How do I prove my daughter's dental braces are medically needed to her insurance? She has Doral insurance.

Answer:
You would have to have your dentist and your medical doctor write letters to the insurance company stating the medical reasons for the dental braces.

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as bad as i hate to say this Insurance compaies will not listen to you personally best bet is have your medical doctor and dentist write the insurance company a letter stating the needs etc. I almost developed cancer in my esohphagus cause of my insurabce not wanting to pay for my medication for acid reflux , they kept making me try this try that then when i got so sick, had to have upper scoped run they found orecancerous cells , it took pictures of this and letters then my insurance company finally realized to let doctors be doctors and them be insurance. So talk to your medical doctor and dentist about this they shoulod have no problem doing such for you, its very common these days with insurance, I dont really see why you need much proof here . its obvious . But like i said isnurance companies like to sometimes htink they are doctors. anything to save a $. Good luck

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In addition to the answers you have already received which I agree with your dentist and your MD if the teeth are really misaligned get a note from speech pathologists, teachers that they interfere with speech or self confidence a report from a physiologist or school councilor and a note from the child as well as you explaining how life is effected. If I can be of more assistance feel free to email me I have experience with this particular situation. Best of Luck

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There are two reasons braces are recommended: interceptive or preventative, which involve placing restorations to prevent premature loss of teeth, placing space maintainers to hold space for missing teeth, recognizing any deviation from "normal" dentition, observing growth patterns/development of bones, correcting bad habits affecting the mouth as early as possible, extracting teeth to prevent overcrowding, and removing 'baby teeth' to make room for permanent teeth.
Corrective ortho: placing braces, bands, brackets, arch wires, and ties; placing removable appliances, like functional retainers; or orthognathic surgery for severe cases.The x-rays that your child's dentist provides your insurance company should show why your child needs orthodontic care. You should not have to have direct contact with the insurance company. The dentist and medical doctors you visit should have enough diagnostic evidence (photos, x-rays, medical and dental history, study models) to pass along to the insurance company. That is what you are paying for.

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