Does OHIP Cover Invisalign?

If you’re considering Invisalign to straighten your teeth, you might wonder: does OHIP cover Invisalign? For residents of Ontario, finding out what sort of dental coverage you have under the Ontario Health Insurance Plan (OHIP) can be tricky. Let’s break it down and explore your options, including what Fallowfield Dental offers for patients seeking affordable orthodontic care.

Unfortunately, OHIP does not cover Invisalign or any other orthodontic treatments. The Ontario Health Insurance Plan primarily covers medically necessary procedures, like some dental surgeries or medically necessary tooth removal for conditions affecting your overall health. Orthodontic treatments such as Invisalign or braces fall outside of OHIP’s scope since they are considered cosmetic or elective procedures that have nothing to do with dental health.

For orthodontic coverage, you’ll need to rely on dental insurance plans, private insurance, or out-of-pocket payments. Some employment support programs or government-funded initiatives like the Ontario Disability Support Program (ODSP) or the Healthy Smiles Ontario Program might assist eligible individuals or families with basic dental services.

What Does OHIP Cover for Dental Services?

While OHIP covers certain health-related benefits, it doesn’t extend to most dental services. Generally speaking, OHIP provides coverage for:

Emergency dental care for life-threatening medical conditions.
Certain oral surgeries, like fracture repairs or tumour removal, if deemed medically necessary.
Prescribed medications related to these treatments.

For routine care such as dental cleanings, teeth whitening, or preventive dental care, you’ll need to rely on private insurance or pay out of pocket.

How Much Does Invisalign Cost in Canada?

The cost of Invisalign varies depending on your specific dental needs and dental insurance coverage, but in Canada, the price typically ranges from $3,500 to $8,000. Factors affecting the cost include:

The complexity of your case.
Length of treatment.
Whether you require additional services like gum disease treatment or tooth removal before starting Invisalign.
Your benefits package.

At Fallowfield Dental, we offer flexible monthly payment plans to make Invisalign more accessible. Contact us today to learn more about our Invisalign options and payment plans!

Alternative Options for Dental Coverage

Although OHIP doesn’t cover Invisalign, there are other ways to manage the cost:

Dental Insurance Plans

Many insurance providers offer coverage for orthodontic treatments, including Invisalign, under certain plans. Check with your insurance company to confirm coverage details and check that you get pre-approval for your treatment.

Healthy Smiles Ontario Program

This program supports eligible children under 17 from low-income households. While it doesn’t cover braces or Invisalign, it does provide free access to important aspects of dental care, such as cleanings, fillings, x-rays, exams, periodontal services, oral surgery, and extractions, which can be essential for overall oral health.

Canadian Dental Care Plan

The newly introduced Canadian Dental Care Plan aims to provide dental coverage for low-income seniors, eligible First Nations people, children under 18, and others who lack dental insurance. While the details are evolving, this plan may help cover certain dental treatments for eligible individuals. To qualify, individuals must have a household income of less than $90,000.

Interim Federal Health Program

Newcomers to Canada, including refugees, may qualify for the Interim Federal Health Program, which provides limited dental benefits. These include dental help for caries, trauma, and pain, emergency dental prescriptions, oral exams, and x-rays.

Why Invisalign Is Worth It

While the cost of Invisalign may seem high, the benefits go beyond aesthetics. When your teeth are properly aligned, you can better improve your oral health, reducing the risk of gum disease, tooth decay, and broken teeth caused by misalignment. Invisalign also offers unparalleled comfort compared to traditional braces, making it a popular choice at Fallowfield Dental.

Our dental practice prioritizes your comfort and satisfaction, offering personalized consultations to help you decide if Invisalign is right for you. Explore our orthodontic treatment services to learn more about how we can help you achieve a healthier smile.

Additional Dental Services at Fallowfield Dental

At Fallowfield Dental, we don’t just specialize in Invisalign. We’re your go-to dental practice for:

Preventive dental care, including regular cleanings and checkups.
Emergency dental services, like treating broken teeth or infections.
Teeth whitening to brighten your smile.
Gum disease treatments to maintain your oral health.

Visit our dental services page for a full list of treatments and find out how we can support your overall health through quality dental care.

FAQs: Navigating Dental Coverage in Ontario

Are there free dental services in Ontario?

Programs like Healthy Smiles Ontario and initiatives for low-income households may provide free dental care for specific groups. However, these programs generally don’t cover orthodontics.

Is Invisalign covered under private insurance?

Yes, many insurance providers include orthodontic coverage. Be sure to check with your plan administrator for details on prior approval and reimbursement options, as not all providers will fully cover the costs.

Can adults benefit from Invisalign?

Absolutely! Invisalign is a fantastic option for adults who want to correct misaligned teeth discreetly. Ask us about how Invisalign can fit into your health benefits plan.

Take the First Step Towards Your Dream Smile

Figuring out dental coverage in Ontario can feel overwhelming, but you don’t have to do it alone. At Fallowfield Dental, we’re here to guide you through your options and help you achieve a confident, healthy smile. Whether you’re interested in Invisalign, emergency dental care, or regular dental cleanings, we’re ready to support your dental health goals.