11 Jun Take Care of Those Pearly Whites
I just got back from my annual visit to the dentist and now my teeth are nice and clean with no cavities! Yay! That’s not always been the case. Over the years I have had to have fillings, extractions, and worst of all, a root canal. I was happy that I had dental insurance to help cover the costs of these services.
Maybe you’re wondering if dental insurance is worth having. First, let me explain the benefit of having dental insurance. Having dental insurance coverage contributes to routine dental visits which are linked to good oral health and over all well-being. Dental insurance pays a portion of the costs associated with dental care and primarily focuses on prevention.
There are 3 classifications of service included in dental insurance.
Preventative: Most dental insurance covers these services which include routine cleanings and xrays.
Basic: This will pay a percentage of cost for services like fillings, extractions, root canals, and sealants.
Major: This covers a portion of the cost for services that typically include crowns, implants, dentures, and oral surgery.
A preventative service plan would most likely be the least expensive plan it becomes more expensive as you add to the service plan. Most dental plans have networks of providers or preferred dentists and oral specialists. If you choose an HMO or preferred PPO, using an in-network dentist will save you the most money.
Types of dental insurance networks include:
HMO network: A more restrictive network, where you must use a network dentist or the plan won’t pay.
PPO network: A less restrictive network, where you can use a non-network dentist, but you will pay more out of pocket.
An indemnity plan: You can go to any dentist you choose, but you’ll have to pay upfront, submit a claim and wait for reimbursement.
Dental PPO plans are the most common and may have an annual deductible such as $50 or $100, which is the amount you must pay the dentist before the plan pays for more care. After that, the plan will pay for a percentage of your dental care. The most common is the “100-80-50 plan” that covers: 100% of preventive cleanings and care, 80% of common procedures such as cavity fillings, 50% of major work such as bridges and extractions.
Indemnity and PPO dental plans cap the amount they pay toward your care in a year. This is called the annual maximum benefit.
HMOs typically do not have maximum benefits or make you pay a percentage of charges. You’d likely have copays in an HMO, which is the set amount you pay for each visit. And dental HMO deductibles are lower — 84% are $25 or less, according to the National Association of Dental Plans (NADP). The trade-off is that you have to choose one dentist or facility and allow it to coordinate all of your dental care, and dentists may be hard to find in your area.
Most Americans that have dental insurance get it through their employer’s group plan. A group plan is probably your cheapest option coverage because employers get a group rate and often pay a portion of the premium. According to the NADP you can expect to pay $19-$32 per month per person under a group dental plan.
Private individual dental insurance plans are another option. The cost may be slightly higher, $20-$60 per month per individual. Individual plans often have additional rules and regulations that are meant to discourage people from buying a policy only when they need major service and canceling it when the claim has been paid.
If you need assistance finding the right dental insurance plan for your employees, yourself, or your family that meets your needs and budget give The VanDyke Group a call and we’ll walk you through it.
Sources: nerdwallet.com, deltadental.com