United Concordia Dental and Orthodontic Coverage at Parsons Orthodontics
May 5, 2025
When it comes to orthodontic treatment—whether it's braces for your teen or Invisalign for yourself—one of the first questions that comes to mind is: “Will my insurance cover this?” It’s a valid concern, and one we hear often at Parsons Orthodontics. Orthodontic care is a significant investment in your health and confidence, and understanding your dental insurance can make all the difference in how you move forward.
That’s where United Concordia Dental comes in. As one of the leading dental insurance providers in the U.S., United Concordia offers a range of plans that may include orthodontic coverage. But navigating what’s actually covered, how much is paid out, and whether your orthodontist is in-network can feel overwhelming—especially when you're already juggling family schedules, school, and work.
At Parsons Orthodontics, we believe the process shouldn’t be stressful. That’s why our team is here to help you every step of the way. We proudly work with a variety of insurance providers, including United Concordia Dental, and we’ll assist you in verifying your benefits so you know exactly what to expect before starting treatment.
In this guide, we’ll break down how United Concordia Dental works, what it typically covers when it comes to braces and Invisalign, and how our team at Parsons Orthodontics helps simplify the insurance process. Whether you're just beginning to explore orthodontic care or you're ready to schedule your first appointment, you’ll find everything you need to make informed, confident decisions for yourself or your child.
What Is United Concordia Dental Insurance?
If you’re exploring orthodontic treatment for yourself or your child, chances are you’ve come across United Concordia Dental Insurance. As one of the most trusted names in the dental insurance space, United Concordia serves millions of members across the country by helping make dental care more affordable and accessible—including orthodontics in many cases.
To meet the diverse needs of families, individuals, and employers, United Concordia offers several types of dental plans. Understanding the kind of plan you have—or might be eligible for—can help you make smarter choices when it comes to orthodontic care.
For example:
- PPO (Preferred Provider Organization) Plans give you the flexibility to choose your dental provider, often with partial coverage for orthodontic services like braces or Invisalign. These plans usually allow you to visit both in-network and out-of-network providers, but choosing an in-network office like Parsons Orthodontics can lead to greater savings and fewer billing surprises.
- DHMO (Dental Health Maintenance Organization) Plans are more structured, with lower monthly premiums and fixed copayments. However, they often come with stricter rules—you may need a referral or pre-authorization before starting orthodontic treatment, and your choice of providers may be limited.
Now, let’s talk about what most families really want to know: Will my plan help pay for braces? The answer is—it depends. Many United Concordia plans include some form of orthodontic coverage, especially for children under 18. That might mean a percentage of the treatment cost is covered, or there may be a lifetime maximum benefit. It’s important to review your specific plan details because coverage can vary significantly from one policy to another.
The good news? You don’t have to figure it all out alone. At Parsons Orthodontics, we work with United Concordia every day and are happy to walk you through the process, so you understand what’s covered—and what’s not—before you commit to treatment.
Does United Concordia Cover Braces and Invisalign?
Embarking on the journey to a healthier, more confident smile often brings up a crucial question: Will my insurance cover the cost of braces or Invisalign? It's a common concern, and understanding your coverage can make the process smoother and more predictable.
United Concordia Dental Insurance does offer orthodontic benefits, but the specifics can vary based on your plan type and individual circumstances.
Types of Orthodontic Treatments Covered
Depending on your specific United Concordia Dental plan, several types of orthodontic treatment may qualify for partial or full coverage. These benefits are most commonly applied to medically necessary procedures, particularly for children and teens, but some adult coverage may also be available under select plans.
- Traditional Metal Braces: Often covered under many plans, especially for children and adolescents.
- Clear Aligners (e.g., Invisalign): Coverage for clear aligner therapy like Invisalign is available under certain plans, particularly PPO plans. However, it's important to note that some plans, such as the Concordia Plus DHMO, do not cover clear aligner therapy, including Invisalign or mail-order orthodontics.
- Retainers: Post-treatment retainers may be covered, but this can depend on the specifics of your plan.
Limitations and Considerations
While coverage is available, there are several factors to keep in mind:
- Age Restrictions: Many plans offer orthodontic benefits primarily for dependents under the age of 19. However, some plans, like the FEDVIP High Option, provide orthodontic coverage for both children and adults.
