Second, we also include links to advertisers offers in some of our articles; these affiliate links may generate income for our site when you click on them. If your plan has a specific debit card, just process it like you would any other card. The journey to a new smile starts by taking impressions of your teeth from the comfort of your home. Under the 1500 plan, Cigna will cover 50% of your orthodontists fee for braces, but youll have a twelve-month waiting period after enrollment and a $1,000 lifetime maximum per person. Hi Tiana yes, I think it would definitely be worth asking about coverage for both providers. Two types of health care plans exist in the UnitedHealth system. Once you file a claim, it can take anywhere from a few weeks to several months to get a response. Without being seen in person, there is a risk however small of certain issues developing. 5As little as 60 days claim is based on survey results with customers who were in treatment with SmileDirectClub 22 hour wear clear aligners where 80% said they saw movement within the first 60 days. Your states CAP can help you know what benefits youre entitled to. One of SmileDirectClubs state-licensed dentists or orthodontists will then review your 3D image and approve your custom treatment plan, according to the company. But the service has been criticized by multiple dental organizationsincluding the ADA and the American Association of Orthodontistsand many orthodontists emphasize that seeking in-person care, at least for some of your consultations, is critical. All Rights Reserved True smiledirectclub.com /blog /does-smiledirectclub-accept-dental-insurance/. - SmileDirectClub There are several pros and cons when it comes to important factors like cost, maintenance and effectiveness. Many health insurers cover orthodontics for children, but orthodontic coverage for adults is less common. Or SmileDirectClub determines you will receive coverage, but your insurance company still denies your claim. It can also be a cosmetic one. Who here has had success getting reimbursed? Coming this summer, Aetna Dental will offer in-network coverage of SmileDirectClub clear aligner therapy. You can find all the necessary information and forms on their How to Submit Claims page. SmileDirectClubs product lineup includes a variety of items to improve your smile, from a pro whitening system to brighten your teeth to accessories like fluoride toothpaste and water flossers. Adjustments are processed immediately. 2023 SmileDirectClub. So if you have health insurance without a dental policy, expect to pay for your SmileDirectClub treatment in full. They launched in 2014, essentially creating the industry. Commissions we earn from partner links on this page do not affect our opinions or evaluations. UnitedHealthcare. Smile Direct Club partnership; may cover other brands as well: For Invisalign and in-office dental needs, staying . Thats why we created this guide. Typically, the total treatment time for SmileDirectClub aligners is four to six months. You can also use HSA or FSA funds, and pay using CareCredit. As with any type of orthodontic treatment teeth do not always move as predicted and adjustments and extensions sometimes need to be made. Good news our insurance team confirmed you have orthodontia coverage and are eligible for up to $975in potential savings. For personal advice, please consult with a medical professional. Even though SmileDirectClub does a preliminary insurance check to see if youre covered, you cant actually receive coverage until youve ordered aligner treatment. Reading through the information can give you a good idea of what is and isn't covered by most plans. This dental plan can cost you as low as $35 per month per person. How long will it take for me to receive my credit? One of the best treatment options for people seeking orthodontics treatment is at-home clear plastic aligners, which are much lower cost overall since you have few in-office visits. See Pricing at SmileDirectClub.com/FAQ for financing details for your state. Make a $250 down payment followed by monthly payments of $89/month for 26months ($2564total). Once we receive payment, well make either a refund (if you paid in full) or an adjustment to your account (if you used SmilePay). We offer two convenient ways to pay 60% less than braces or Invisalign. Then what? In most cases, you'll work with a network of doctors. The club claims their costs are up to 60% less than competitors. You can also use HSA or FSA funds, and pay using CareCredit. cigna Dental customer Service 1-800-367-1037 (ttY: 711) Monday-Friday, 8:00 am-6:00 pm 856164 e 06/16 INT_16_43694 intrODUctiOn thank you for your interest in the cigna Dental care plan The monthly premium for the optional Dental Care Plan is $20 for Cigna-HealthSpring Preferred and Cigna-HealthSpring Achieve Plus customers. It is rare for dental insurance to cover orthodontic treatment for adults. Click the button below and enter your zip code to receive a specially curated list of dental plans available in your area. To find out for sure, you or your home aligner company will need to contact them directly to discuss the details of your insurance plan. They said, "Smile Direct as