Orthodontic benefits are commonly structured differently from routine dental benefits. Coverage can depend on age, eligibility, a lifetime orthodontic maximum, waiting periods and the terms of the individual plan.
Orthodontic benefits are commonly structured differently from routine dental benefits. Coverage can depend on age, eligibility, a lifetime orthodontic maximum, waiting periods and the terms of the individual plan.
This guide is written for Maple Ridge patients as decision support. It cannot determine suitability for treatment without an examination and appropriate records.
Lifetime maximums is one of the practical factors that can change diagnosis, appliance choice, treatment timing or the way progress is monitored. It should be discussed in the context of the whole case rather than treated as an isolated checklist item.
Age restrictions is one of the practical factors that can change diagnosis, appliance choice, treatment timing or the way progress is monitored. It should be discussed in the context of the whole case rather than treated as an isolated checklist item.
Preauthorization is one of the practical factors that can change diagnosis, appliance choice, treatment timing or the way progress is monitored. It should be discussed in the context of the whole case rather than treated as an isolated checklist item.
Coordination of benefits is one of the practical factors that can change diagnosis, appliance choice, treatment timing or the way progress is monitored. It should be discussed in the context of the whole case rather than treated as an isolated checklist item.
No. Orthodontic coverage is plan-specific.
The insurer determines benefits. An office can help submit information, but final coverage depends on the plan.
It is the total amount a plan may contribute toward orthodontic treatment for an eligible person, subject to the plan terms.