Orthodontic treatment includes the diagnosis or correction of teeth irregularities and malocculsion of jaws, by wire appliances, braces or other mechanical aids, commonly known as “straightening of the teeth”. These include active space maintainers, or orthodontic appliances for the purpose of repositioning or moving the teeth.

A Pre-Treatment Plan is always required for this benefit. Treatment will generally extend over a two or three year time span. The Claims Office will respond to the Pre-Treatment Plan with an explanation of how the monthly reimbursement process will work for the duration of the Orthodontic treatment. Claim payment is on a reimbursement basis, subject to the submission of paid receipts.

If you chose to pay your dentist in advance, your payments will be amortized over the period of the Pre-Treatment Plan and reimbursed on a monthly basis as the treatment progresses. Monthly reimbursements will terminate when the claimant no longer qualifies as an eligible dependent, regardless of whether the treatment is completed.