The US Medicaid program has always been a big help to low-income Americans in getting health coverage, be it in the form of doctor visits or long term medical care. There are also cases when they assist in dental care. As per the program, states have to provide dental advantages to children. The case may not be the same for adults. It entirely depends on the State what benefits they decide to offer to people above 21. 

Therefore, when looking for a Medicaid orthodontist, you have to keep certain things in mind. 

 

Opportunities and restrictions

Medicaid has certain dental offers for older individuals that can be inquired about when visiting a dentist or orthodontist. You can look for a dentist that accepts Medicaid insurance. Although, in orthodontic treatment, the program provides complete coverage only for children below 21. 

In addition to that, the braces must be regarded as medically necessary for the child to receive full coverage. With the help of a medical evaluation, it can be found out whether the child qualifies for full coverage or not. If coverage is rejected, after a year, you can set-up another evaluation. 

What do you mean by “medically necessary”? If orthodontic braces are required to correct problems like speech issues, dental trauma or impacted teeth, they are necessary. 

 

Evaluation procedure

  • Contact an orthodontist and fix an appointment for an evaluation. Make sure to set the appointment for that time when the child’s Medicaid coverage is active. 
  • An x-ray of your child’s oral cavity will be taken. The images will reveal the condition.
  • The Medicaid office will go through the findings and determine whether braces are a necessity to the problem or not. The procedure may take a few weeks or even more than a month. 
  • Once the decision is taken, you would get notified of the same. 

If your child’s coverage gets denied or an adult looking for braces with coverage, talking to a dental professional will help. Are you typing on your search engines “dentist accept Medicaid” or “dentist accept Medicaid insurance“? Find your financial solutions by booking your appointment with us at Deluxe Dental Group and avail best dental services.