• May 25, 2025
  • By Brian

Dental Insurance That Covers Orthodontics for Adults

Orthodontic treatment is not just for children and teenagers—many adults also seek braces, clear aligners, or other corrective procedures to improve their smiles and oral health. However, orthodontic care can be expensive, making dental insurance that covers adult orthodontics a valuable investment. This article explores the best dental insurance options for adults needing orthodontic coverage, key considerations when choosing a plan, and tips for maximizing benefits.

Why Do Adults Need Orthodontic Coverage?

Many adults require orthodontic treatment for various reasons, including:
– Correcting misaligned teeth or bite issues
– Improving oral hygiene by making teeth easier to clean
– Enhancing aesthetics and boosting confidence
– Addressing jaw pain or TMJ disorders

Since orthodontic treatments like braces or Invisalign can cost ,000 to ,000 or more, having insurance that helps offset these expenses is crucial.

Types of Dental Insurance Plans That Cover Adult Orthodontics

Not all dental insurance plans include orthodontic benefits for adults. Here are the most common types that do:

1. PPO (Preferred Provider Organization) Plans

– Offer flexibility in choosing dentists (in-network or out-of-network)
– Typically cover a percentage of orthodontic costs (e.g., 50% up to a lifetime maximum)
– May have waiting periods before orthodontic benefits kick in

2. DHMO (Dental Health Maintenance Organization) Plans

– Lower premiums but require using in-network providers
– Often include orthodontic coverage with no waiting periods
– May offer fixed copays instead of percentage-based coverage

3. Discount Dental Plans

– Not insurance, but provide reduced rates at participating dentists
– May offer discounts on orthodontic treatments (e.g., 15-30% off)
– No annual maximums or waiting periods

4. Employer-Sponsored Dental Insurance

– Some employer plans include orthodontic benefits for adults
– Coverage varies widely—check plan details for lifetime maximums and waiting periods

Key Factors to Consider When Choosing a Plan

When selecting dental insurance for adult orthodontics, consider:

Coverage Limits – Most plans have a lifetime maximum (e.g., ,000–,000) for orthodontics.
Waiting Periods – Some insurers require 6–12 months before covering orthodontics.
Age Restrictions – A few plans exclude adults or impose age limits.
In-Network Providers – Using approved dentists can maximize savings.
Pre-Treatment Estimates – Get a cost breakdown before starting treatment.

Top Dental Insurance Providers for Adult Orthodontics

Some of the best insurers offering orthodontic coverage for adults include:

  • Delta Dental:
  • – Strong PPO network with good orthodontic benefits.

  • Cigna:
  • – Offers plans with adult orthodontic coverage and flexible options.

  • MetLife:
  • – Employer-sponsored plans often include orthodontic benefits.

  • UnitedHealthcare:
  • – Provides both PPO and DHMO plans with orthodontic riders.

    Alternative Ways to Afford Orthodontic Treatment

    If insurance doesn’t cover enough, consider:

  • Flexible Spending Accounts (FSA) or Health Savings Accounts (HSA):
  • – Use pre-tax dollars for orthodontic expenses.

  • Payment Plans:
  • – Many orthodontists offer installment options.

  • CareCredit:
  • – A healthcare credit card with promotional financing.

    Final Thoughts

    Finding dental insurance that covers adult orthodontics requires research, but the right plan can significantly reduce out-of-pocket costs. Compare policies, check for waiting periods, and consult with providers to ensure the best financial and treatment outcomes.

    Would you like recommendations based on your location or budget? Let us know in the comments!


    Meta Description: *Looking for dental insurance that covers orthodontics for adults? Compare PPO, DHMO, and discount plans to save on braces or Invisalign.*

    Tags: DentalInsurance AdultBraces OrthodonticCoverage InvisalignInsurance DentalPPO