Reviewed by Dr. George Jeryn Jacob, BDS, MDS, MS — Board-Certified Orthodontist at Smile City Orthodontics
Yes, many Delta Dental plans offer orthodontic benefits for braces and Invisalign. However, coverage depends on your specific dental plan, age, lifetime orthodontic maximum, and whether your orthodontist participates in your insurance network.
At Smile City Orthodontics in Sunnyvale, TX, we help families from Sunnyvale, Mesquite, Forney, Garland, and surrounding communities understand their Delta Dental orthodontic benefits before starting treatment.
Our team offers complimentary insurance verification so you can better understand your estimated treatment costs and available benefits.
Schedule Your Complimentary Orthodontic Consultation
Does Delta Dental Cover Braces?
Many Delta Dental plans include orthodontic benefits, but not every plan provides the same coverage.
Your specific plan may include:
- Orthodontic coverage: Some plans pay a percentage of eligible orthodontic treatment costs.
- Lifetime orthodontic maximum: The total amount your insurance may contribute toward orthodontic treatment.
- Age restrictions: Some plans cover children and teenagers, while others also provide adult orthodontic benefits.
- Waiting periods: Certain plans require coverage to be active for a specified period before benefits become available.
For example, a dental plan may cover 50% of eligible orthodontic expenses up to a $1,500 or $2,000 lifetime maximum. These amounts are illustrative and do not represent guaranteed Delta Dental benefits.
Because coverage varies, verifying your individual plan is the best way to understand your orthodontic insurance benefits.
Does Delta Dental Cover Invisalign?
Some Delta Dental plans provide coverage for Invisalign when clear aligners qualify under the plan’s orthodontic benefits.
However, the amount covered may differ depending on your plan’s limitations and how it treats clear aligner therapy compared with traditional braces.
At Smile City Orthodontics, Dr. Jacob evaluates your teeth, bite, and treatment goals to determine whether braces or Invisalign may be appropriate for your needs.
Learn More About Invisalign Insurance Coverage
How Much Does Delta Dental Pay for Braces?
The amount Delta Dental contributes depends on your specific plan and its orthodontic benefits.
For example:
| Example treatment costs | Amount |
| Total orthodontic treatment fee | $5,000 |
| Estimated Delta Dental benefit | $1,500 |
| Estimated patient responsibility | $3,500 |
This example is for educational purposes only. Actual benefits depend on your specific plan, network participation, contracted fees, and treatment.
During your complimentary consultation, our team will review your estimated insurance benefits and explain your available payment options.
Is It Better to Choose an In-Network Delta Dental Orthodontist?
Choosing an orthodontist who participates in your specific Delta Dental network may help reduce your out-of-pocket treatment costs.
An in-network orthodontist has agreed to follow contracted fees and billing arrangements established with the applicable Delta Dental plan.
An out-of-network orthodontist does not have the same contracted fee arrangement with your specific plan. Depending on your insurance benefits, this may result in higher treatment costs.
Benefits of Choosing an In-Network Orthodontist
1. Negotiated treatment fees
In-network orthodontists generally agree to contracted fees for covered services. These fees may be lower than the orthodontist’s regular treatment charges.
2. Potentially lower out-of-pocket costs
Because insurance benefits may be applied to a negotiated fee, patients may have a lower remaining balance.
3. Protection from certain additional charges
Participating providers must follow applicable contracted fee limitations for covered services, which may help protect patients from certain charges above the agreed-upon amount.
4. Simplified insurance processing
In-network orthodontic offices generally submit claims directly and coordinate insurance payments on behalf of patients.
In-Network vs. Out-of-Network: How Much Could You Save?
Consider the following example of the same orthodontic treatment at two offices.
| Cost comparison | In-network | Out-of-network |
| Regular orthodontic fee | $6,000 | $6,000 |
| Negotiated in-network fee | $5,000 | Not applicable |
| Example insurance payment | $1,500 | $1,500 |
| Estimated patient cost | $3,500 | $4,500 |
Potential savings with an in-network orthodontist: $1,000.
