Updated on February 7, 2024
4 min read

Does Newsmile Accept Insurance?

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Is NewSmile Covered By Insurance?

Unlike other at-home invisible aligners, NewSmile doesn’t currently have any insurance company partnerships. 

If your dental insurance covers adult orthodontic care benefits, you may be able to save more money. The impression kit is a separate charge and not typically covered with insurance.

If you have coverage, this means rather than getting discounts before paying, you’ll get reimbursed afterwards.

NewSmile advises calling their specialists to see if you’re eligible for coverage. There’s also an eligibility checker tool on their website.

newsmile impression kit

Straighten your teeth at a fraction of the cost. Learn about clear aligners.

What Insurance Plans Cover Orthodontics?

Insurance often covers orthodontic care for children, but it’s less common for adults. 

Companies that offer plans covering adult orthodontic care include:

  • Delta Dental
  • Humana
  • Guardian Direct
  • Aflac
  • Cigna
  • USAA

Coverage will vary by provider. Check with your insurance provider to determine whether they cover NewSmile costs. 

Is NewSmile Covered Differently Than Invisalign and Braces? 

Insurance carriers sometimes treat at-home aligners (like NewSmile) differently than Invisalign and braces.

There are two main reasons for this:

Treatment Effectiveness

Insurers generally cover orthodontic care for adults only in cases where it is medically necessary.6 This typically includes major cases of malocclusion (teeth-alignment issues). 

Other instances may include severely crooked teeth that inhibit effective brushing or overbites and overjets, which can lead to temporomandibular joint disorder.

NewSmile, on the other hand, mainly treats minor bite or spacing issues, like crowding or small tooth gaps. Some insurers may see these as cosmetic issues and decide not to cover them.

Safety Concerns

NewSmile treatment is completely remote. While they employ licensed dentists and orthodontists, they never see the patient, even for a consultation.

Because there are no in-person appointments, some worry that using at-home aligners can lead to damaged teeth, gums, or bite alignment. 

Research shows at-home aligners have a user satisfaction rate of 87.5%. This means as long as you follow the instructions, most treatment outcomes are positive.7

Despite this, some insurers may still cite safety concerns as a reason not to cover.

Can NewSmile Guarantee Reimbursement?  

No, NewSmile can’t guarantee that your insurer will honor your claim. If you don’t want to pay full price, check your coverage before paying for any at-home aligner treatment. 

Find the best at-home clear aligners for mild misalignment. See our expert recommendations.

How to Check Your Coverage 

There are a few different ways to check if your insurance covers clear aligner treatment:

  • Check online – many companies let you see if they cover certain services online. You may be able to log in to your provider’s online portal and check.
  • Call – call to see whether a company is an in-network provider. Most insurance cards include a customer service phone number.
  • Consumer Assistance Programs (CAPs) – most states also offer CAPs to help consumers understand their health care choices and what benefits they are eligible for.

What to Do if You’re Denied Coverage

If you’re denied coverage, you can appeal the company’s decision. The company will review it internally. 

If you still get denied, you can appeal to an independent government body, either state or federal. This process is known as external review. These review boards have the power to reverse denials.

Other Ways to Pay for NewSmile Aligners

Other payment options for NewSmile aligners include:

FSA/HSA

Employers usually offer flexible savings accounts (FSAs) or health savings accounts (HSAs). NewSmile accepts both as payment methods.

Payment Plans

NewSmile offers a monthly plan of $51/month a month over 18 months with possibly no down payment. This option features 0% APR, no credit check, and accepts HSA/FSA. 

The lack of interest payments makes this a relatively attractive option compared to payment plans for other brands.

Use code NewMouthDeal for $100 off Aligners and code NewMouthKit for $20 off impression kit.

Read our NewSmile review

Get started with NewSmile

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Summary

  • NewSmile aligners cost $1,395 before insurance (75% less than braces).
  • Night aligners are not proven to be safe.
  • NewSmile does not currently have insurance partnerships. 
  • Treatment is completely remote.
  • Insurers sometimes treat at-home aligners differently than Invisalign and braces.
  • Check your coverage online, over the phone, or via a CAP before paying for treatment.
  • You can appeal denied coverage.
  • NewSmile accepts HSA/FSA payments.
  • NewSmile offers a relatively generous payment plan.

Use code NewMouthDeal for $100 off Aligners and code NewMouthKit for $20 off impression kit.

Read our NewSmile review

Get started with NewSmile

What’s Next?

Discover the best fit for your smile.

Explore top at-home clear aligner brands.

Last updated on February 7, 2024
7 Sources Cited
Last updated on February 7, 2024
All NewMouth content is medically reviewed and fact-checked by a licensed dentist or orthodontist to ensure the information is factual, current, and relevant.

We have strict sourcing guidelines and only cite from current scientific research, such as scholarly articles, dentistry textbooks, government agencies, and medical journals. This also includes information provided by the American Dental Association (ADA), the American Association of Orthodontics (AAO), and the American Academy of Pediatrics (AAP).
  1. Affordable Care Act: Working with States to Protect Consumers.” Centers for Medicare and Medicaid Services. 
  2. Mail-Order Aligners vs. Invisalign: What You Need to Know.” Diamond Braces.
  3. NewSmile™ Monthly Plan.” NewSmile. 
  4. Predetermination Form.” NewSmile.
  5. Which payment option works best for you?” NewSmile. 
  6. DOES DENTAL INSURANCE COVER ORTHODONTIC CARE? | RMHP BLOG.” Rocky Mountain Health Plans.
  7. Wexler et al. “Direct-to-consumer orthodontics: surveying the user experience.” Journal of the American Dental Association, 2020.
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