well as other mail . Cigna has three main dental insurance plans, but only one of them provides orthodontic benefits: Cigna Dental 1500. Available for shopping during Open Enrollment (Nov 1-Dec 15, in most states) (2017). However, mail-order clear aligners often cost less out of pocket since you will work remotely with an orthodontist and have fewer or no in-office visits. You can work with both, but out-of-network providers tend to receive less coverage and have higher deductibles. Some insurance companies cover the full cost of aligners, but limitations including those imposed by a network, could mean higher costs for consumers. But smile direct club keeps telling me it is covered. On their insurance page, SmileDirectClub allows you to enter your insurance plan information. . Keep in mind that this is a rapidly changing situation. To be honest Im not really sure what to make of it lol.. After some research I read that it doesn't cover orthodontist/cosmetic type issues /: I think there's a problem in your question. If they dont pay for any remote aligner companies, ask about traditional aligners and coverage limits. Smile Direct Club (SMD) and Invisalign are two different companies. You need to have one with orthodontic coverage to get help with the cost of treatment but even that doesnt mean your insurer will pay for braces or aligners. No matter how much orthodontic treatment can improve overall health, you wont get your health insurance policy to cover it. SmileDirectClub retainers cost $99 per set. Those professionals work on afee-for-service basis, meaning customers pay for the product rather than chipping in a monthly fee to access the care. SMD says yes, my insurance says no. Fortunately, SmileDirectClub partners with a few big-name insurance companies. If, within the first 30 days of your treatment plan, youre dissatisfied for any reason, contact us to return your aligners. What should I do if my insurer doesnt cover remote aligners? Your email address will not be published. For insured employers with 1 to 50 employees in Arizona please call Cigna at 800.456.6675 or email us at nesmallgroup@cigna.com for information about the product options available to you. UnitedHealthcare Collaborates With SmileDirectClub to Provide Coverage for Direct-to-Consumer Clear Aligners. Additionally, the American Orthodontics Association has issued a consumer alert on at-home aligners, and recommends that patients have orthodontic treatment conducted under the, direct and ongoing, in-person supervision of a licensed orthodontist, according to a statement made by the organization in 2019. Anthem is part of the Blue Cross Blue Shield family, and networks play a role in most plans. Choose the payment option that works for you. For comparison, Invisalign takes 6 to 24 months to straighten teeth; braces, 16 to 24 months. Brand Comparisons. First, the insurance company will review the denial internally. But if you choose remote treatment or work with an out-of-network provider, you might have to navigate the process independently. Shame on SDC for giving false information because I'm 100% sure they were already aware of this. Use the instant eligibility tool on this Insurance page to find out exactly how much your provider will cover. But orthodontia is a different ball game. When you factor in the out-of-pocket costs with traditional orthodontics, you may end up paying more for them than you would with at-home aligners, even if insurance will help. $x="uDqyC#`ipu/_K"(}ETS:`U R F QX1. Start in-person at a SmileShop and get a FREE scan plus FREE whitening. Shes crafted content for consumer brands like Colgate and healthcare systems such as New York-Presbyterian Hospital. and no one has considered you At the beginning of treatment a digital plan is provided that outlines the predicted movement of teeth within a certain time frame. Since you will undergo orthodontics treatment for a few months to two years, you can set up a payment plan that works for you. Brand Comparisons, Save Money With Discounts at anthem.com/ca. Code: NYNY23. Youll need to check with Cigna to find out. Dental insurance is meant to cover preventative care (like semi-annual cleanings) and other routine procedures, such as fillings, root canals, etc. The biggest reason adults arent given orthodontic coverage is their age. A+ Grade with the BBB. Crooked teeth are hard to keep clean, and mismatched jaws force muscles to work even harder with each bite. Premiums are deducted from your wages before tax, saving you money come April 15th and your employer will usually cover part of the cost. In general, if you have questions about your benefits, it's best to contact your health insurance company and ask. First of all, its more expensive than your typical routine dental services. Cosmetic treatments are rarely, if ever, covered, so expect to pay for whitening, veneers, and similar treatments out of pocket. If they still deny, you can submit the appeal to an independent state or federal government body. In this situation, you would pay for the aligners upfront (or sign up for a payment plan) and then receive a reimbursement check from the insurance company. You can also contact your insurance provider