Wednesday, June 15, 2022

Can You Purchase Dental Insurance

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Why Buy Through Sbis

Should I Buy Dental Insurance?

SBIS gives anyone who is losing or does not qualify for group benefits access to a supplementary Ontario Dental Insurance Plan from numerous top insurers in Canada. We also provide comprehensive coverage to business owners, entrepreneurs and anyone else wanting to minimize the financial risk of being underinsured.

As an independent broker, our mandate is to help you choose the right insurance carrier for your individual dental insurance coverage requirements. This means we will work with you to identify your specific needs, and then match you with the right carrier.

Dual Dental Coverage: Can I Have Two Dental Insurance Plans

What is dual dental coverage?

If you are covered under two different;dental insurance plans, then you have dual dental coverage.; Dual dental coverage typically occurs when you have two jobs that each provide dental benefits, or you are covered by your spouses dental plan in addition to your own.

Having dual coverage doesn’t double your benefits, but you might pay less for dental procedures than if you were covered under just one plan because treatment costs may be shared between your two carriers up to 100%.1;All dental plans will have contractual language to determine how coordination of benefits will be handled between the two plans and how it could impact your out-of-pocket costs. Because state laws and regulations play a substantial role in determining how insurance benefit coordination occurs, there may be variations in how they work in your state, so it is best to check with your insurers to find out exactly how COB works for you.

Some COB provisions limit what a plan will cover, while others can involve a detailed process to follow.; COB provisions may also depend on individual state laws and regulations, and other variables that vary by state. ;

In this article, well explain how dual coverage works, along with some related terminology and limitations to be aware of.

How does dual dental coverage and COB work?

Will I receive twice the benefits?

Heres an example of how these limitations could work:

How do I know which is my primary carrier?

Final thoughts

Why Dental Care Is Important

Regular visits to the dentist are critical to your oral health. Routine visits help keep your teeth and gums healthy, and good oral health affects your overall health. Oral health issues, such as cavities and gum disease, can lead to more serious health issues, such as diabetes, respiratory problems and many others.

Oral health is important in all stages of life. Children, adults and seniors require proper dental care and should visit the dentist regularly. While it is recommended that we visit the dentist twice per year, many Canadians do not go as frequently as they should, often because they do not have adequate dental insurance.

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Best For Discount Plans: Dentalplanscom offers a variety of plans to help you save up to 60% on your dentist visits.

Savings plans cover more than 100,000 dentists across the nation and start at $80 per year.

Theres no wait time for certain procedures, but its important to know that your out-of-pocket costs will still be higher than going with a PPO or HMO plan.;

Overview Of Dental Insurance

Can You Buy Private Dental Insurance / Affordable Health ...

First, heres a breakdown of how individual dental insurance works. You select a plan based on the providers you want to be able to visit and what you can afford to pay.

  • If you already have a dentist you like and they are in the insurance companys network, youll be able to opt for one of the less expensive plans.
  • If you dont have a dentist at all, you can choose from any of the dentists who are in the network and again have the option of a less expensive plan.
  • If your existing dentist is not in the network, you can still get insurance, but youll pay significantly more to see an out-of-network providerso much more that you may not have any chance at coming out ahead by being insured.

The monthly premiums will depend on the insurance company, your location, and the plan you choose. For many people the monthly premium will be around $50 a month. This means that youre spending $600 on dental costs each year even if you dont get any work done.

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Preventive Dental Care Helps Prevent These Problems

There are multiple dental plans with different levels of benefits to help you find the best dental insurance fit for your budget.3;If youve ever bought a gym membership or a treadmill to help remind you to take care of yourself, supplemental dental insurance from Golden Rule Insurance Company can be similar. Its that reminder to take care of your teeth. Even better, it can help you plan ahead for the costs of your dental care.;

What Is The Best Dental Insurance

There is no best dental insurance. The best insurance is a plan that will save you money on the dental care that you needs. For some people, the best dental insurance needs to cover braces, others may want a plan that helps reduce the cost of restorative dental care.

If you have a dentist, ask him or her to recommend an insurance plan based on your dental health needs. If you currently dont have a dentist, consider making an appointment for a check-up and consultation. After you have your treatment plan , ask the dentist to suggest an insurance plan, and also ask if he or she can recommend alternatives such as a dental savings plan, healthcare credit line, or a payment plan.

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Get A Blue Cross Health Insurance Plan Today

Have confidence in knowing that you and your family are well protected with an affordable and flexible health insurance plan that includes dental coverage. Our plans include access to our member assistance program and the Blue Advantage discount program, both designed to help you manage your health more effectively.

