Purchasing a dental insurance plan may not sound like the easiest thing to do, especially if you’re unfamiliar with the terminology that’s used to explain the details of the policy. Instead of getting overwhelmed and deciding it’s not worth the hassle, keep reading to discover a few basic components that are most important when comparing plans.
The Basics of Dental Insurance
Before you begin to look at the various policies that are available on the market, take some time to learn a few key terms so that you have a better understanding of what they mean and how they can help you save:
- Monthly Premium – When enrolling in a dental insurance plan, you will receive many benefits; however, the only way to access them is by agreeing to pay your monthly premium.
- Deductible – This is the annual amount you must meet before your benefits kick in. Once you reach your deductible, your insurance company will begin to pay more for your treatments.
- Annual Maximum – This is the full amount your dental insurance company agrees to pay each calendar year. Anything over this amount is your responsibility.
- Copayment – This is what you might be expected to pay out of pocket at the time of service. Most are minimal and may still be required even after meeting your deductible.
Important Factors to Consider Before Buying
Now that you know a bit more about how dental insurance works, you’ll need to consider additional factors that can help you determine which plan is right for you. Some of these include:
- Preventive Care is Usually Covered – No two plans are the same; however, many will cover preventive services at 100%. The reason is that these treatment options (i.e., dental checkups and cleanings, X-rays, etc.) are designed to prevent common oral health problems that require restorative care. Of course, not all plans offer 100% coverage, so it’s important to check before purchasing a policy.
- Minor and Major Restorative Care Are Covered – Similar to preventive care, minor and major restorative treatments can be covered anywhere from 50-80%. However, reviewing the proposed benefits is important before buying because not all plans offer the same level of coverage.
- Many Dental Benefits Expire at the End of the Year – If you choose a plan that is built to last a single calendar year, you’ll need to use your benefits before midnight on December 31. Because they don’t roll over, you will be required to pay a new deductible at the start of the new year. Your annual maximum will also be reset, and any unused funds will be returned to your dental insurance company.
- Cosmetic Dentistry is Often Not Included – You’ll be unlikely to find a dental insurance plan that covers cosmetic dentistry because these services are often deemed “elective” and not medically necessary. The same may also be true for orthodontia, as you may need to purchase a supplemental plan to cover the cost of braces.
Don’t be intimidated by dental insurance. Instead, take your time to learn the basics and don’t be afraid to ask for help. Choosing the right plan is the best way to make sure you save when it comes to taking better care of your oral and overall health.
About the Author
Dr. Harvey J. Mahler has more than 30 years of experience working as a dentist in the Chicago area. Offering high-quality services and treatment options to patients, he believes in providing a more holistic approach when caring for patients’ smiles. He also strives to keep oral healthcare affordable, which is why he and his team are pleased to welcome dental insurance as a way to lower out-of-pocket costs. Let us know how we can help you save more money by contacting us at (312) 224-9916.
