Private Orthodontic Insurance

When you are shopping for private orthodontic insurance there are several things to keep in mind.

This article will explain the two main parts of private orthodontic insurance: the private provider, and the orthodontic coverage. It will also recommend some insurance plans to look into.

Private Insurance

Private insurance is a contract you sign with a third party company. The company is in the business of providing financial support in the case of any clauses of the insurance policy happening.


What does this mean though?

It means whoever you sign up with has to help pay if the insurance policy kicks in.

Unlike “single payer” or “public” insurance, private insurance is not provided by a state or federal government funded program. Because of this they have to be able to manage the money on both your payments in, and their payments out.

They have several ways they can do this. Unfortunately, the most common way is by limiting the amount of payout they provide when you need it.

It’s because of this reason you will see many private orthodontic insurance plans written with limits like:

example 1
$2,500 payout limit
18 month waiting period

example 2
$5,000 payout limit
12 month waiting period

example 3
$3,000 payout limit on surgery
$1,450 payout limit on orthodontics

In every case there is some kind of payment cap or maximum dollar amount they will pay out.

As you will soon see, the fact that it is for orthodontic insurance creates the need for these caps.

Orthodontic Insurance Financials

Insurance companies have the need to make a profit so they can stay in business and provide good coverage for everyone who has signed up.

There are many ways they can go about doing this. The problem comes when you know you will have to use the insurance policy.

It’s kind of like buying home insurance with a hurricane aiming right at your house. Both you and the insurance company know they are going to have to pay out on the house. It’s just a question of how much.

The simple fact is this: if you’re buying private orthodontic insurance, I would be willing to bet you or your family is going to need surgery and braces. It’s 99% certain.

So what are you supposed to do?

Luckily this is where our recommended private orthodontic insurance plans can help.

By using a variety of money saving tools and policies, some insurance companies provide good orthodontic insurance. Some of them just deal with orthodontic plans while some are more general dental insurance plans with generous orthodontic benefits too.

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