Best For Potential New Offerings: Wellcare

Dental Insurance Simplified – How To Buy Dental Insurance With Lee Jackson


WellCare is our top choice for a newcomer to the field of Medicare Advantage plans. Founded in 1985, theyre an up-and-coming provider.

  • Access to a personal emergency response system

  • Easy to navigate website

  • Only available in 27 states

  • Not as established as some other providers

Founded in 1985, WellCare is a relative newcomer.;We picked them as one to watch for potential new offerings in their Medicare Advantage Plans for two reasons: In 2018, WellCare acquired Aetnas Part D prescription drug plan and in 2020, they were acquired by Centene, one of the largest providers of Medicaid.;This deal-making activity could result in new Medicare Advantage Plan offerings that address specific pricing or feature needs.

Benefits offered with some WellCare Medicare Advantage Plans include over-the-counter coverage and access to a personal emergency response system. The OTC benefit is a fixed dollar amount for non-prescription medications and wellness-oriented items that can be shipped directly to you. The personal emergency response system, for people who live alone or are left alone for long periods, is connected to your phone and allows you to get emergency help with the push of a button.

WellCare Medicare Advantage Plans are available in 27 states. They have a full range;of plans with premiums ranging from $0 to over $100 each month, depending on your needs and location.

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How Do I Find A Dentist

You can use a service that matches you to a local dentist, or use a dentist search tool. You can also look at reviews online, and ask your family, friends and coworkers for recommendations. If you have insurance, and are looking for a dentist that accepts your plan, check with your insurance provider.

What Isa Waiting Period And When Does It Apply

A waiting period is a time youwill have to wait out before the coverage will start to kick in. This isusually counted from the time the policy becomes effective. The waiting periodserves to protect insurance providers from individuals who buy insurance plansbecause they already know that they need to avail of dental treatments sometimein the near future.

The waiting period usually applies for major dental procedures and canbe as long as 6 months to one year.

Some preventive procedures may not be covered under the waiting periodclause. Some insurance provides allow customers to immediately avail oftreatments such as cleaning, oral examinations and for children, spacemaintainers and topical fluoride treatment.

Procedures that usually fall under the waiting period would berestorative services such as complex dental procedures, oral surgery with anesthesia, bridges as well asemergency treatment.

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Can You Get Full Coverage Dental Insurance Without A Maximum

Many types of dental plans set an annual maximumthis is the most your plan will pay for dental procedures and treatments over the course of the plan year. Dental HMO plans, or DHMOs, typically do not have annual maximums. This means you dont risk running out of benefits. DHMOs are a good fit for some people, but offer fewer choices.

That said, you can shop for other dental plans with higher annual maximums, which means they cover you for a lot more. Its important to anticipate what type of dental care you may need in the upcoming year and choose a plan with an annual maximum thats right for you. Or, explore the value of a DHMO for a full coverage dental plan.

Dental Coverage Is Available 2 Ways

Dental Insurance Through Healthcare Gov
  • Health plans that include dental coverage. Dental coverage is included in some Marketplace health plans. You can see which plans include dental coverage when you compare them. If a health plan includes dental, the premium covers both health and dental coverage.

  • In some cases separate, stand-alone plans are offered. You can see them when you shop for plans in the Marketplace. If you choose a separate dental plan, youll pay a separate, additional premium.

How to preview dental plans

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Type Of Coverage That You Need

Another thing that you need to consider when youre picking a supplemental dental insurance plan is the type of coverage that you want to buy. If your existing plan already covers diagnostics and preventives you should look for a supplemental plan that will cover major procedures like root canals or implants and let your primary insurance take care of the cost of routine care.

How To Buy Dental Insurance

In the traditional insurance market, if you needed to buy insurance through a carrier your journey typically began by calling an agent. Now, you can purchase dental insurance online, allowing you to see the costs yourself directly from the available companies, saving you time. You also have more flexibility to choose different plans by seeing all that a company has to offer firsthand.

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In/out Of Network Dentists

Most independent dental insurance plans will only pay for your dental services if you go to a contracted and participating in-network dentist. Find out if you are required to go to a participating dentist or if you can choose your own. If the plan requires that you see an in-network dentist, ask for a list of the dentists in your area with whom they are contracted so you can decide if they have a dentist you would consider seeing.

If you wish to stay with your current dentist, some policies allow you to see an out-of-network dentist, however, the costs covered may be significantly lowered.

How Can Dental Plans Make Dental Care More Affordable

Where Can I get Dental Insurance?

Dental plans can help you manage your dental care costs better because the cost of not taking care of your oral health could be more.;

  • People without individual dental coverage are less likely to get routine dental care
  • Waiting until theres a problem means that dental treatment will often be more involved and expensive;
  • Major problems linked to poor oral health are more likely to appear2

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Cost Of Supplemental Dental Insurance

There are several different factors that typically go into determining what your premium costs will be for dental insurance plans. Where you live, the amount of coverage that you want to get, and how many people you are insuring all affect the cost of the premium.

