Does medical cover braces for adults

Medi-Cal, California’s Medicaid program, provides dental benefits through its Denti-Cal program. While orthodontic treatments like braces are covered for individuals under 21 when deemed medically necessary, coverage for adults is more limited.

Orthodontic Coverage for Adults

For adults aged 21 and over, Medi-Cal generally does not cover orthodontic treatments such as braces. Exceptions may exist for cases where the treatment is considered medically necessary due to specific health conditions. However, these instances are rare, and obtaining approval can be challenging.

Alternative Options for Adults Seeking Braces

If you’re an adult looking to obtain braces and Medi-Cal doesn’t cover the treatment, consider the following alternatives:

• Private Dental Insurance: Some private insurance plans offer orthodontic coverage for adults. Review different plans to find one that suits your needs.

• Payment Plans: Many orthodontists provide financing options or payment plans to make the cost of braces more manageable.

• Dental Schools: Dental schools often offer orthodontic services at reduced rates, allowing students to gain experience under professional supervision.

Conclusion

While Medi-Cal offers comprehensive dental benefits for children and adolescents, adult coverage for braces is limited and typically not available. Exploring alternative options can help adults access the orthodontic care they need.

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