Dentistry
Cosmetic
Product Reviews
Updated on August 10, 2022

Does Newsmile Accept Insurance?

NewMouth is reader supported. We may earn a commission if you purchase something using one of our links. Advertising Disclosure.

Is NewSmileCovered By Insurance?

NewSmile aligners cost $1,495 before insurance. This is significantly cheaper than most at-home aligner brands or Invisalign and 75% less expensive than braces

If your dental plan provides orthodontic care benefits for adults, you may be able to pay even less. The impression kit is a separate charge and not typically covered by insurance.

insurance advisor meeting with customer

Unlike other at-home brands, NewSmile doesn’t appear to have any insurance partnerships at this time. 

What this means is if you have coverage, rather than getting discounts before paying, you’ll have to get reimbursed afterward.

NewSmile advises to call in so their specialists can help see if you are eligible for coverage. There’s also an eligibility checker tool on their website.

NewSmile Aligners Overview

Founded in early 2020, NewSmile is a relatively new company in the at-home aligner space. It offers completely remote treatment, with an average treatment time of 4 to 6 months.

NewSmile distinguishes itself from its competitors with how it designs its clear aligners. Unlike other at-home brands (but similar to Invisalign), NewSmile clear aligners feature a "scalloped" design. 

That means they can sit on your teeth without touching your gums, making them more discrete and reducing irritation.

For a slightly higher price ($1,595), the company also offers nighttime aligners. These have become a popular option, but experts caution against moving teeth in this manner. 

NewMouth, therefore, recommends the FastTrack (daytime) aligners.

newsmile impression kit

Clear aligners can save you thousands of dollars compared to braces. Learn about clear aligners.

What Insurance Plans Cover Orthodontics?

Orthodontic care is often covered for children, but it's less common for adults. 

Some companies which offer plans covering adult orthodontic care are:

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

Is NewSmile Covered Differently Than Invisalign and Braces? 

Insurers 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 can be argued to be medically necessary.6 This typically means major cases of malocclusion (teeth-alignment issues). 

Examples here 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 do employ licensed dentists and orthodontists, they never see the patient, even for a consultation.

Because the patient doesn’t have to make in-person visits to a professional, there are concerns that use of at-home aligners can lead to damage to teeth, gums, or bite alignment. 

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

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

Can NewSmile Guarantee Reimbursement?  

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

We recommend at-home clear aligners if you have mild teeth misalignment. View our top recommendations.

How to Check Your Coverage 

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

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.

You can also call. Most insurance cards include a customer service phone number on the back.

Most states also offer Consumer Assistance Programs (CAP) to help consumers understand their health care choices. Your state’s CAP can help you understand what benefits you may be 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 then review it internally. 

If you still get denied, you can appeal to an independent government body (this can be 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 ways to pay for NewSmile aligners include:

FSA/HSA

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

Payment Plans

NewSmile offers a monthly plan of $58/month a month over 18 months and 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.

Interested in straightening your teeth at home? Here are the best clear aligner companies.

Summary

  • NewSmile aligners cost $1,495 before insurance (75% less than braces).
  • Night aligners are not proven to be safe.
  • NewSmile doesn’t appear to have any insurance partnerships at this time. 
  • 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.
  • HSA/FSA payments are accepted.
  • NewSmile offers a relatively generous payment plan.

What’s Next?

The most popular at-home clear aligner kits can be found right here:

Learn about the different brands and what they offer.

7 Sources Cited
Last updated on August 10, 2022
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. Centers for Medicare and Medicaid Services. “Affordable Care Act: Working with States to Protect Consumers.www.cms.gov.
  2. Diamond Braces. “Mail-Order Aligners vs. Invisalign: What You Need to Know.diamondbraces.com.
  3. NewSmile. “NewSmile™ Monthly Plan.newsmilelife.com.
  4. NewSmile. “Predetermination Form.newsmilelife.com.
  5. NewSmile. “Which payment option works best for you?newsmilelife.com.
  6. Rocky Mountain Health Plains. “DOES DENTAL INSURANCE COVER ORTHODONTIC CARE? | RMHP BLOG.www.rmhp.org.
  7. Wexler, Anna et al. “Direct-to-consumer orthodontics: surveying the user experience.Journal of the American Dental Association vol. 151,8 : 625-636.e4. doi:10.1016/j.adaj.2020.02.025
linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram