Orthodontic treatment is considered to be different than dental treatment in regard to coverage by both Medicaid and by private insurance companies. Connect Orthodontics accepts Medicaid Insurance, and we’ll work with you to get the maximum coverage for the treatment you’re entitled to.
Your Complimentary Consultation
Your Medicaid coverage will need to be active the day of your initial complimentary consultation with Dr. Toro. At this first appointment, we will take the photos and X-Rays needed by Medicaid for them to make an evaluation along with filling out a report for them detailing our findings. We send this report to Medicaid. They evaluate the case and typically will provide their determination.
Once you and our office are notified that orthodontic treatment will be covered, we will assist in scheduling a follow-up appointment. Your Medicaid coverage will need to be active the day of this appointment, as well.
If your case is denied and we noted in our report that the case was extremely severe, we may choose to appeal. If the appeal is denied, your family has the further right to appeal.
Please note: Medicaid will only cover orthodontic braces for individuals under the age of 21. It is recommended by the AAO that children have their first orthodontic screening by the age of seven, even if it is determined treatment is not necessary at that time. Once an individual has all their adult teeth, their jaws are completely developed and changes in jaw structure can’t be accomplished with orthodontic appliances in the way they can with a growing child.