Imagine the possibilities with Medicaid
Orthodontic Treatment with Kentucky Medicaid
If you or your child has Kentucky Medicaid, you may qualify for orthodontic treatment at Orthodontic Experts. We believe that a beautiful, healthy smile should be accessible to everyone, regardless of financial situation. Our team is here to help you navigate Medicaid coverage, making orthodontic care as easy and stress-free as possible.
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Kentucky Medicaid for Orthodontic Care
Kentucky Medicaid is a state and federally funded program designed to provide essential healthcare services to eligible low-income individuals and families. This includes orthodontic treatment for qualifying patients.
However, Medicaid orthodontic coverage is not guaranteed for everyone, patients must meet specific criteria for their treatment to be considered medically necessary. That’s where our expert team steps in to guide you through the process. We proudly serve families throughout Kentucky, ensuring access to expert orthodontic care near you.
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Who Qualifies for Kentucky Medicaid Covered Orthodontic Treatment?
To qualify for Medicaid-covered braces or Clear Aligners including Clear Aligners, you must meet specific eligibility requirements:
Age Criteria
Kentucky Medicaid covers orthodontic treatment for children and teens under 21.
Medical Necessity
Treatment must be required for functional or health-related reasons, such as:
- Severe overbite, underbite, or crossbite
- Extreme crowding or spacing affects oral health.
- Jaw misalignment or congenital conditions impacting speech or eating
Low Gross Income
Medicaid is designed for low-income individuals and families based on Modified Adjusted Gross Income (MAGI).
Limitation For Treatments
Medicaid does not cover orthodontic treatment for cosmetic purposes.
How to Get Medicaid-Covered Braces in Kentucky
Medicaid coverage doesn’t have to be difficult—we’ve simplified the process into four easy steps:
scheduling a
consultation
Start by scheduling a consultation to determine orthodontic needs and whether treatment is necessary.
Review Medicaid’s
Guidelines
Review Medicaid’s medical necessity guidelines to check if the condition qualifies for coverage.
Medicaid
Approval
If eligible, complete and submit the required paperwork to obtain Medicaid approval.
High-Quality
Care
If Medicaid does not cover treatment, we offer affordable payment options so you can still receive high-quality care.
What Kentucky Medicaid Does & Does Not Cover
Kentucky Medicaid typically covers orthodontic treatment for qualifying patients under medical necessity guidelines. However, there are some limitations:
Kentucky Medicaid May Cover
- Braces (if deemed medically necessary)
- Retainers (post-treatment retention for approved cases)
- Other orthodontic appliances required for functional correction
Kentucky Medicaid Does Not Cover
- Clear aligners (e.g., Clear Aligners), considered cosmetic treatment
- Mild misalignment cases, treatment must be required for medical reasons
- Orthodontic care for patients over 21 (except in rare cases)
Kentucky Medicaid & Managed Care Organizations (MCOs)
Medicaid benefits in Kentucky are administered through Managed Care Organizations (MCOs), which determine eligibility and coverage for orthodontic services.
Orthodontic Experts proudly accepts Medicaid patients through the following MCOs:
Not sure which MCO you’re enrolled with? Our team can help verify your eligibility and guide you through the process.
Why Choose Orthodontic Experts for Your Medicaid Braces?
At Orthodontic Experts, we are committed to making orthodontic care affordable, accessible, and stress-free for Kentucky families.
Experienced
Orthodontists
Our top-rated orthodontists provide top-quality care tailored to your needs.
Medicaid
Assistance
We handle all Medicaid paperwork to streamline your approval process.
Flexible Payment
Plans
If Medicaid doesn’t cover your treatment, we provide affordable financing options.
Convenient
Locations
We serve families across Kentucky, making orthodontic care accessible to everyone.
All today to schedule your no-cost consultation and take the first step toward a healthier smile!
Frequently Asked Questions
Does Kentucky Medicaid cover braces for adults?
Kentucky Medicaid primarily covers orthodontic treatment for patients under 21. Coverage for adults is rare and based on medical necessity.
How long does Medicaid take to approve braces?
The approval process varies but typically takes a few weeks. Our team handles all paperwork & submissions to speed up the process.
What if my treatment isn’t covered by Kentucky Medicaid Program?
We offer affordable payment plans so you can still receive high-quality orthodontic care.
Which Orthodontic Experts locations accept Kentucky Medicaid?
We proudly serve families of Kentucky at our three convenient locations near the border of Indianapolis, ensuring expert orthodontic care close to home.
Still have questions?
Contact Orthodontic Experts today for expert guidance!