- Pre-Authorization Requirements: Certain plans may require pre-authorization before commencing orthodontic treatment. It's essential to check with United Concordia or your orthodontic provider to understand if this applies to your plan.
- Lifetime Maximums: Orthodontic benefits often come with a lifetime maximum limit. For instance, some plans may have a maximum benefit of $2,000 or $3,000 per individual.
- Plan Type Variations: Coverage details can differ between plan types. PPO plans generally offer more flexibility and broader coverage for orthodontic treatments compared to DHMO plans.
Understanding these nuances is vital to avoid unexpected expenses and to plan your orthodontic treatment effectively.
What Is Usually Covered vs. What’s Not
Insurance benefits can often feel like a puzzle—especially when it comes to orthodontic care. While your plan might offer coverage, the fine print matters. Knowing which services typically fall under your benefits—and which ones don’t—can help you budget more confidently and avoid surprises once treatment begins.
Covered:
- Initial consultation and diagnostic records (e.g., X-rays, photographs)
- Active orthodontic treatment (e.g., braces, certain clear aligners)
- Periodic adjustments and follow-up visits
- Retention phase (e.g., retainers), depending on the plan
Not Covered:
- Cosmetic procedures not deemed medically necessary
- Replacement of lost or broken appliances, unless specified
- Treatments initiated before the effective date of coverage
- Services provided by out-of-network providers, depending on the plan
At Parsons Orthodontics, we understand that navigating insurance coverage can be complex. Our team is here to assist you in verifying your United Concordia Dental benefits, clarifying what's covered, and helping you make informed decisions about your orthodontic care.
Using United Concordia at Parsons Orthodontics
At Parsons Orthodontics, we’re proud to be an in-network orthodontist for United Concordia, making it easier for families in our community to access quality care with fewer financial obstacles. If you’ve been searching for an “orthodontist that accepts United Concordia near me,” rest assured—you’ve found the right place.
We understand that insurance can be confusing, especially when it comes to orthodontic treatment. That’s why we take a proactive approach to guide you through the process, starting well before you even sit down in the chair.
Here’s how we make it simple:
- We verify your insurance benefits ahead of time – As soon as you schedule your first visit, our team will contact United Concordia to confirm what your plan covers. That way, you walk into your consultation fully informed.
- We provide a clear financial breakdown at your appointment – You’ll receive a personalized treatment plan that outlines your estimated insurance contribution and any out-of-pocket costs—so there are no surprises down the line.
- We answer every question, big or small – Whether you’re wondering about coverage limits, payment plans, or how your benefits apply to braces vs. Invisalign, our knowledgeable staff is here to help.
Our goal is to take the guesswork out of insurance and help you move forward with confidence. Because when it comes to your smile, clarity and peace of mind matter just as much as expert care.
Why Choose Parsons Orthodontics for Insurance-Friendly Care?
Choosing an orthodontist isn’t just about who can straighten your smile—it’s also about who makes the journey smooth, affordable, and stress-free. At Parsons Orthodontics, we believe that great care should come with great support, especially when it comes to understanding and using your insurance.
Our experienced team knows the ins and outs of dental plans like United Concordia. We don’t expect you to figure out coverage on your own—instead, we guide you through the process with patience and clarity, so you always know where you stand.
We also believe in honesty when it comes to costs. From your very first visit, we’ll walk you through pricing and insurance benefits in plain language—no fine print, no last-minute surprises. And if your plan doesn’t cover everything? Don’t worry. We offer flexible financing options that fit real budgets, because nothing should stand between you and the confident smile you deserve.
Schedule Your Free Consultation Today
Your smile—and your peace of mind—deserve thoughtful, personalized care. Whether you're just starting to explore orthodontic treatment or you're ready to move forward, our team at Parsons Orthodontics is here to make the process simple and stress-free.
Let us take the guesswork out of insurance. During your free consultation, we’ll review your United Concordia Dental coverage, answer all your questions, and outline a clear path forward—so you can focus on what really matters: getting the smile you’ve always wanted.
Ready to get started? Schedule your free consultation now or contact us to speak with our friendly team. We can’t wait to meet you!
