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How to Find the Best Dental Insurance Plan for Your Needs

Choosing the best dental insurance plan for your specific needs can feel overwhelming. Each plan has its own premiums, coverage levels, provider networks, waiting periods and copayment policies. The best dental insurance for you may depend on your budget, your dental health and your expected use. For all these reasons, it is essential to learn how to compare dental insurance plans to choose one that best fits your budget and addresses your treatment needs.

4 min. read

Table of Contents

Key Takeaways

  • The best dental insurance plan usually isn't just the one with the lowest monthly premium. It can also depend on your oral health, budget and preferred care providers.
  • It is essential to compare insurance plan types, coverage levels, deductibles, annual maximum benefits, waiting periods and care provider networks to understand the true value each option offers.
  • Aflac dental insurance plans and supplemental dental insurance can help reduce coverage gaps.

Types of dental insurance plans

Understanding the various kinds of dental insurance available to you can give you a clear picture of which dental procedures are covered, any flexibility in payment options and your dentist's reimbursement policies. Dental insurance plans typically fall into three categories:

Dental Health Maintenance Organization (HMO) plans

An HMO requires you to select dentists from within the HMO's network. If you need to see a specialist for treatment, you'll need to get a referral from your primary dentist. The main advantage of these plans is that they tend to offer reasonable premiums, lower out-of-pocket costs, generally have no deductibles and in some cases there is no annual benefit cap.1 However, a dental HMO can be more restrictive since you must stat within the network of providers for coverage.

Dental Preferred Provider Organization (PPO) plans

With these plans, you can visit dentists both in and out of the plan's network. However, you'll generally pay less if you see a dentist within the plan's network. Dental PPOs have higher premiums and out-of-pocket costs than HMO plans but offer more flexibility compared to HMO plans.1

Dental indemnity plans

Dental indemnity plans are fee-for-service plans that let you choose your dentist without any restrictions. You'll also be eligible for reimbursement of a portion of your covered treatments. Reimbursement is determined by the insurance company's own determination of "usual, customary and reasonable" fees for each service provided. Dental indemnity plans give you the freedom to choose your own dentist but tend to be more expensive.2

What does dental insurance typically cover?

Dental insurance policies typically cover seven basic areas:

  • Preventive care: Routine oral exams and cleaning
  • Restorative care: Fillings for cavities, crowns for teeth
  • Endodontics: Root canals to treat infections
  • Oral surgery: Tooth extractions and biopsies
  • Orthodontics: Braces or retainers to straighten teeth
  • Periodontics: Scaling and root planing to remove plaque, tartar and bacteria below the gumline
  • Prosthodontics: Replacing missing teeth and/or restoring your ability to chew with dentures and bridges

Each of these is classified into three main categories: preventive, basic and major. Many plans cover 100% of preventive care. Basic procedures like extractions, fillings and root canals are typically covered between 70% and 80%. Major procedures, such as crowns, inlays and dentures, are typically covered up to 50%.3

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How to evaluate the best dental insurance plans

To find the best dental insurance for you, consider the following:

  • Premiums and deductibles: Premiums are monthly payments you pay to keep your policy active. A deductible is the amount you must pay for covered services before insurance coverage kicks in.4
  • Maximum benefits: Each dental insurance plan has a limit on how much it will pay for services in a year. Once this limit is reached, you'll be required to pay out of pocket.5
  • Waiting periods: Your waiting period is the amount of time you must wait after you enroll before your coverage kicks in.6
  • Copayments and coinsurance: A copayment is the fixed amount you'll pay out of pocket for covered services. Coinsurance is the percentage of the cost for a covered service that you pay out of pocket.4

Mistakes to avoid when choosing the best dental insurance plan for you

It's important that you don't base your decision solely on the plan with a lower monthly premium. You'll also want to factor in deductibles, copayments, coinsurance and annual maximum benefits to determine the true cost of your chosen plan.

Ignoring network restrictions and waiting periods

Provider networks can also affect costs and access to care. With certain plans, clinics within provider networks may offer care at lower rates.

As you're considering which plan is best for you, determine if you can delay care until the waiting period is up. If you need care immediately, you may want to choose a plan with a shorter waiting period.

For example, our supplemental dental insurance can help fill the gaps in primary dental insurance policies by helping cover treatments your primary dental insurance doesn't cover. A supplemental dental plan is especially helpful if your current plan has a high deductible, copayment, coinsurance or long waiting period.

Dental insurance plans can help make it easier to be better prepared for major, unforeseen dental conditions. The right plan for you depends on your dental health, your budget and your preferred dentists. Aflac offers you a selection of plans to help support a variety of dental care needs. Chat with our agents to explore your options and get a quote for dental insurance today.

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