Ortho Insurance anyone?
Moderator: bbsadmin
Ortho Insurance anyone?
If you dont mind me asking do you have ortho insurance and how much does it cover?
I just got the news that dh's company is picking up ortho insurance!!! WooHoo! I am thrilled!
It might be too late to cover me ( and yes! it does cover adults but I am not sure that it will cover anything now that I am already into treatment) but it will cover my daughter that needs braces and my son that is getting an expander
Acording to the plan it will cover 50%, up to $2000 per person. ( and we will get a better negotiated rate to start off with)
We also put $$ in the FSP ( flex spend acount) for the expander b/c we didnt know we would be getting the ortho ins., so I will not only be able to pay this off totally, but most of my balance as well. As you can tell I am thrilled!
I just got the news that dh's company is picking up ortho insurance!!! WooHoo! I am thrilled!
It might be too late to cover me ( and yes! it does cover adults but I am not sure that it will cover anything now that I am already into treatment) but it will cover my daughter that needs braces and my son that is getting an expander
Acording to the plan it will cover 50%, up to $2000 per person. ( and we will get a better negotiated rate to start off with)
We also put $$ in the FSP ( flex spend acount) for the expander b/c we didnt know we would be getting the ortho ins., so I will not only be able to pay this off totally, but most of my balance as well. As you can tell I am thrilled!
~*~ Kim ~*~
Next Appointment #14: Feb 26,2007
Next Appointment #14: Feb 26,2007
I have military insurance through United Concordia and they cover until you are 23 years old. I just got the insurance and it goes into effect 2 weeks after I was braced. They are picking up even though I was braced prior to coverage, and they will cover $70.00 a month. I turn 23 this summer so it will only cover 6 months, but that is better than nothing to me.
I've got coverage through my mom's plan, which she gets from the provincial government and is facilitated by Blue Cross. Her particular plan covers 80% of orthodontic charges up to $1,500, per person covered, and only once in your life.
Would normally have coverage through my dad's plan aswell, his covers 80% up to $1,750 but it only applies if your dependant is 18 or under.
Would normally have coverage through my dad's plan aswell, his covers 80% up to $1,750 but it only applies if your dependant is 18 or under.
Braced November 29, 2005. Damon 3's on top and bottom
Mine only covers $750 (lifetime maximum) for adults or kids. It's not much, but I'll take it!
Uppers placed 2/8/06--Inspire ICE ceramics
Lower (stainless) placed 2/23/06
Treatment time: 17 months (estimated was 12-18 months)
Debonded: July 11th, 2007
Next appointment: June 2008 for retainer & nightguard check
Lower (stainless) placed 2/23/06
Treatment time: 17 months (estimated was 12-18 months)
Debonded: July 11th, 2007
Next appointment: June 2008 for retainer & nightguard check
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- Posts: 420
- Joined: Tue Apr 19, 2005 7:50 pm
I have United Concordia through my husband's work and our coverage is $1500 lifetime for adults if you see an ortho within their plan. Lucky for me that happened. Still out of pocket $3500. At least some of it is covered. Same for kids under the plan too. Just happy for any help we can get.
Amy
Damon 2 top and bottom
braced 12-16-04
Amy
Damon 2 top and bottom
braced 12-16-04
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- Posts: 17
- Joined: Mon Nov 07, 2005 6:18 pm
- Location: Montreal, Quebec, Canada
I got my braces this summer, and was thrilled to discover my dad's plan would cover me for 50%. The tricky part came when they clarified that I was only covered as long as I was a full-time student. My status as such officially ended August 31st, just two weeks after the braces went on! Yikes! Any payments made after that date would be out of my own pockets. So I sucked it up and paid the full amount basically upfront. Needless to say I was VERY glad to see the insurance cheque show up a few weeks later!!!
I'm now into my first year as a self-employed musician (I'll probably never have group insurance again in my life!), so I am forever glad that I got the braces paid for when I did. Good luck getting your payments sorted out!
I'm now into my first year as a self-employed musician (I'll probably never have group insurance again in my life!), so I am forever glad that I got the braces paid for when I did. Good luck getting your payments sorted out!
Char
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- Posts: 315
- Joined: Tue Oct 26, 2004 12:34 pm
- Location: Utah, USA
I was thrilled to discover that not only does my dental insurance cover adult ortho ($1500 max lifetime), but it also has a fee schedule that it requires all participating dentists/orthos to adhere to. I believe they allow around $3500 for full braces. Between the fee schedule and the $1500 I end up saving about $3000. Woohoo!
Expander in 8/9/06
Lowers on 11/30/06
Uppers on / Expander gone on 1/31/2007
Class III elastics added 3/14/2007
Expander #2 - 6/27/2007
20-24 months w/ fixed metal braces
Lowers on 11/30/06
Uppers on / Expander gone on 1/31/2007
Class III elastics added 3/14/2007
Expander #2 - 6/27/2007
20-24 months w/ fixed metal braces
When I started this adventure I was on my own as my insurance did not cover anything. I then changed jobs and my new insurance covered $1,000, but I had already started. Now my company was bought out. Our new insurance pays $1,500 per year and the great part is they are waiving all pre-existing conditions for everyone in my company. I have already submited everything so now I am just waiting to hear. When the insurance pays their part my ortho will be pain off and will actually owe me money. That will be a great present.
Wow that will be great!Wyo_Stacy wrote: When the insurance pays their part my ortho will be pain off and will actually owe me money. That will be a great present.
I was reading through some of the literature and I do think they will cover mine.
it reads: "For 2006, orthodontia coverage has been added to your dental plan. You may have orthodontic treatment in progress for you and your dependents. "
Is this how you would interpret this? When I get the full booklet then I will know for sure, I am just curious if others read this the same.
~*~ Kim ~*~
Next Appointment #14: Feb 26,2007
Next Appointment #14: Feb 26,2007