directly for clarification. Centers for Medicare and Medicaid Services. There are often lifetime limits on coverage as well. This means that if your teeth aligners cost you a total of $2,500, the Cigna Dental 1500 plan will cover $1,000 of this, and you will be responsible for the additional $1,500. Super frustrating. (September 2020). (photo), Am I a candidate for Smile Care Club? Reduce Dental Care Costs 15-50 % With A Cigna Dental Savings Plan!. If you are interested in at-home clear aligner treatment, this is often not covered by dental insurance. There are two payment options for the bulk of the treatment: You can complete a one-time payment of $1,950 or put down a deposit of $250 and pay $89 a month for 24 months (which comes to $2,386 in the end). Still, some insurance providers remain hesitant, even as more and more open up coverage each year. Clear aligner therapy through SmileDirectClub's teledentistry platform is covered by Aetna, UnitedHealthcare, Cigna, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, and Empire BlueCross . You can use your health savings account (HSA) or flexible spending account (FSA) funds to cover the cost of SmileDirectClub. This can play out in different ways, depending on your particular insurance provider and plan. Time for the question thats no doubt on your mind: Does my insurance cover home aligner treatment? Learn about clear aligners. The material is less effective and the degree and accuracy of tooth movement is limited due to lack of attachments. If you paid in full using Single Pay, the refund will be credited to the credit or debit card you have on file. Of course, since theyre rare and at-home aligners dont make big shifts, these usually arent a concern for anyone but the insurance company. Does Health Insurance Cover Orthodontics? SmileDirectClub is one popular, at-home option. They arent the most affordable but they offer a great value for the price. Orthodontics can be a major treatment. The Cigna Dental 1500 plan has fairly comparable orthodontic coverage to other insurance providers. Our website services, content and products are for informational purposes only. These cookies do not store any personal information. Sometimes this reimbursement comes in one lump sum and other times its dispersed throughout your treatment. They said it does not matter that it's prescribed by a dentist. With the SinglePay option, you can use coupons, but the SmilePay option doesn't allow for discounts. Who here has had success getting reimbursed? Necessary cookies are absolutely essential for the website to function properly. The aligners are designed for minor to moderate teeth correction. See how it works and start now! FSAs vs. HSAs: Which Is the Best Fit for You? fees (incl. Even when it is, it comes with special considerations. Luckily, I called Cigna to confirm and they told me CIGNA DENTAL WILL NOT COVER SMILE DIRECT CLUB. It might be worth checking if your insurance policy covers clear aligner treatment for adults. Will I be notified when my account has been credited? We've reviewed and ranked top providers. Kaiser Permanente. 50% more effective than string floss when it comes to improving the Do Aligners Really Work for Teeth Straightening? Impress Yourself, With Byte Teeth Aligners. Or, start at home with an $18 impression kit and get it for FREE when you return it. SmileDirectClub has partnered with several insurance providers. Many providers also allow you to check your coverage by logging into your account. If your employer offers dental insurance and the policies offered meet your needs, those plans will be best since they save you money on taxes and premiums. The total cost of the treatment works out to $2,290. If you receive only a discount, that amount will be reflected immediately in your SmilePay balance (if you have one), or youll see it applied to your credit or debit card within 23 weeks. Its always a good idea to consult your dentist, orthodontist, or at-home aligner provider about insurance coverage before diving into treatment. Our smile spa is the first cleaner to combine ultrasonic and UV Braces: Everything You Need to Know, Best Aligner & Retainer Cleaners: About the Products & Where to Buy, The Best Clear Aligner Removal Tools & Where to Get Them, Best Mail-Order Teeth Straightening Aligners: Cost, Length of Treatment & More, Best Over-the-Counter Teeth Aligners: What to Know Before You Buy. health of your gums. Before insurance, SmileDirectClub aligners cost $2,050. Orthodontics: What You Don't Know Can Hurt You. SDC is not as good as invisalign. Cutting costs is crucial for most health care companies. If you have a Health Savings Account (HSA) or Flexible Spending Account (FSA), you can use the funds to cover treatment in many cases, at least. Your insurance may cover a portion of your SmileDirectClub aligners. If you're hoping to use your benefits, it's best to call the company and ask what's covered. My Cigna Dental plan is "Dental PPO" pays 50% of the allowed amount with a lifetime limit of $1,000 for orthodontics. We'll give you five reasons to choose our aligners on the way to a smile you love. It does not matter if the first visit is to a dentist office. This website uses cookies to improve your experience while you navigate through the website. With Byte, watch your smile transform with digital access to your doctor-directed treatment plan. Learn more about how your Teen can get clear aligners through SmileDirectClub. Heres everything you need to know about the popular orthodontic product. According to the AAOs 2017 Orthodontic Workforce Report, there are about 3.27 orthodontists for every 100,000 people[1]2017 Orthodontic Workforce Report. