Dental Insurance Information
Many dental insurance plans now include orthodontic benefits for just a few dollars a month. Our office will make every effort to provide you with the finest orthodontic care and the most convenient financial options. If you have orthodontic benefits, our staff will file with the insurance companies on your behalf and work to ensure that your benefits are fully applied to your treatment.
If you have any problems or questions, please ask our staff. They are well-informed and up-to-date, and can be reached by phone at (718) 548-4768.
Please bring your insurance information with you to the consultation so that we can expedite your insurance claims.
Orthodontic Insurance Plans Accepted
We work with many of the most widely used dental and orthodontic insurance plans to help make treatment more affordable for patients in Riverdale, Bronx, NY and surrounding boroughs. Our team assists with insurance verification, benefit review, and claim submission so you can focus on your care, not the paperwork.
Orthodontic insurance benefits vary by plan and employer. While coverage levels differ, we help maximize your available benefits and clearly explain any out-of-pocket costs before treatment begins.
Insurance Providers We Accept
Schimmel Orthodontic Associates accepts many major dental and orthodontic insurance plans, including:
Aetna Dental
Anthem Blue Cross Blue Shield
ASO
Blue Cross
Cigna
Delta Dental
EmblemHealth
Empire BlueCross BlueShield
GHI
Guardian
MagnaCare
MetLife
UFT
UnitedHealthcare
UNUM / Colonial Life
If your plan is not listed, coverage may still be available. Insurance participation changes frequently, so we encourage patients to contact our office for verification.
Orthodontic Treatments Covered by Insurance
Many dental insurance plans include a separate orthodontic benefit that may apply toward treatment for alignment, bite correction, and jaw-related conditions. Coverage depends on your specific plan and employer policy.
Orthodontic insurance benefits may help cover treatment for:
Braces
Traditional braces are one of the most commonly covered orthodontic treatments and are effective for correcting crowding, spacing, and bite issues in children, teens, and adults.
Clear Aligners
Clear aligner therapy offers a removable and discreet option for straightening teeth. Many insurance plans provide partial orthodontic coverage for aligners, including Invisalign, when orthodontic benefits are available.
Orthodontic Disorders
Orthodontic treatment is often used to address conditions such as misaligned teeth, overbites, underbites, crossbites, open bites, and spacing issues. Insurance coverage may apply when treatment is deemed orthodontically necessary.
Orthognathic Surgery
In certain cases, orthodontic treatment is coordinated with jaw surgery to correct severe bite or jaw alignment issues. Coverage for orthognathic surgery varies by medical and dental insurance plans and is evaluated on a case by case basis.
TMJ and Bite-Related Issues
Orthodontic care may play a role in managing bite-related problems that contribute to jaw discomfort or TMJ-related symptoms. Insurance coverage depends on diagnosis and whether treatment is classified as orthodontic or medical in nature.
Orthodontic insurance benefits typically cover a percentage of treatment costs up to a lifetime maximum. Coverage amounts, age limits, and eligibility vary by plan.
Our office helps patients by:
- Verifying orthodontic insurance benefits
- Submitting insurance claims on your behalf
- Tracking benefits throughout treatment
- Explaining coverage and remaining balances clearly
We work with both in-network and out-of-network insurance plans, depending on your provider and employer policy.
Looking For Excellent Orthodontic Treatment?
Contact Schimmel Orthodontic Associates today to schedule an appointment!
Orthodontic Insurance FAQs
Schimmel Orthodontic Associates accepts many major dental and orthodontic insurance plans commonly used in Bronx, NY, including Aetna Dental, Delta Dental, Cigna, MetLife, UnitedHealthcare, EmblemHealth, Empire BlueCross BlueShield, Guardian, MagnaCare, and others. Insurance participation can change, so patients are encouraged to contact the office for plan verification.
Some dental insurance plans apply orthodontic benefits to clear aligner treatment, including Invisalign. Coverage varies by plan and may differ from traditional braces coverage. Benefits are reviewed before treatment begins.
Adult orthodontic coverage depends on the insurance plan. Some plans include orthodontic benefits for adults, while others limit coverage to children and teens or offer lower lifetime maximums.
Insurance coverage for TMJ related care depends on diagnosis and whether treatment is classified as orthodontic or medical. Orthodontic treatment may help address bite related contributors to TMJ symptoms, but coverage is evaluated on a case by case basis.
Orthognathic surgery coverage depends on medical necessity. In some cases, medical insurance may cover portions of jaw surgery when significant skeletal or functional issues are present. Dental insurance typically does not cover surgical procedures.
If insurance coverage is limited or unavailable, flexible payment options are available. Treatment plans and costs are discussed in advance so patients can make informed decisions.
Yes. The office verifies benefits, submits insurance claims, tracks payments, and helps patients understand remaining balances throughout orthodontic treatment.
