Does Insurance Cover Braces in Johns Creek? 5 Important Facts

Insurance Cover Braces

Getting braces is a crucial decision given the cost that comes with it. This is why each patient needs to know the ways how to manage the cost of braces. If you are looking to get braces in Georgia and are wondering does insurance cover braces in Johns Creek, we will share with you some of the vital facts that you need to know.

In a lot of cases companies for health insurance cover braces in Johns Creek, however, it still depends on many factors.

Here are the factors that affect whether insurance cover braces in Johns Creek.

#1 – What type of insurance plan do you have?

Many insurance providers offer varying plans. These are often grouped based on how much coverage you are willing to pay. For instance, there are basic, comprehensive, premium insurance plans. Most of the highest level of insurance plans such as premium cover braces treatment.

On the other hand, insurance plans that offer a lower level of coverage are not likely to cover the cost of braces. It is important to check the details of your insurance plan to determine if it covers braces.

#2 – What type of braces do you need?

Depending on the insurance provider, some insurance plans may also cover only certain types of braces. For instance, insurance may cover traditional metal braces but not plastic invisible braces like Invisalign.

It is important to check with the insurance provider to determine what type of braces they cover and which ones they do not. This is important because different insurance providers have different guidelines for what types of braces are covered and what types of braces are not covered.

Insurance Cover Braces

#3 – Is your braces provider in network with your insurance company?

In order to get companies for insurance cover braces in Johns Creek, you need to make sure that your orthodontist or dentist is part of the insurance company’s network. This means that you need to check with your insurance provider whether or not they have a list of dentists and orthodontists that they cover.

If the braces provider is out of network, insurance may not cover the cost of your treatment or cover it less. However, if you find an in-network orthodontist or dentist in Johns Creek, insurance may cover some of the cost.

#4 – Is your orthodontic treatment medically necessary?

Orthodontic treatments support better oral health, there’s no question of that. However, many insurance companies consider it an aesthetic procedure, and insurance may not cover it. However, in some cases, insurance companies will consider the braces to be medically necessary if they are related to other medical problems.

For instance, if you are experiencing TMJ pain and the orthodontist needs to realign your teeth and jaw in order for you to be able to properly eat, insurance may cover some of the costs. You will need to prove this with a letter from your orthodontist or dentist.

#5 – Do you have a Flexible Spending Account (FSA) or Health Savings Account (HSA)?

If you’re unsure if your insurance cover braces in Johns Creek, you may be able to use your FSA or HSA to help cover the cost. These pre-tax accounts are designed to help patients pay for medical expenses, including braces.

These accounts are beneficial because the money you put in them is taken from your income before taxes. This can help you save money on taxes and use it for orthodontic treatment. HSA and FSA accounts usually have a limit on how much money you can use for medical expenses each year, so you will need to check with your employer or provider for more information.

Consult an Orthodontist to Get the Exact Cost of Your Treatment


Knowing how much your treatment will cost is important for insurance cover braces in Johns Creek. The exact cost of your treatment depends on the type of braces you choose, how long your treatment is going to take, and the insurance provider.

It is best to consult an orthodontist in Johns Creek for an exact cost estimate. The orthodontist can provide you with more information on insurance coverage and cost estimates.

Book a Consultation with Ricci Orthodontics

Insurance Cover Braces

Dr. Steven C. Ricci is a trusted and experienced orthodontist in Johns Creek, GA. He has been practicing orthodontics in the Atlanta area since 1998 and is an active member of many leading dental and orthodontic organizations.

Many patients who received insurance cover braces in Johns Creek have trusted their orthodontic care to Ricci Orthodontics. We offer all types of braces such as traditional metal braces, clear ceramic braces, and Invisalign as well as TruDenta headache relief, retainers, periodontal treatment, oral cancer screening, and emergency orthodontics.

With Ricci Orthodontics, we can help you verify your insurance and let you know what types of insurance cover braces in Johns Creek. We are here to help answer any questions or concerns that you may have about insurance and braces costs.

Schedule an appointment with us today to find out more about insurance cover braces in Johns Creek and the best treatment plan for you. We look forward to helping you get the smile of your dreams!

Tags: , , ,