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16 paź 2024 · It’s possible that your state Medicaid office will deny coverage even if your orthodontist considers braces to be necessary. This is especially likely if you’re an adult over 21. If Medicaid doesn’t cover your orthodontic treatment, there are other ways to get free or reduced-cost braces.
9 cze 2023 · With Child Medicaid. To get free dental braces for children with Medicaid, you must demonstrate that the proposed orthodontia treatment meets at least one of two more relaxed standards, making qualifying easier.
Payment for recommended orthodontic treatment. Payment for dental or other services needed in addition to orthodontic treatment to correct the functional impairment. Monitoring progress with child and parent or guardian to assure best possible outcomes.
13 sie 2024 · Medicaid might cover 100% of braces costs, or you may be responsible for paying a copay, or coinsurance. In some states, Medicaid may cover from 30% to 70% of costs, and you would need to pay the rest.
NJ FamilyCare /Medicaid provides health care coverage to New Jersey children under age 19 whose family income is at or below 355% of the Federal Poverty Level. For a family of 4, that is $9,230 a month (2024 guidelines). On January 1, 2023, under the Cover All Kids initiative, NJ FamilyCare expanded to cover children under 19, regardless of ...
treatment and payment terms and conditions are clear at the outset of treatment (for example, what happens in the case of a child who becomes ineligible for Medicaid or CHIP while he or she is undergoing orthodontic treatment?).
16 lis 2023 · Yes, states that provide Medicaid XXI coverage to children must cover dental services, including braces, for Medicaid beneficiaries under the age of 21. This mandatory provision is included in the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit.