INSURANCE REIMBURSEMENT

Your dental plan may pay part of your SmileSet aligners

Many dental plans include an orthodontic benefit that covers clear aligners. Check your coverage, no phone calls, no paperwork — then get reimbursed straight to your bank account after treatment starts.

Check my eligibility How reimbursement works

Results in seconds
No commitment
Your data stays private

FREE ELIGIBILITY CHECK

See what your plan covers See what your plan covers

Grab your insurance card. We'll check your orthodontic benefit with your insurer right now and show you the result on this page. No account needed.

Takes about a minute
Your details are used only for this check
No obligation to buy
Grab your insurance card
Check coverage
Results in seconds

Checking your benefits needs JavaScript. You can still order - we'll confirm your coverage after checkout. Continue to checkout

2 million smiles transformed.

Our tele-dental technology has been proven over and over. Order your Aligners and start your journey below

WHO WE CHECK WITH

Works with most major
US dental plans

We run a real-time eligibility check directly with your insurance company — the same request your dentist's office uses — so you see what your plan actually covers before you commit.

Company names are for identification only. Coverage for clear aligners varies by plan — an eligibility check is the only way to know for sure.

Check your plan

ELIGIBILITY, EXPLAINED

What an eligibility check actually tells you

An eligibility check verifies whether you have coverage for a specific benefit under your plan — for aligners, that's the orthodontic benefit. Your insurer answers with your real coverage details, not an estimate.

What we ask you for

Just what's on your insurance card. That's
enough to identify your plan and route the
request to the right payer.

Insurance company (payer)
Member ID
Date of birth
First and last name

What your insurer sends
back

The response is your plan's own benefit data
for orthodontics, in plain language.

Active coverage and plan dates
Coinsurance and copays
Deductible and out-of-pocket max
In-network vs out-of-network benefits
Lifetime orthodontic maximum and limits
Prior authorization requirements

How long it takes

Checks run in real time, directly with the payer.
Most complete in 1–2 seconds; nine out of ten
within 9 seconds. If your insurer's system is
down, we retry automatically and email you
the result.

Checking eligibility does not affect your
coverage, your premiums or your credit. It's a
read-only request.

getting reimbursed

How it works

You pay SmileSet, your insurer pays you back. We handle the paperwork — you just submit it.

Check your eligibility
Order your aligners
We send you an itemized receipt
Submit the claim to your insurer
We ship your appliances

Your itemized receipt

After your first aligners ship, we email a receipt with the orthodontic procedure code, the treating doctor's NPI and the amount paid — everything an insurer needs to process a claim.

Submitting your claim

Upload the receipt in your insurer's member portal or app, or mail it with their claim form. Most insurers let you file within 12 months of the service date.

Getting paid

Your insurer pays the covered portion directly to you — by check or direct deposit — in line with your plan's coinsurance and lifetime orthodontic maximum.

Check your eligibility

FAQ

Frequently asked questions.

Got questions? We've got answers. Here are the most common questions about SmileSet.

Does dental insurance cover clear aligners?

Only if your plan includes an orthodontic benefit — and many adult plans don't. That's exactly what the eligibility check tells you, with your plan's coinsurance and lifetime maximum.

Is SmileSet in-network?

You pay SmileSet, your insurer pays you back. After your first aligners ship, we email a receipt with the orthodontic procedure code, the treating doctor's NPI and the amount paid — everything an insurer needs to process a claim.

Can I use my HSA or FSA?

Yes. Our store has merchant category code 8021, referring to health and medical services, which means you can use your FSA/HSA card at checkout. You can also use a non-FSA/HSA card and submit for reimbursement after purchase. Please email us at support@smileset.com if you would like a personalized form for reimbursement.

What if the check says my insurer is unavailable?

Checks run in real time, directly with the payer. If your insurer's system is down, we retry automatically and email you the result. It won't affect your treatment: you can continue and we'll follow up if anything changes.

Do I have to check eligibility before ordering?

No. The check is free, takes about a minute and there's no obligation to buy — it just shows you what your plan covers before you commit.

Find out what your plan pays — in seconds

One check with your insurer. No calls, no hold music, no commitment.