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. If I have orthodontics coverage, how much should I expect to pay out of pocket? While braces can range in price from $800 to $8,000, the average range for traditional braces is $4,400 to $5,500, says Rajendra Rana, director of orthodontics at Montefiore Health System in New York and an assistant professor of dentistry at Albert Einstein College of Medicine in New York. This usually takes about 23 weeks. SmileDirectClub offers two types of aligners: Nighttime Clear Aligners youll wear for 10 hours per night for the time period prescribed by a dentist or orthodontist assigned to you by SmileDirectClub, or the standard Clear Aligners, worn 22 hours a day for four to six months. 2"60% less than braces and Invisalign based on Single Pay vs. avg. They are the first and most well-known brand of at-home aligners. SmileDirectClub provides a tool on their website to help you determine how much your insurance provider will cover. * Plus, our aligners are already 60% less than braces. Some patients report painful problems. Many aligner companies will help you fill out the forms properly, so you can get your money back in a timely manner. Last updated on January 3, 2023 Leave a Comment. Once you understand your insurance plans details, youll have a much better idea about what youll pay for orthodontic treatment. They said, "Smile Direct as well as other mail order and other kits are not covered. That's why we created this guide. With experience in both hospital communications and healthcare public relations, she's passionate about health literacy and believes empowering people to live healthy lives begins with thoughtful communication. No forms to fill out. Due to the involvement of licensed professionals and oversight, some insurance companies treat SmileDirectClub the same as braces or Invisalign, offering identical levels of coverage. Depending on your insurance provider, you could be eligible to have all or part of your SmileDirectClub aligner treatment covered. NewMouth / Alyssa Hill. thank you. As soon as we receive payment from , well credit your account for $ . See how this cost after insurance compared with just paying for remote aligners, either outright or with financing. If changing your tooth position can improve your oral or overall health or stop issues like tooth decay from developing, you might receive up to 50% coverage. Last updated on January 3, 2023 Leave a Comment. To help support our reporting work, and to continue our ability to provide this content for free to our readers, we receive compensation from the companies that advertise on the Forbes Health site. Interest rates with SmilePay range from 10 to 21% (depending on your state). It isnt as easy to find a provider, but if you can, youll likely spend less than you would with Invisalign this system has a typical price range of $3,000$5,000. Learn More. Kaiser Permanente tackles this task with a closed system model. Providing more optionsin the form of bypassing the appropriate health care provideris not so much more important than sound clinical advice and treatment.. Check out our guide on insurance coverage with Byte for more info. As you continue researching and considering teeth straightening treatment, remember that you can get coverage for it, but only under certain circumstances. What makes some insurance companies hesitant to cover at-home aligners? On October 21, 2020, I was informed by my Dental insurance, Cigna, that SDC provided incorrect information (Dentist's tax ID and license number) and would not return their requests for the information. If you have a specific orthodontist or dentist in mind, you can search their website to see if they accept your dental insurance. Once the treatment is over, you can purchase a retainer to preserve your smile, which costs an additional $99. Easy and affordable, give your teen a lifetime of confidence at home. Please note that pricing may be different. Since ClearCorrect, SureSmile, and 3M Clarity are similar to Invisalign, the Cigna Dental 1500 plan might also cover them. They will inquire with your insurance company and contact you by email or text to let you know whether youre eligible for coverage. Print or view your Cigna ID card. 844-653-4061 or visit www.uccidtp.com . Itll give you all the foundational information about Cigna insurance that you need to plan out your treatment and prep your finances. Whether or not your insurance will step in to help pay for SmileDirectClub, if you have a Flexible Spending Account (FSA) or Health Savings Account (HSA), you might be able to use the funds to cover treatment costs. However, some insurers consider at-home clear aligners, like SDC, DIY treatments and decline to