MassHealth. MassHealth covers dental services for both children and adults with MassHealth Standard, CarePlus, CommonHealth or Family Assistance. Only children and youth under 21 are covered for some dental services like orthodontics (braces).
How many times does MassHealth cover braces?
Braces (if qualified) Cleanings (2 times per calendar year) Crowns. Dentures.
How do you qualify for free braces?
- Have good oral hygiene without any unfilled cavities.
- Not wear braces currently.
- Have at least a moderate need for braces.
- Meet the organization's financial guidelines, which vary by state.
What to do if MassHealth denied braces?
If MassHealth denies a member for comprehensive orthodontic treatment, the provider can bill this code to be reimbursed for the pre-orthodontic workup. Replacement of a lost or broken retainer. MassHealth will pay for a replacement only during the two-year retention period.2018-06-08
How long does it take for MassHealth to approve braces?
MassHealth usually responds with their decision within 2-3 weeks.
Does MassHealth cover braces for teens?
Insurance and Orthodontics MassHealth (Medicaid) dental benefits do cover braces for children under 21 years of age. It is rarer for dental plans to cover orthodontics for adults. If your policy does not cover braces, you might be able to purchase a supplementary plan to mitigate the cost of your care.2019-12-15
Does MassHealth cover Invisalign braces?
At this time, MassHealth only covers traditional metal braces and does not cover Invisalign treatment.