Is Invisalign covered by Medi-Cal?

Asked by: Arno McGlynn  |  Last update: January 11, 2024
Score: 4.1/5 (20 votes)

Invisalign is covered by Medi-Cal, Medicare or a stand-alone dental policy. If your insurance covers Invisalign, it will pay anywhere between 20% - 50% of the costs.

Can Medi-Cal cover my braces?

Orthodontic services are limited to only those who meet the general policies and requirements for medically necessary handicapping malocclusion, cleft palate, or cranio- facial anomalies cases set forth in Title 22 of the California Code of Regulations.

Does Medi-Cal pay for braces in California?

Does Medi-Cal or Denti-Cal Cover Braces? Yes. But, not everyone with Medi-Cal/Denti-Cal qualifies for these benefits. A patient must first be evaluated to rate the degree of the malocclusion, which is a problem in the way the upper and lower teeth fit together in biting or chewing, such as an overbite or under bite.

How much is Invisalign in California with insurance?

On average, you can expect your Invisalign or Traditional orthodontics to cost between $4,500 to $9,000 in urban areas of California, depending on your desired smile, your oral health, and the condition of your teeth.

What is considered a Medi-Cal necessity for Invisalign?

In order for Invisalign to be considered medically necessary, you'll need to have a severe misalignment that's causing pain or affecting your ability to chew or speak properly. You can schedule an appointment with an orthodontist to help you determine whether Invisalign is medically necessary for you.

The Truth about Invisalign

24 related questions found

What disqualifies you from getting Invisalign?

Those with tiny, eroded, or misshapen teeth must undergo dental work, but orthodontists can sometimes work around such issues alongside invisible aligners if they are less severe. Invisalign aligners are also not recommended for patients who smoke and cannot or will not stop for the duration of the treatment process.

Is Invisalign cosmetic or medical?

Invisalign is definitely not just a cosmetic treatment. It's a functional treatment for people who want to improve their smiles. These include patients who may have trouble with chewing, crowded teeth, or overbites.

Why do dentists charge so much for Invisalign?

The premium materials involved plus technology are what make the treatment more expensive than other orthodontic procedures. A patented SmartTrack plastic is what is used to make Invisalign. The material is premium-grade and mainly designed for orthodontic appliances by Invisalign.

Are braces cheaper than Invisalign?

Braces run an average of $1,800 to $5,500. Invisalign averages between $3,000 to $5,000. However, remember that only your orthodontist will be able to determine what the cost of treatment will be. Other factors also affect the price.

Does Medi-Cal pay for implants?

Medi – Cal generally does not cover implants.

However, check out Dental for Everyone they have plans that will cover implants! Remember though, there is no free lunch.

Does Medi-Cal for cover for teeth?

Medi-Cal offers comprehensive preventative and restorative dental benefits to both children and adults. You can find a Medi-Cal dentist on the ​ Medi-Cal Dental Provider Referral List, or by calling 1-800-322-6384.

Do you get dental insurance with Medi-Cal?

Medi-Cal provides dental benefits for adults and children. You can find a Medi-Cal dentist through the Denti-Cal search engine. For information on children's dental services, visit the Denti-Cal website.

How much do braces cost in California with medical?

Angie's List estimates that the average cost of metal braces for a patient without dental insurance is $4,937. For a patient with dental insurance, that price drops to $3,407. Ceramic braces cost on average $4,572 without insurance and $2,570 with insurance. Invisalign treatment can cost on average around $5,600.

What is regular Medi-Cal?

Medi-Cal is California's Medicaid program. This is a public health insurance program that provides free or low cost medical services for children and adults with limited income and resources.

How can I change my Medi-Cal plan?

How to change your medical plan. If you are not happy with your medical plan, you can choose another medical plan, if available. To change your medical plan, call Health Care Options at 1-800-430-4263 (TTY 1-800-430-7077). Or you can complete a Medi-Cal Choice Form.

Which is faster braces or Invisalign?

Duration of treatment

With either treatment, more crooked teeth take longer to straighten than minor crookedness. However, certain studies have shown that Invisalign treatment is much faster than braces. On average, Invisalign takes about 6 – 18 months, while metal braces take about 20 – 24 months.

Do dentists prefer Invisalign or braces?

Because the Invisalign® system makes life easier for their patients, orthodontists often prefer it over metal braces. However, for patients with severely misaligned teeth, braces are the better option. Sometimes, teeth need to be twisted as part of the straightening process.

Do Invisalign work as well as braces?

Which is better, braces or Invisalign? Braces are better for people with severe crookedness and most kids and teens. Invisalign and other brands of clear aligners are best for adults who want a nearly invisible and more comfortable straightening method, as long as the teeth aren't too crooked.

How to make Invisalign cheaper?

  1. Choose an In-Office Financing Plan. ...
  2. Check to see if Your Dental Insurance Covers Orthodontic Treatment. ...
  3. Use Funds from Your HSA or FSA for Invisalign or Braces. ...
  4. Take Advantage of Discounts if You Qualify.

Is Invisalign worth the extra money?

Invisalign clear aligners can live up to their hype and be worth your money. However, they're not for everyone, especially those with severe orthodontic problems. It will help if you consider your goals, paying capacity, and maintenance to get the most out of this orthodontic treatment.

What is the average amount of Invisalign?

With an average cost of $3,000 to $5,000, you may be wondering if it's possible to get the smile of your dreams without depleting your savings. Here, we break down factors that determine the cost of Invisalign—plus ways to potentially make your treatment more affordable.

Do you have to wear a retainer forever after Invisalign?

12 Months After Invisalign

They might even recommend only wearing them three to five times a week! Either way, you must continue to wear retainers for the rest of your life to prevent them from shifting back.

Is 20 hours enough for Invisalign?

If there is a cardinal rule for Invisalign, it's this: your trays must be worn 20 – 22 hours a day for them to be effective.

How long do you have to wear a retainer after Invisalign?

This initial stage of retainer wear usually lasts 3 – 6 months. Then, your orthodontist may say that you only have to wear your retainer at night. About 12 months or so after you finish with Invisalign, you might be able to cut down on retainer wear to just 3 – 5 nights each week for the rest of your life.