straight teeth are easier to clean and less likely to develop cavities.

Talk to us about what type of braces would be best for you if you are considering getting braces. Even if you think your teeth are straight enough, braces may still be necessary. If you’re concerned about how they might look, consider the benefits of Invisalign.

Schedule an appointment with Utah Orthodontic Care

Utah Orthodontic Care provides affordable, functional smiles. Our orthodontists can evaluate your smile, alignment, and jaw to determine if braces are right for you. If you have any questions, our specially trained staff is available to assist you. We offer a variety of payment options to fit your budget to make braces affordable for everyone. To schedule an appointment, please call 801-999-4431 or fill out our online form to schedule your free consultation. Let us help you achieve the perfect smile!

Insurance FAQ

Does dental insurance cover braces?

Most plans with orthodontic benefits cover a percentage of treatment up to a lifetime maximum, rather than the full cost. Coverage varies by plan. We verify your specific benefits at your free consultation.

Does insurance cover orthodontics in Utah?

Many Utah dental plans include orthodontic benefits, and Utah Medicaid covers orthodontic treatment for qualifying children. Utah Orthodontic Care accepts Medicaid and most major insurance at all 8 locations.

Does dental insurance cover braces for adults?

Some plans do, though adult orthodontic coverage is less common than coverage for dependents. Many plans limit benefits to patients under 19. We confirm your coverage before treatment begins.

What insurance covers braces?

We accept Medicaid, Delta Dental, MetLife, Blue Cross Blue Shield, Cigna, TriCare, and Concordia Dental among others. Contact us with your plan details and we will verify coverage.

How much does insurance pay toward braces?

It depends on your plan’s percentage and lifetime maximum. We calculate your exact out-of-pocket amount at your free consultation and divide the remainder into interest-free monthly payments.

What if my insurance does not cover braces?

We offer in-house financing from $119 per month with no interest, no credit check, and $0 down, available whether or not you have orthodontic coverage.

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