Get more answers to your supplemental dental insurance questions, as well as useful insurance information, tips, and resources.

Links to external sites are provided for your convenience in locating related information and services. Guardian, its subsidiaries, agents and employees expressly disclaim any responsibility for and do not maintain, control, recommend, or endorse third-party sites, organizations, products, or services and make no representation as to the completeness, suitability, or quality thereof.

Brought to you by The Guardian Life Insurance Company of America , New York, NY. Material discussed is meant for general illustration and/or informational purposes only and it is not to be construed as tax, legal, investment or medical advice. This is not dental care advice and should not be substituted for regular consultation with your dentist. If you have any concerns about your dental health, please contact your dentist’s office.

Using Your Dental Insurance Couldn’t Be Easier:

Choose a licensed dentist practicing in North Carolina
Make an appointment
Show your Blue Cross NC member ID card at the dentist’s office

Though most dentist offices will file a claim for you, if they don’t offer that service, you will need to file the claim.;

Who’s eligible for Dental Blue® for Individuals?

All applicants and their dependents are eligible. Applicants must also be a resident of North Carolina and must have not had a Dental Blue for Individuals policy in the last 12 months.

How do I file a dental claim?

Participating providers will file the claim on your behalf. If your dentist office does not file claims, you should pay the dentist in full and submit your claim to Blue Cross NC for reimbursement. Complete a dental claim form and mail it to us within 180 days from the date of your service.

Mail the completed claim form to:

Blue Cross and Blue Shield of North CarolinaDental Claims Unit

Will I get credit for my prior dental coverage?

Yes, Blue Cross NC may waive or reduce any applicable dental waiting period by the number of month of prior dental coverage. Proof of prior dental coverage with less than 63 days lapse in coverage is required.

Dental Blue for Individuals is not part of the covered health insurance benefits of any Blue Cross NC plans. Dental Blue for Individuals must be purchased separately.

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Can I Buy My Own Dental Insurance

Dental care is an essential part of maintaining your overall health. Some people think that the only way to get good dental coverage is through an employee sponsored plan. However, this is not entirely true. Quality dental coverage is available to everyone through Guardian Direct.

Anyone in your family who is over 18 has the ability to purchase their own comprehensive coverage through Guardian Direct. Depending on the plan, each family member is also able to choose their own dentist, so you can pick a dentist who is close to home and a dentist that you trust.

Followme Health & Dental Key Features

Can You Cancel Dental Insurance At Any Time / Buy ...

BCAA provides four plan options so you can pick the coverage that fits your needs: Basic, Enhanced, Enhanced Plus, Premiere.

Choose from Four Plans

Get coverage for prescription drugs, dental, vision, specialists and therapists and much more. Choose between four plans: Basic, Enhanced, Enhanced Plus, Premiere.

AKIRA by Telus Health

Get 24/7 access to healthcare practitioners online and through the app. Automatically included with all BCAA FollowMe plans.

Guaranteed Acceptance**

Apply within 90 days of your group health benefits ending and you wont need to answer any medical questions at the time of application .

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Maximize Coverage By Choosing An In

And finally, maximize the benefits of that shiny new dental insurance plan by choosing a dentist who participates in your plans network.

An in-network dentist provides service at a discount, which reduces your out-of-pocket costs. Also, with an in-network dentist, claims paperwork is handled directly between the dentist and your insurance carrier. If you go out of network instead, you might find yourself involved in the tedious claims process. No fun.

Best National Coverage: Aetna

  • Coverage Limit : $1,000 to $3,000
  • Providers In Network: 700,000

With plans offered in all 50 states, Aetna is our top choice for national coverage. The insurer features a provider network of over 1.2 million health care professionals across the country.

  • Available in all 50 states

  • Large provider network

  • Not all plans offered in all areas

  • Not all plans come with dental coverage

We chose Aetna as best for national coverage for its operations in all 50 states plus the District of Columbia and Puerto Rico. Aetna has approximately 12.7 million dental members, and their network includes about 1.2 million health care professionals, with over 700,000 primary care doctors and specialists and over 5,700 hospitals.;

With many of their Medicare Advantage plans, Aetna offers home delivery of most prescription drugs through their mail-order pharmacy: CVS Caremark. Aetna also offers a concierge program with many of its Medicare Advantage plans. An Aetna concierge can help you manage your health care expenses, understand your benefits, locate providers near you, and help plan for treatments.

Founded in 1853, Aetna, has a full range of plans with premiums ranging from $0 to over $100 each month, depending on your needs and location.

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