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Dental Insurance vs. Dental Discount Plans: Key Differences

Many people put off dental visits because they’re worried about the cost. If you’re looking for ways to make dental care more affordable, dental insurance and dental discount plans are two worthwhile options. Both plans can help reduce your out-of-pocket costs, but they work in different ways. Read on to understand the differences between a dental savings plan vs. insurance and how to choose the right option for your needs.

4 Min Read

Table of Contents

Key Takeaways

  • Dental insurance can help cover a portion of preventive, basic and major services, reducing your out-of-pocket costs for routine care and complex procedures.
  • Dental discount plans offer reduced rates through a network of dentists, but they require you to pay the full discounted cost upfront.
  • Aflac’s network and supplemental dental insurance plans can help make your dental care more predictable and affordable.

How dental insurance works

Dental insurance helps cover the cost of dental care in exchange for a monthly premium. Depending on your plan, you may need to pay a deductible and copay or coinsurance for certain services.

Many dental insurance plans follow a 100/80/50 payment structure, in which:

  • Preventive services are covered at or near 100%.
  • Basic services are covered at up to 80%.
  • Major services are covered at up to 50%.

Many dental insurance plans have waiting periods for certain services, which require you to wait a certain period before receiving coverage. Dental insurance can also come with annual maximums, which limit how much your insurer will pay each year.

Aflac’s network dental insurance plans for individuals and families can help reduce the cost of routine visits and more complex procedures. Aflac also offers supplemental dental insurance, which provides cash benefits that you can use toward out-of-pocket costs your primary plan doesn’t cover.

How a dental discount plan works

A dental discount plan, sometimes called a dental insurance discount plan or dental savings plan, isn’t traditional insurance. Instead, it's a membership program where you pay an annual fee to access discounted rates from participating dentists. Rather than filing insurance claims, you pay the dentist directly at the reduced rate at the time of service.

Unlike dental insurance, dental discount plans don’t have:

  • Deductibles
  • Waiting periods
  • Annual coverage limits

While you can start using your discounts right away, you’ll still need to pay the full reduced cost of each service.

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Dental savings plan vs. dental insurance

When comparing a dental savings plan vs. dental insurance, the biggest differences come down to how you pay for care and how much coverage you receive. Let’s take a closer look at how these two options compare:

Cost

Dental insurance typically requires a monthly premium, while dental discount plans charge an annual membership fee. On average, dental insurance premiums range from $20 to $50 per month. Meanwhile, dental discount plans cost around $150 per year, or $12.50 per month.1

Dental insurance may cost more upfront, but it can reduce your overall dental expenses if you need multiple procedures throughout the year.

Payment structure

With dental insurance, your provider usually bills the insurance company first, and you pay your share through copays or coinsurance. With a dental discount plan, you pay the dentist directly at a discounted rate with no future reimbursements or cost sharing.

Coverage vs. discounts

Dental insurance provides partial coverage for eligible services. Dental discount plans don’t cover any portion of the bill. Instead, they simply reduce the price of dental services.

Annual limits

Most dental insurance plans include annual maximums, which cap how much your plan will pay each year. In contrast, dental discount plans typically don’t have annual limits.

Deductibles and waiting periods

Dental insurance plans may include deductibles and waiting periods for certain procedures. Dental discount plans usually don’t have either, allowing you to use the plan immediately after enrolling.

Dental plan vs dental insurance: Which is right for you?

When deciding between a dental plan and dental insurance, the right choice depends on your budget and dental needs.

A dental discount plan may be a good fit if you:

  • Want lower upfront costs
  • Don’t anticipate needing major dental procedures
  • Need immediate access to discounted care

Dental insurance may be a better option if you:

  • Want help covering a portion of major procedures
  • Prefer more predictable costs
  • Expect to need regular or ongoing dental care

In some cases, you may choose to use both types of plans. For example, dental insurance can help cover major procedures, while a discount plan may help reduce your remaining out-of-pocket costs after you reach your primary plan’s annual maximum.

Get a quote for dental insurance

Understanding the difference between a dental savings plan vs. insurance can help you choose the right option for your needs. While discount plans may offer lower upfront costs, dental insurance can provide more comprehensive coverage over time.

Aflac offers network dental insurance plans with flexible coverage options, along with supplemental dental insurance that can help cover additional expenses.

Speak with an Aflac agent today to explore your options and find a plan that fits your budget.

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