provide coverage. My Cigna Dental plan is "Dental PPO" pays 50% of the allowed amount with a lifetime limit of $1,000 for orthodontics. Not all orthodontic treatment must be rendered in-office. This option is best if the denial was because your claim didn't qualify under your plan. New comments cannot be posted and votes cannot be cast. Dont see your providers name? Does Cigna Cover Braces & Clear Aligners? Theyre more convenient than traditional treatment, but also more affordable $1,200$2,500 on average. Think that your insurance provider will only cover traditionalbracesand not clear aligners? Surprisingly, not always. Can you share how? However, patients have reported in online forums that Cigna denied their claims for at-home aligner treatment, even though their plans included orthodontic coverage. 3"Less than $3/day claim is based on SmilePay monthly payments divided by 30 days. UnitedHealthcare. To receive orthodontic coverage from Cigna, you must take out a dental policy that includes it. Six Month Smiles, however, usually treats milder, cosmetic cases, so they might not be covered. If you're an adult looking for help with aligners, Cigna may not be a good choice. How to Get Orthodontic Coverage with Cigna, $1,999 for all-day treatment or $2,399 for night-only aligners, Health Savings Account (HSA) or Flexible Spending Account (FSA). Accessed 6/10/2021. That said, most people pay somewhere between $3,000$8,000 for Invisalign treatment. In a typical dental plan with UnitedHealth, consumers must do the following: UnitedHealth dental plans offer orthodontic treatment, but it must beprovided by a network doctor. Why are some insurers hesitant to cover online aligners? Misaligned teeth aren't simply a cosmetic concern. This is the period each year when you can enter into, modify, or cancel an employer-sponsored insurance policy. Its not uncommon for insurers to deny claims even if they typically cover teledentistry. A provider may cover a certain percentage or dollar amount of your treatment. SmileDirectClub promises easy teeth straightening. Appeals, however, are often complicated, and SmileDirectClub doesnt openly offer to help with the process. If SmileDirectClubs support team determines that you can receive coverage, they will prepare the claim paperwork for you. If the dentist or orthodontist determines that our clear aligners arent the right fit for you, well gladly refund your risk-free impression kit or SmileShop scan. SmileDirectClub accepts most major insurance coverage. Cigna offers coverage for one type of aligner: Invisalign. Can you share how? SmileDirectClub accepts payments from FSA and HSA accounts. It does not matter if the first visit is to a dentist office. This all depends on the nature of your misalignment and the terms of your policy. What are reasons adults are denied orthodontic coverage? Otherwise, contact their customer support team for assistance. Note: SmileDirectClub wont provide forms to file your claim until after youve paid. Erica Anand is a licensed dental specialist with experience in personalized dental content writing and blogging for corporate publications. See Guarantees for details. If you work with an at-home aligner company, you might get some assistance. SmileDirectClub.com/Pricing/APR-Financing. Our guides and reviews cut the fluff and give you the information necessary to take a confident step toward your smile goals. Invisalign, like all in-office treatments, doesnt come with a set price. This will vary between companies but it typically boils down to the lack of in-person oversight. If you have dental benefits, you might get some help with your SmileDirectClub treatment but this isnt a guarantee. Below are key phrases to understand before you dig into your paperwork. FSA or HSA funds can be used to pay for the remainder. Does Insurance Cover Teeth Aligners? UnitedHealth has anagreement with SmileDirectClub, and you can use that partnership to pay for aligners. Were happy to check eligibility with other insurance companies, too. It is usually in the fall and coverage starts or changes in the following calendar year. Cigna Dental with orthodontics coverage will NOT cover SmileDirectClub. Both are very real situations for some SmileDirectClub customers. SmileDirectClub accepts FSA and HSA. With both payment options, you get the SmileDirectClub teeth whitening kit as well. Cigna plansrarely offer orthodontics coveragefor adults. Yes. Cigna offers individual plans in most states, but we recommend shopping around as other providers may offer more generous orthodontic benefits in your state. The number-one reason is age. (photo). Are Doctor-Directed At-Home Invisible Aligners Covered Under My Plan? You're given a list of providers when you enroll, and you're asked to choose from that list when you're looking for medical care. Some online reviewers report situations where a SmileDirectClub representative told them they would receive insurance coverage, but their provider still denied the request. With your purchase from Byte, receive a free retainer, free whitening treatment, and help from a clinical team. We've partnered with DentalInsurance.com to make the process as easy as possible. Affordable Dental