This is a simplified example, not a Delta Dental fee schedule or guaranteed savings. Out-of-network reimbursement may be different, and some plans may provide limited or no out-of-network benefits. Actual patient costs depend on the specific plan and provider.
Does Delta Dental Pay the Same Amount Out of Network?
Not necessarily.
Some Delta Dental PPO plans provide out-of-network orthodontic benefits, but reimbursement may be calculated differently.
Depending on the plan, patients may be responsible for additional charges above the insurance company’s allowed amount.
Before selecting an orthodontist, compare the total treatment fee, estimated insurance contribution, and final out-of-pocket responsibility—not simply whether the office accepts your insurance.
Does Delta Dental Cover Braces for Adults?
Some Delta Dental plans provide orthodontic coverage for adults, while others limit benefits to eligible dependent children.
Adults may consider orthodontic treatment for crowded teeth, gaps between teeth, bite problems, or shifting teeth.
Our team can help determine whether your Delta Dental plan includes adult orthodontic benefits.
Learn More About Adult Orthodontics
Does Smile City Orthodontics Accept Delta Dental?
Smile City Orthodontics welcomes patients with Delta Dental insurance and helps verify benefits for their specific plans.
Because Delta Dental offers different network arrangements, including PPO and Premier, our team will confirm your plan’s network participation and estimated orthodontic benefits before treatment.
Our goal is to help patients understand their treatment options and expected financial responsibility before making a decision.
How Can I Check My Delta Dental Orthodontic Benefits?
Our insurance team can help review:
- Whether your plan includes orthodontic coverage
- Whether braces and Invisalign qualify for benefits
- Your estimated insurance contribution and lifetime maximum
- Any applicable age restrictions, waiting periods, or deductibles
- Your network status and estimated out-of-pocket treatment costs
Insurance verification provides an estimate, not a guarantee of payment. Final benefits are determined by Delta Dental according to your specific plan.
Schedule Your Complimentary Orthodontic Consultation
What If My Delta Dental Plan Doesn’t Cover Orthodontics?
Even if your insurance provides limited or no orthodontic benefits, treatment may still be affordable.
Smile City Orthodontics offers flexible payment options, including monthly payment arrangements and eligible HSA or FSA payments.
During your consultation, we will explain your treatment recommendations, estimated fees, and available financial options.
Frequently Asked Questions
Does Delta Dental cover 50% of braces?
Some plans cover 50% of eligible orthodontic expenses, subject to lifetime maximums and other limitations. Your specific plan determines the actual amount.
Does Delta Dental cover Invisalign for adults?
Some Delta Dental plans provide adult orthodontic benefits that may apply to Invisalign. Coverage depends on your specific plan and its treatment limitations.
Is it cheaper to see an in-network Delta Dental orthodontist?
Often, it can be. In-network providers generally have negotiated fees that may reduce out-of-pocket expenses. However, the actual difference depends on your insurance plan and treatment fees.
Can I use Delta Dental at an out-of-network orthodontist?
Some Delta Dental plans offer out-of-network benefits. However, reimbursement and patient responsibility may differ from in-network treatment.
Can Smile City Orthodontics check my Delta Dental insurance?
Yes. Our team offers complimentary orthodontic insurance verification and can explain your estimated benefits before you begin treatment.
Find Out What Your Delta Dental Insurance May Cover
At Smile City Orthodontics, we believe understanding your orthodontic insurance should be simple.
Dr. George Jeryn Jacob, a board-certified orthodontist, provides personalized braces and Invisalign treatment for children, teenagers, and adults.
Our office is conveniently located in Sunnyvale, TX, and welcomes patients from Mesquite, Forney, Garland, Seagoville, East Dallas, and surrounding communities.
Ready to learn what your Delta Dental insurance may cover?
Schedule Your Complimentary Orthodontic Consultation
Smile City Orthodontics
180 S Collins Rd, Suite 200
Sunnyvale, TX 75182
Call or Text: (214) 663-9144
Insurance benefits vary by plan. Verification and pre-treatment estimates do not guarantee coverage or payment.
