Can I Get Braces with Medicaid?
The answer is yes! Medicaid coverage for braces in Florida depends on medical necessity and age. For adults (21+), Medicaid typically does not cover braces or orthodontic treatment. Children under 21 may receive coverage if braces are deemed medically necessary. Policies can change annually, so always verify your current eligibility.
How to Know If Braces Are Medically Necessary
You will need to have an orthodontist or dentist confirm if braces are medically necessary for your child. There are a number of considerations your dentist or orthodontist will need to review in order to deem braces as medically necessary. Some of which are:
• Cleft palate
• Structural jaw issues making it difficult to open your mouth
• Issues with eating or chewing normally
• Issues with speech impediments from tooth or jaw problems
• Any extreme underbite, crossbite or overbite
• Overjet teeth – When teeth protrude outwardly and sit over the bottom teeth
• Impacted teeth with an eruption
• Missing teeth due to hereditary conditions (like hypodontia)
Schedule your consultation today and we can help you figure out if your child’s braces are considered medically necessary and if Medicaid can cover.
How to Apply for Medicaid Orthodontic Coverage
Confirm if your state Medicaid program includes orthodontic services.
• Have a licensed orthodontist evaluate your child’s dental condition.
• Schedule treatment with an orthodontist who accepts Medicaid.
• Collect dental records and any supporting medical documents.
• Submit and appeal if needed.
Finding the Right Orthodontist
• Choose providers familiar with Medicaid paperwork and processes.
• Discuss treatment options, timelines, and costs.
• Consider office proximity and scheduling flexibility.
• Some offices provide additional payment plans to reduce out-of-pocket costs.
Medicaid Coverage Limits
• Coverage is limited to medically necessary periods for proper alignment.
• Typically restricted to children with severe dental issues or congenital conditions.
• Medicaid may extend coverage for functional impairments, craniofacial anomalies, or traumatic injuries.
Common Questions
Can my child get braces with Medicaid? Yes, if deemed medically necessary.
Cost of braces: Varies widely, depending on insurance and type of braces.
Types of braces: Traditional metal, ceramic, lingual (behind teeth), or clear aligners.
No-cost consultations: Many orthodontists offer free consultations to assess Medicaid eligibility
