Does Illinois Public Aid Coverage Pay for Children’s Braces?
Public Aid in Illinois (also known as Medicaid, Medical Card, Tarjeta Medica, and All Kids) is a form of medical and dental coverage available to low income families and individuals. The State of Illinois provides funding to ensure that all qualified families with lesser income and other individuals in Illinois have access to medical, and dental care, including orthodontic treatment with braces.
Currently, the State of Illinois funded Public Aid program provides for orthodontic treatment with braces and general dental care for children and individuals in Illinois that qualify. This program is meant to provide specific health and dental care coverage and may assist in paying for dental braces, orthodontic treatment, and orthodontist fees for children residing in the State of Illinois.
Each patient must be pre-approved before orthodontic treatment can begin and only children with severe needs will qualify for orthodontic treatment and braces. Your child must qualify before orthodontia is covered by Public Aid in Illinois.
Who can qualify for Public Aid orthodontic (braces) benefits in Illinois?
Children of low income families in all Illinois counties including Cook County, Dupage County, McHenry County and Lake County as well as the surrounding communities Antioch, Arlington Heights, Beach Park, Chicago, Cook County, Des Plaines, DuPage County, Elk Grove Village, Evanston, Fox Lake, Gages Lake, Grayslake, Great Lakes, Gurnee, Hainsville, Highwood, Island Lake, Johnsburg, Lake Bluff, Lake County, Lake Forest, Lake Villa, Lake Zurich, Lakemoor, Libertyville, Lindenhurst, McHenry, Mount Prospect, Mundelein, North Chicago, Palatine, Park City, Rolling Meadows, Round Lake, Round Lake Beach, Round Lake Heights, Round Lake Park, Schaumburg, Skokie, Spring Grove, Vernon Hills, Wadsworth, Waukegan, Wheeling, Winthrop Harbor, and Zion can qualify for orthodontic treatment and braces on the Public Aid program.
For a complete list of Illinois cities, towns and counties where we provide orthodontic treatment with braces for children on Public Aid in Illinois, please visit our Service Areas page.
If my child has been accepted into the Public Aid program, does this mean that they qualify for orthodontic treatment with braces?
Not necessarily. If your child qualifies for Public Aid in Illinois (21 years and under), the program provides dental coverage for exams, cleanings, fluoride, sealants, fillings, root canals and other common dental procedures. Each patient must be pre-approved before orthodontic treatment can begin and only children with severe needs will qualify for orthodontic treatment and braces. Your child must qualify before orthodontia is covered by Public Aid in Illinois.
How will I know if my child qualifies for orthodontic treatment with braces?
After your child’s initial orthodontic evaluation examination, we will submit the exams results to Public Aid for review. The process of reviewing and evaluating of the submitted exam files can take up to 4 weeks and the review process is carried out by administrators of the Illinois Public Aid program.
Once reviewed and a determination made, you will be contacted by a staff member from Den-Care Smile Center and they will let you know if approval for orthodontic treatment with braces has been granted. Once approval has been provided, orthodontic treatment can begin
What if my child does not qualify for orthodontic treatment with braces with the Illinois Public Aid program?
In the event your child is not qualified or has not been approved for braces and orthodontic treatment with the Medical Card, Medicaid, Public Aid or All Kids program, Den-Care Smile Centre will work with you and provide appropriate treatment choices along with affordable payment options that will fit your family’s budget.