If you’re a Health Net Medi-Cal member looking for orthodontic treatment there’s good news. You can receive a discount on adult and child orthodontic treatment if you live in Los Angeles and Sacramento counties. Plus, you are now able to get braces through Health Net’s Discount Program for Orthodontics.
Full Answer
Does Health Net Medi-Cal cover orthodontic treatment?
Orthodontics is the branch of dentistry that corrects teeth and jaws that are out of place. If you're a Health Net Medi-Cal member looking for orthodontic treatment there's good news. You can receive a discount on adult and child orthodontic treatment if you live in Los Angeles and Sacramento counties.
Does standard dental insurance cover braces for adults?
Standard dental insurance doesn't usually offer coverage for braces for adults and other orthodontic care for adults over the age of 18 because for adults it's often considered a cosmetic procedure.
Can I get braces with Health Net Medi Cal?
Plus, you are now able to get braces through Health Net's Discount Program for Orthodontics. Simply call and schedule a visit with one of our orthodontists and present your Health Net Medi-Cal ID card at the time of your appointment.
Does Aetna dental insurance cover braces?
Most dental insurance plans from Aetna don't include coverage for braces. However, Aetna, like Delta Dental, does offer a dental savings plan which could be a good option if you don't find an insurance plan that fits your budget and offers the coverage you need.
Does Health Net PPO cover dental?
A large statewide and national network of dental PPO providers can be found online at www.healthnet.com or by calling 1-866-249-2382. Endodontics, periodontics and oral surgery are covered under General services. No waiting period for any covered service.
Are braces covered by Medi-Cal?
Does Medi-Cal cover braces? Orthodontics are only covered for kids who qualify for this type of specialist treatment under Medi-Cal's dental services.
Is Medi-Cal same with Health Net?
Health Net is the only Medi-Cal plan in Los Angeles and Sacramento counties that offers both medical and dental coverage. Plus, you can receive discounts on adult and child orthodontia treatment through our Orthodontics Discount Program.
Does Health Net dental cover implants?
Replacement of implants, implant crowns, implant prosthesis, and implant supporting structures (such as connectors) previously submitted for payment under the plan is limited to 1 time per consecutive 60 months from initial or supplemental placement. 100. Implant placement. Limited to 1 time per consecutive 60 months.
What are Medi-Cal reasons to get braces?
October 21, 2015To keep teeth from erupting in the wrong position. ... To correct crowding. ... To protect teeth and gums. ... To correct an overbite, underbite, or crossbite. ... To prevent jaw pain. ... To avoid breathing or swallowing problems. ... To correct over-spacing. ... To correct the effects of finger or thumb sucking.More items...•
How much do braces cost in California with insurance?
Angie's List estimates that the average cost of metal braces for a patient without dental insurance is $4,937. For a patient with dental insurance, that price drops to $3,407. Ceramic braces cost on average $4,572 without insurance and $2,570 with insurance.
What kind of insurance is Health Net?
About Health Net: Health Net provides health plans for individuals, families, businesses of every size and people who qualify for Medi-Cal or Medicare — Coverage for Every Stage of LifeTM. Health Net offers the following plans: Exclusive provider organization (EPO) Health maintenance organization (HMO)
Does Costco Accept Health Net?
Health Net emphasizes that members continue to have access to CVS, Walmart, Costco, Safeway, Vons, and other pharmacies, and that only Walgreens is excluded. Clear instructions on how to find a pharmacy are included in both member and employer communications.
What carrier is Health Net?
Centene CorporationHealth Net is wholly owned subsidiary of Centene Corporation. Centene is a leading healthcare enterprise committed to helping people live healthier lives....NCQA Accreditation.Health PlanNCQA AccreditationHealth Net Commercial, Marketplace, Medicare, Medi-CalDistinction Multicultural Health Care Exp. November 20233 more rows•Jul 18, 2022
Is healthnet dental PPO or HMO?
Health Net's portfolio of dental HMO and PPO plans gives your clients exactly what they're looking for – value, flexibility and simplicity. Our affordable dental plans offer comprehensive coverage and provide access to one of the largest dental networks in California. More than 345 covered procedures with a copayment.
Is Health Net HMO or PPO?
We offer several types of plans. There are HMO and HSP plans offered by Health Net of California, Inc. PPO and EPO insurance plans are offered by Health Net Life Insurance Company. With an HMO, you have one main doctor called a primary care physician who coordinates all your care.
How do I apply for Medi Cal dental?
To join a dental plan, call Health Care Options at 1-800-430-4263. Or you can complete a Medi-Cal Dental Choice Form. You can find the form on the Download forms page. You can use your Medi-Cal Benefits Identification Card (BIC) for services through Regular Medi-Cal (Fee-For-Service) until you are a dental plan member.
What is health net dental?
The focus is on providing access to quality, affordable dental care through a variety of plan types and coverage levels. Health Net Dental Plans provide access to one of the largest dental networks in California – giving you more choices for dental care near your home or workplace.
What is the phone number for Health Net Dental?
Providers. For information or inquiries regarding Health Net's Dental plan for Los Angeles or Sacramento County, please call our toll free number. 1-877-550-3868. Health Net Dental's Utilization Management (UM) decision making is based only on the appropriateness of care, service, and existence of coverage.
What is the name of the branch of dentistry that corrects teeth and jaws that are out of place?
