Insurance

Orthodontic treatment is an investment in your health and confidence. At ABM Orthodontics, we accept most major dental insurance plans and help Clearwater families maximize their benefits to make treatment affordable.

WE ACCEPT MOST MAJOR INSURANCE PLANS

We work with most major dental insurance carriers to make orthodontic care accessible. Our accepted plans include:

  • Cigna
  • Humana
  • MetLife
  • Guardian
  • Florida Blue
  • Delta Dental
  • Aetna

 

Many insurance plans offer orthodontic benefits covering a portion of treatment costs, typically ranging from $1,000 to $3,000 depending on your specific plan. During your consultation, our team will verify your coverage, explain what your plan covers, and provide a clear breakdown of your financial responsibility.

Understanding Your Orthodontic Benefits

Orthodontic insurance benefits differ from regular dental coverage. Most plans provide a lifetime maximum benefit for orthodontic treatment, meaning once you use this benefit, it doesn’t renew annually like regular dental coverage. Many plans cover orthodontic treatment for both children and adults, though some restrict benefits to patients under 19. Coverage typically pays a percentage of treatment costs up to the lifetime maximum, often 50% of approved charges. Some plans require a waiting period before orthodontic benefits become available. Understanding these details helps you plan financially and take full advantage of your coverage.

How the Insurance Process Works

When you schedule your consultation, bring your insurance card and we’ll verify your orthodontic benefits before your appointment. This allows us to provide accurate cost estimates during your visit. After your exam, we submit any required pre-authorization to your insurance company, which typically responds within two to four weeks. Once approved, we’ll create a payment plan coordinating with your insurance benefits. Most insurance companies pay their portion directly to our office monthly or quarterly throughout treatment, while you pay your portion according to the schedule we establish together.