Orthodontic insurance coverage in Canada varies significantly between individual plans, but many private dental policies typically cover approximately 50% of the cost for both traditional braces and Invisalign.
It is important to understand a few key factors that govern how these benefits are applied:
- Lifetime Maximums: Most plans include a distinct lifetime maximum for orthodontic treatment, often ranging between $1,500 and $3,000. Unlike standard dental benefits, this is a cumulative cap for your entire time on the policy, not an annual limit.
- Age Restrictions: Many employer-sponsored plans limit orthodontic coverage to dependents under the age of 18 or 19. While some plans include adult coverage, it is determined by your specific plan sponsor.
- Waiting Periods: You may need to be enrolled in your plan for a set duration (often 12 months) before you can access orthodontic benefits.
- Pre-treatment Estimates: Most insurers require a detailed treatment plan before you begin. We provide these estimates and help you submit claims so you have full financial clarity before starting.
We care about your smile and provide a judgement free space to discuss your options. If your insurance only covers a portion of the treatment, we offer flexible Invisalign payment plans and can help you coordinate coverage with Health Spending Accounts (HSAs) to make your care more affordable.
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