"Medical necessity" is a bit different from regular orthodontia coverage. For example some state-assistance plans will pay for braces only in cases of a cleft palate or other deformities of the mouth.
If it is private insurance, any malocclusion could be considered "medically necessary." The best way to go would be to request a pre-authorization from the insurance company. Ask the doctor to send all records (x-rays and study models) and a complete narrative of why s/he feels treatment would improve your oral health.
Insurance pays for braces if medically necessary what would have to be the problems with my teeth?
if you have never had braces before and your teeth and visibly crooked or you have a large space in between them your insurance will usually pay for it
Reply:Anything that is solely cosmetic wouldn't be allowed - like if you just have a fews gaps or if they're slightly crooked. But if your teeth push against each other severly and cause pain or your bite is off and is causing jaw problems, then they would most likely be covered.
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