Orthodontics is the branch of dentistry that corrects teeth and jaws that are out of place. If you're a Health Net Medi-Cal member looking for orthodontic treatment there's good news. You can receive a discount on adult and child orthodontic treatment if you live in Los Angeles and Sacramento counties. Plus, you are now able to get braces through Health Net's Discount Program for Orthodontics.
What is Health Net?
Health Net offers low- to no-cost medical and dental benefits to qualified Medi-Cal members in Los Angeles and Sacramento County.
How to contact Health Net Medi-Cal?
For more information call Member Services toll free at 1-800-675-6110 Monday through Friday 7:30 a.m. to 7 p.m. Pacific time. *This is a value-added service and is not insurance.
What is the number to call for Medi-Cal dental?
to 7:00 p.m. 1-800-213-6991.
What is UM in dental?
Health Net Dental's Utilization Management (UM) decision making is based only on the appropriateness of care, service, and existence of coverage. Health Net Dental does not specifically reward practitioners or other individuals for issuing denials of coverage. Financial incentives for UM decision makers do not encourage decisions that result in underutilization.
Dental Insurance & Orthodontic Benefits
Many parents wince when they realize their child will need braces. The average cost of braces, according to the American Dental Association’s 2018 Annual Survey, ranges from $5,000 to $6,000, though it should be remembered that many factors can affect the total cost.
Types of Braces & Price Implications
Braces have evolved with the times and now there are several kinds of braces available as opposed to a few generations ago when people were essentially limited to metal braces or nothing. The four main categories of braces are:
Do Braces Cost More for Adults?
While braces are associated with childhood, adults can also wear braces to improve their smiles. Braces applied to adults may take longer to straighten teeth and may require a longer treatment period. A longer treatment period, in turn, may mean higher costs for the patient.
Other Orthodontic Services
Orthodontic services extend beyond merely the installation and maintenance of braces. They also include surgical options to address severe jaw alignment issues.
Dental Insurance and Orthodontic Benefits
Many dental plans do not have coverage for services provided by an orthodontist. However, by reviewing a dental plan’s summary of benefits (or plan brochure), you should be able to quickly identify if orthodontics are covered and under what conditions (including waiting periods).
How to Confirm Orthodontic Coverage
Given the irregular coverage of orthodontic services, a consumer can’t enroll in a dental plan and hope for the best with respect to orthodontic coverage. Instead, he or she must confirm not just the presence of orthodontic coverage but the specific details of that coverage. This can be accomplished several ways.
How do I choose the best braces insurance for me?
Some things you'll want to keep in mind as you're browsing orthodontic insurance plans are:
What is covered by orthodontic insurance?
Your orthodontic treatment may also require additional services as part of your teeth straightening treatment, and the good news is that orthodontic coverage often covers these as well: 1 Initial evaluation, including x-rays and treatment planning 2 Tooth removal 3 Treatment visits 4 Orthodontic appliances
What to do if you can't find a dental supplemental plan?
If you can't find a supplemental plan that works for you, you may want to consider a dental savings/discount plan. These are like insurance plans in that you can save money on treatment. However, with a dental discount plan, you pay a yearly fee, and in return you get a discount on the treatment you need.
What is Delta Dental?
Delta Dental is one of the biggest names in dental insurance. They offer an extensive range of plans, from basic orthodontic insurance with Delta Dental to comprehensive coverage if you're willing to pay more.
How much does orthodontic treatment cost?
While upwards of $3,000 may sound like a lot, it's still quite a bit less than what you could pay, considering orthodontic treatment can cost as much as $13,000 for the most expensive types.
Is it expensive to get braces without insurance?
Despite the fact that an estimated 75% of people might need orthodontic treatment, braces are very expensive and out of reach for many. Paying for braces or other dental work without insurance can be very difficult. That's why dental insurance plans for braces could help you find cheap braces.
Does loyalty plus offer orthodontics?
Their Loyalty Plus PPO, for example, says that a ‘discount may be available' for orthodontic care. The same goes for their Complete Dental PPO as well. If you enroll in their dental savings plan, you can get up to a 20% discount on orthodontic care.
How much do braces cost?
Before insurance, braces treatment typically costs anywhere between $4,000 and $6,000. The exact cost depends on your condition, your dentist’s rates, your location, and more. Check out our True Cost of Braces guide for more info.
How much does orthodontic insurance cover?
Sometimes they will cover up to 50% of your treatment, and other times there will be a lifetime coverage limit of $1,000 – $3,000 (on average), sometimes both. Rarely, if ever, will a plan offer 100% coverage with no limit.
How much of my treatment cost will dental insurance cover?
It depends on your plan. Some plans will cover 50% of the total cost. Others will cover a particular amount (like $1,500 or $2,500). Your plan’s summary of benefits will tell you how much you can expect to receive.
What is the best alternative to braces?
If you’re looking for a traditional in-person treatment option, clear aligners like Invisalign or ClearCorrect provide a much less noticeable, more flexible alternative to braces.
How do I get dental insurance?
Many people can enroll in a dental insurance plan through their employer. If your employer doesn’t offer dental insurance, some companies also offer individual and family plans.
Can I add orthodontic benefits later?
Not usually. Certain companies might offer orthodontic benefits as an add-on, but these options are few and far between.
What happens if your orthodontic plan doesn't include orthodontic benefits?
If your plan doesn’t include orthodontic benefits and you don’t have any other options, you might be out of luck. But don’t worry, there are still ways to save money on your treatment.