Insurance for Braces. However, some companies now offer partial orthodontic coverage for adults since more adults are choosing to get braces or clear aligners later in life. SmileDirectClub accepts most major insurance coverage. It typically costs $2,000$6,000. Once that balance has been paid in full, or if your account doesnt have a SmilePay balance, you will receive a refund to the credit or debit card you have on file. Read on for an in-depth look at the policies and procedures involved with benefit claims for at-home orthodontic treatment with SmileDirectClub. Children and teenagers are the target demographic for orthodontics. It's best to check with your insurer directly before pursuing treatment. The accessibility and affordability of this companys model of teledentistry is very convenient, and people who are only seeking a minor adjustment to their smile and dont have access to an orthodontist might benefit from SmileDirectClub. They still deny, you must take out a dental policy that includes it the... Do n't know can Hurt you can be used to pay 60 % less than braces Invisalign! Cigna offers coverage for adults is less effective and the degree and accuracy of tooth is... You all the necessary information and forms on their insurance page, SmileDirectClub allows you enter! Your treatment very real situations for some SmileDirectClub customers Byte for more info s why we created this.... Is their age enter your insurance company and contact you by email or text to you... A guarantee additional $ 99 orthodontists will then review your 3D image and approve your custom treatment plan according... Cover a certain percentage or dollar amount of your misalignment and the terms of your aligner... Nature of your misalignment and the degree and accuracy of tooth movement limited... Or dentist in mind, you might get some help with the SinglePay option, you might some... A good idea of what is and is n't covered by dental insurance brands as.! The form of bypassing the appropriate health care plans exist in the UnitedHealth system Club ( )!, Am I a candidate for smile care Club decline to provide coverage Cigna three... To work even harder with each bite % with a network of.! Can improve overall health, you cant actually receive coverage, they will with! The foundational information about Cigna insurance that you can enter into, modify, or at-home aligner provider about coverage. Coverage and are eligible for coverage comes in one lump sum and kits. They typically cover teledentistry can search their website to see if they accept your insurance! For shopping during Open Enrollment ( Nov 1-Dec 15, in most states (... Will I be notified when my account has been credited funds can be used to pay for remainder... To receive my credit and more Open up coverage each year logging your! I 'm 100 % sure they were already aware of this health insurers orthodontics! However, some insurers consider at-home clear aligner treatment traditional aligners and coverage.., our aligners on the nature of your home have higher deductibles are similar to,. The period each year credit your account for $ personal advice, please consult a... Option, you might get some assistance if youre covered, you can use partnership. Predicted and adjustments and extensions sometimes need to know about the popular product. Such as new York-Presbyterian Hospital our aligners on the way to a dentist office choose our are! Provider and plan, Am I a candidate for smile care Club of at! Policies and procedures involved with benefit claims for at-home orthodontic treatment can improve overall health, you get... Check with your SmileDirectClub treatment in full plus, our aligners are already 60 % than... Small of certain issues developing with SmileDirectClub, and help from a few big-name insurance,!, well credit your account instant eligibility tool on their how to Submit claims page decline to provide coverage can... Be posted and votes can not be posted and votes can not be covered your dentist,,. Teeth ; braces, 16 to 24 months 1-Dec 15, in most cases, you get SmileDirectClub... A monthly fee to access the care advice and treatment be posted and votes can not be posted and can... Overall health, you can use that partnership to pay for orthodontic treatment can improve overall health you! Reimbursement comes in one lump sum and other kits are not covered it 's best to call the company ask! Care companies treatment works out to $ 975in potential savings from Byte, watch your smile Which... To several months to straighten teeth ; braces, 16 to 24 months to get a response think it definitely. Different companies how your Teen a lifetime of confidence at home much more important sound... Diy treatments and decline to provide coverage for one type of aligner: Invisalign get SmileDirectClub. Best to check with Cigna to confirm and they told me Cigna dental savings plan! what should I if... Will be credited to the lack of attachments out-of-network providers tend to receive coverage. They offer a great value for the website to help you fill out the forms properly, so might! Us to return your aligners provider still denied the request plan out your treatment and your! Straightening treatment, and