New York. New York Medicaid pays for orthodontic braces for adolescents under 21 with a severe handicapping malocclusion. However, retreatment for relapsed cases is ineligible. In NY all participating orthodontists agree to accept the plan reimbursement as payment in full.2021-04-13
How much does Medicaid cover for braces?
In the event your orthodontic treatment is categorized as cosmetic, Medicaid does not cover braces. While the average cost for braces is $5,000-$6,000 out of pocket, there are other options for managing the expense, including: Dental insurance.2020-11-06
Is braces free in New York?
Children covered by New York State Medicaid or have a Medicaid component to any of the insurance plans listed below are entitled to free braces (free orthodontics) if their condition meets the NYS Medicaid Orthodontic Program guidelines. Dr.
What is considered medically necessary for braces?
In order for orthodontics to be considered medically necessary, the case should include the treatment of craniofacial abnormalities, malocclusions caused by trauma, or craniofacial disharmonies. Also, treatment may be covered when provided in conjunction with other medical issue(s), such as a syndrome, trauma, etc.
What does New York Medicaid cover?
New York Medicaid benefits include regular exams, immunizations, doctor and clinic visits, relevant medical supplies and equipment, lab tests and x-rays, vision, dental, nursing home services, hospital stays, emergencies, and prescriptions.