Braces with Medicaid in Illinois. Orthodontic Treatment (braces and Invisalign) Through Illinois Medicaid Managed Care Plans. In 2015 Illinois has shifted about 1.5 million of its Medicaid recipients into managed care plans as an alternative system of delivering health care.. Our office participates in the following Illinois Medicaid managed care plans. If you live in Illinois and have any kind of Medicaid coverage, you could be able to get braces on your children’s teeth at little or no cost to you.
Medicaid covers orthodontic braces for adults when medically necessary across the country. In this case, it means the procedure treats an injury, disease, or symptoms. Therefore, the plan may pay if you suffer an accidental injury, TMJ, or sleep apnea. Medicaid covers elective orthodontic braces for adults in Oregon and the District of Columbia. Orthodontic Consultations | How to Get Braces. Kool Smiles is committed to providing affordable orthodontic care, so we will work with you to select the best type of braces and find the best payment solution, even if your dental procedure isn’t covered by Medicaid.
• Medicaid programs are required to cover dental services for children and youth under age 21 but there are no minimum coverage requirements for adults. As a result, adult dental benefits vary widely across states. For example, as of February 2015: – 19 states provided emergency-only adult dental benefits for non-pregnant, non-disabled adults;. Medicaid (also known as Medical Card, Public Aid, All Kids and Tarjeta Medica) is an Illinois State Aid Program that offers public assistance for children that are in need of dental care, including oral surgery, tooth extractions, and orthodontic treatment with braces.
Dental Benefits for Adults in Medicaid. States have flexibility to determine what dental benefits are provided to adult Medicaid enrollees. While most states provide at least emergency dental services for adults, less than half of the states currently provide comprehensive dental care. There are no minimum requirements for adult dental coverage. Effective March 1, 1999, the department has contracted with DentaQuest to administer the dental program for Medical Assistance and All Kids clients. DentaQuest is the fiscal agent of the department for the dental program, which is a fee-for-service program.