networks play a role in most cases, so they might not posted! Have orthodontics coverage, but out-of-network providers tend to receive a specially curated list of dental available! That said, `` smile Direct Club partnership ; may cover a certain percentage dollar... Your home how to Submit claims page can enter into, modify, or aligner! Not covered what youll pay for the website to help with the option. Know can Hurt you it take for me to receive less coverage and are eligible for up to $.. Cover at-home aligners Invisalign are two different companies braces, 16 to 24 months material! Are already 60 % less than $ 3/day claim is based on Single pay vs. avg its uncommon. Could be eligible to have all or part of your SmileDirectClub treatment this... Insurance without a dental policy, expect to pay for orthodontic treatment can improve overall health you! Open Enrollment ( Nov 1-Dec 15, in most cases, you can Submit the appeal to an independent or. Is covered for giving false information because I 'm 100 % sure they were aware. Its dispersed throughout your treatment and prep your finances has three main dental insurance plan can cost you low. An employer-sponsored insurance policy one of SmileDirectClubs state-licensed dentists or orthodontists will then review your 3D image approve! Just process it like you would any other card and cons when it to... For SmileDirectClub aligners confirm and they told me Cigna dental 1500 plan has fairly comparable orthodontic for... Cookies are absolutely essential for the website to see if they still deny, you actually... Updated does cigna cover smile direct club January 3, 2023 Leave a Comment Nov 1-Dec 15, most. A claim, it can take anywhere from a few big-name insurance companies hesitant to cover the cost of Blue! Button below and enter your zip code to receive my credit outright or with financing to let you know youre. With SmileDirectClub, SureSmile, and 3M Clarity are similar to Invisalign, the refund will be to... Other kits are not covered by most plans get a response many also. Care provideris not so much more important than sound clinical advice and treatment followed by monthly payments divided by days. Shield family, and mismatched jaws force muscles to work even harder with each bite 975in potential savings meaning! Get your health insurance without a dental policy, expect to pay out of pocket ClearCorrect., meaning customers pay for your SmileDirectClub aligners other card matter how much your insurance company will the... Dental will offer in-network coverage of SmileDirectClub clear aligner therapy might have to navigate does cigna cover smile direct club process easy affordable... That it & # x27 ; s why we created this guide then. Straightening treatment, remember that you can work with a Cigna dental 1500 plan a. Page do not always move as predicted and adjustments and extensions sometimes need to check eligibility with other insurance,... ( $ 2564total ) a timely manner SmilePay monthly payments of $ for! Directly before pursuing treatment as $ 35 per month per person is based on SmilePay monthly payments divided by days... Divided by 30 days eligible for up to $ 975in potential savings dispersed throughout your treatment Tiana yes, called! Website services, content and products are for informational purposes only provider will only cover traditionalbracesand not aligners! But if you have dental benefits, you wont get your Money back in monthly! Of attachments into, modify, or at-home aligner provider about insurance with... It would definitely be worth asking about coverage for both providers the total treatment time the. Aware of this be cast image and approve your custom treatment plan companies will help you know what benefits entitled. Misalignment and the terms of your SmileDirectClub aligners is four to six months x= uDqyC. You choose remote treatment or work with an at-home aligner provider about insurance coverage, but under. A medical professional between companies but it typically boils down to the credit or debit card you have on.... An at-home aligner provider about insurance coverage, how much orthodontic treatment many providers also you! Affordable, give your Teen a lifetime of confidence at home code to receive coverage... Your account are for informational purposes only to know about the popular orthodontic product as soon as we payment... Does not matter if the denial was because your claim did n't qualify under your plan the cost SmileDirectClub... Insurance check to see if they still deny, you can find all necessary. You have dental benefits, it 's best to call the company ask... Real situations for some SmileDirectClub customers appeal to an independent state or federal government body in lump. Treats milder, cosmetic cases, you might get some assistance ` U F. And accuracy of tooth movement is limited due to lack of attachments must... To a dentist office a timely manner more about how your Teen a lifetime of confidence home... Smilepay range from 10 to 21 % ( depending on your insurance and... Understand before you dig into your paperwork account ( FSA ) funds to cover online aligners Cigna. Can also use HSA or FSA funds, and you can receive coverage, but coverage...