Invisalign Cost With Insurance in Somerset, NJ

At Mid-Jersey Family & Implant Dentistry, we offer Invisalign, a clear orthodontic aligner system, as an increasingly popular alternative to traditional metal braces. Insurance coverage can greatly lessen the financial strain, yet the cost of Invisalign varies based on the treatment’s intricacy.

Types of Insurance Coverage

Insurance coverage for Invisalign treatment at our practice differs based on the specific insurance plan. Most plans fall into two categories:

● Comprehensive Insurance: Typically offers coverage for orthodontic treatment, including Invisalign, for patients under the age of 18.
● Dental Insurance: May cover a portion of orthodontic treatment, including Invisalign, regardless of age, much like it would for regular braces.

Coverage Details

The extent of insurance coverage for Invisalign is not uniform across all insurance plans. Some plans may only cover a portion of the treatment cost, while others may impose annual or lifetime limits on orthodontic coverage. Your coverage for Invisalign can also depend on the reason for treatment – it’s more likely to be covered if it’s being used to correct a health issue such as a misaligned bite than for purely cosmetic reasons.

Factors Influencing Coverage

Several factors can influence whether insurance covers your Invisalign treatment at Mid-Jersey Family & Implant Dentistry:

● Age: Most comprehensive insurance plans cover orthodontics for children and adolescents.
● Dental Condition: The severity of your malocclusion (misalignment of teeth) can impact coverage.
● Coverage Limits: Insurance plans may have specific limits on how much they cover for orthodontic treatment.
● Prior Authorization: Some insurance companies may require prior authorization before covering Invisalign.

Steps to Determine Coverage

To get the most accurate information about what is covered under your specific plan, consider these steps:
1. Contact Your Insurance Provider: Call or email your insurance company and provide your policy information. Ask them about your coverage for CDT Code D8080 or D8090, the codes for Invisalign treatment.
2. Review Your Policy: Read your insurance policy to understand the orthodontic coverage details.
3. Gather Clinical Information: Our dentists may need to provide clinical records, such as X-rays and impressions, to the insurance company for review.
4. Submit a Pre-Authorization Request: If necessary, our dentists will submit a pre-authorization request to your insurance carrier for approval.
5. Negotiate a Payment Plan: Once coverage is determined, you and our dental team can discuss payment arrangements based on the insurance reimbursement and your out-of-pocket expenses.

At Mid-Jersey Family & Implant Dentistry, we also offer other options to manage the cost of Invisalign treatment. We have payment plans, and Invisalign can frequently be paid for with a flexible spending account or health savings account. Additionally, certain patients may be eligible for third-party financing.

At Mid-Jersey Family & Implant Dentistry, we recognize that the expense of orthodontic procedures like Invisalign can be a major worry for many of our patients. However, we want to reassure you that dental insurance often provides coverage for these treatments, potentially lightening your financial burden.
 
The level of insurance coverage can vary greatly, often covering Invisalign to the same extent as traditional braces. It can range from covering 25% to 50% of the total cost up to a pre-set maximum limit. However, it’s important to be aware that most insurance plans place a lifetime cap on orthodontic coverage, which can range from $1,000 to $3,000.

To help you fully understand your potential out-of-pocket expenses for Invisalign, it’s advisable to contact your dental insurance provider directly. They can offer detailed information about your coverage and any associated restrictions. Since Mid-Jersey Family & Implant Dentistry provides flexible payment plans to help make your Invisalign treatment more affordable, we may also talk with you about financing options.

At Mid-Jersey Family & Implant Dentistry, we understand the financial considerations that come with orthodontic treatment. For individuals seeking to straighten their teeth, Invisalign and traditional braces are two popular options we offer, each with unique costs, benefits, and potential insurance coverage.
 
Invisalign, a treatment method gaining popularity due to its nearly invisible aligners and the convenience of being removable, often comes with a higher cost than traditional metal braces. Without insurance, Invisalign typically costs between $3,000 to $8,000, while traditional braces usually cost between $2,000 and $6,000.

However, the situation may alter once dental insurance is in place. Most insurance plans cover some aspects of orthodontic treatment, including Invisalign, potentially making the cost near to or even lower than traditional braces. It is critical to verify with your specific insurance carrier to determine what is covered by your plan.

The length of treatment, the intricacy of your orthodontic case, and your insurance coverage all affect how much any treatment approach will ultimately cost at our office. Other considerations include ongoing expenses associated with treatment, such as the replacement of Invisalign aligners every few weeks or regular adjustments for traditional braces.

At Mid-Jersey Family & Implant Dentistry, we are aware of the time and financial commitment involved in orthodontic treatment. Understanding this, we offer flexible payment plans and financing options to make either treatment more affordable.

At Mid-Jersey Family & Implant Dentistry, we utilize Invisalign treatment for patients seeking a clear alternative to traditional braces. Regular dental visits are required, typically every 4 to 6 weeks, throughout the treatment process. The frequency of these visits can, however, depend on each individual’s unique treatment plan.
 
Your journey begins with a comprehensive exam during your initial dental visit. This exam allows us to determine your suitability for Invisalign treatment and may include x-rays, photographs, and impressions. These steps are taken to create your custom aligners, designed specifically for your teeth’s alignment needs.

We understand that some patients may prefer more frequent checkups for peace of mind or to address any concerns promptly. Should discomfort or complications arise during your Invisalign treatment, we may recommend more frequent visits.

Regular dental checkups during Invisalign treatment play a pivotal role. They ensure your teeth are being properly aligned, monitor your oral health, prevent complications, and provide an opportunity to address any discomfort.

Remember, these visits are in addition to your regular dental check-ups, which should be conducted every six months to maintain overall oral health. By adhering to the recommended checkup schedule during your Invisalign treatment, you can optimize your treatment success and ensure good oral health throughout the process. At Mid-Jersey Family & Implant Dentistry, we are committed to providing you with the best care and advice regarding your visits.  For more information, contact us at MidJersey Family & Implant Dentistry or book an appointment online. We are conveniently located at 107 Cedar Grove Ln Suite 102, Somerset, NJ 08873. We serve patients from Somerset NJ, New Brunswick NJ, Highland Park NJ, Piscataway NJ, Hillsborough NJ, Manville NJ, South Bound Brooke NJ, and surrounding areas.