Does ObamaCare Provide Orthodontic Coverage?

Researched by Greg Published - April 13, 2015
Last Updated - April 13, 2015

I have dental coverage through Delta Dental. My question is, I am 38 years old and need braces. My alignment and bite is off and causing medical problems such as biting inside of mouth and cheeks, TMJ with headaches. My insurance company will not cover anyone over the age of 26. I have started having problems back in 2011 but could not afford braces as I was a stay at home mom with 2 little kids. Since then I have continued to have TMJ problems and my teeth shifted to the point where my teeth are completely crooked. I have had 3 root canals and cavities b/c of my teeth shifting and causing cavities no matter what. In order to correct this problem and not have future issues with my teeth and jaw I need braces. Is there a plan that will assist me with this cost?

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Chey

I’m 18 and on my own and I need Invisalign .. and I have Medicaid and they don’t cover braces or anything ! Where can I go to get Invisalign and who will cover me not as an adult

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ObamaCareFacts.com

You can inquire about stand-alone dental plans, perhaps Medicaid has suggestions. You can also talk to local dental schools and see if they offer discounts for low income.

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Debbie Carter

I have Blue Cross/Blue Shield medical insurance through my Texas employer and they are refusing to cover costs associated with my jaw because it is TMJ related. I do not currently have dental insurance. This issue is having a significant impact on my life due to having to eat soft foods, take anti inflammatory and pain medicine and muscle relaxers. I am also having jaw pain and headaches. I need an MRI and probably surgery.

Is Blue Cross legally allowed to deny coverage for this?

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Michelle

Many states require the jaw to be treated the same as any other joint by insurance. See the link for a list.
http://www.ada.org/~/media/ADA/Advocacy/Files/thirdparty_TMD_coverage.ashx

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