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When Can You Get Dental Insurance

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Where Can You Buy A Full Coverage Dental Plan

How to Get Dental Insurance : Insurance Questions

You can get a full coverage dental plan in one of the following ways:

  • Enroll in a dental plan offered through your employer. Your employer may offer you options in insurance coverage through a particular insurance carrier.
  • If you dont have coverage through an employer, you can buy a full coverage dental plan on your own either through a private insurance carrier or the Health Insurance Marketplace.

You will also find dental plans that cover you for basic preventive dental care. Its important to know the difference.

When youre considering full coverage dental insurance plans, make sure to read the details. What does each cover? Are there limits on age and frequency? Is there an annual maximum thats right for you and the dental care you expect to need during the plan year? Plans can vary by type, DPPO vs. DHMO for example, and also by insurance carrier. Before you enroll, make sure you understand how much your plan will cost and what it will cover.

What Does Dental Insurance Cover

What your dental insurance covers depends on the plan you choose. Here are the types of coverage you may consider when shopping for a dental plan:

  • Preventive dental care: Most dental plans cover you for certain preventive care at $0 cost. This often includes a dental exam and cleaning every six months, as well as certain types of mouth X-rays. There may also be coverage for sealants, fluoride, and more for children.
  • Restorative care: This includes everything from fillings for cavities and tooth extractions, to root canals, crowns, bridges, dentures, and more. Treatments like these range from basic to major. The more complex and specialized your dental care, the more costly it may be. If you expect to need dental care that goes beyond your preventive dental exams, you may want to explore dental plans that offer you more coverage for restorative services like these.
  • Orthodontic care: This area of dental specialization is focused on correcting teeth and bite alignment. If you or a family member expect to need this type of dental care, look for dental insurance that includes coverage for orthodontic services.

Dental Plan Categories: High And Low

There are 2 categories of Marketplace dental plans: High and low.

  • The high coverage level has higher premiums but lower copayments and deductibles. So you’ll pay more every month, but less when you use dental services.
  • The low coverage level has lower premiums but higher copayments and deductibles. So youll pay less every month, but more when you use dental services.

When you compare dental plans in the Marketplace, youll find details about each plans costs, copayments, deductibles, and services covered.

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Finding A Travel Insurance Policy

On, you can compare policies from a wide range of providers all in one place. Youll enter in the details of your trip and the type of coverage youre looking for, and you can see all of your options in an easy to read format. This makes it easy to determine which policy is going to provide the best value for money.

Your travel insurance policy will have a certain coverage amount attached to it for each feature. For example, your policy might offer $4,000 for trip cancellation, $2,500 for lost baggage, and $50,000 for emergency medical coverage. This is the amount the insurer will pay for that feature should you file a claim.

Some travel insurers have a deductible for medical coverage, but most do not.

The Dental Insurance You Need At The Price You Want

What Dental Insurance Do I Have / I don

With Progressive Health by eHealth, all it takes is a few minutes to find the dental insurance plan that fits your budget and care needs. When you use eHealths free plan finders and comparison tools, you can quickly compare the best plans available in your area from among 270+ carriers. Most plans offered through eHealth cover preventative and basic dental care. Get a quote for dental insurance today and give your teeth the care they need.

Looking for other types of plans? See more health insurance options. Have questions about health insurance? Learn more with our Health Insurance 101 guide.

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Using Your Dental Insurance Couldnt Be Easier:

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

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.

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How Much Do You Want To Pay Out

A big factor in choosing the right personal dental insurance plan that works for your needs, will typically depend on how much you want to pay out-of-pocket. This includes common factors such as monthly premiums, deductibles, co-pays, expenses beyond your plans annual limit, and any services that may fall outside of your plans coverage.

Typically, there are three popular types of dental insurance plans, each with different out-of-pocket rates and coverage options:

  • Dental Health Maintenance Organization

  • Dental Preferred Provider Organization

  • Dental Indemnity Insurance

  • Limited to which in network dentists you can see and receive coverage

  • Typically, low premiums of all dental insurance plans

  • Typically, does not require a deductible

  • Rarely have an annual maximum

  • No limit on dental services you can typically have in a year


  • Typically pays the most for services you receive from dentists on your plans network

  • Typically pays less for services you receive from dentists outside your plans network

  • Typically has higher premiums and higher deductibles than DHMOs

  • Typically, may limit the maximum amount your plan will pay for your dental services each year

Dental indemnity insurance

  • Typically allows you to go to any dentist and receive coverage

  • Typically have the highest premiums of any dental insurance plan

  • Typically requires deductibles and co-payments like DPPOs

  • After insurance pays the claim, you pay a bill for any remaining balance

How To Save Money On Dental Care

How to Get Dental Insurance

With or without dental insurance, there are many ways to make dental care more affordable. Check out these strategies.

Get covered if you can. As mentioned above, employer-subsidized plans are the best way to get dental care covered for working adults. For seniors over 65, Medicare insurance doesnt cover dental services, but you can buy a private Medicare Advantage plan with a supplemental plan for dental coverage.

Some Medicare Advantage plans charge additional premiums for dental, averaging $284 a year in 2016, according to a report by the Kaiser Family Foundation. Seniors can also look for plans through groups like AARP.

States are required by the Affordable Care Act to provide dental benefits to children covered by Medicaid and the Childrens Health Insurance Program . Some states also provide a dental benefit to adults who have Medicaid.

If youre a veteran and have a service-connected disability, you may be eligible for free comprehensive dental care from the Department of Veterans Affairs. Other veterans can buy dental insurance at a reduced rate.

Create a dental emergency fund. Put aside money you might have used for premiums. If you can, save the money in a tax-advantaged account. With a flexible spending account, which is available only with workplace healthcare plans, you can put away money pretax to pay for medical expenses, including dental, that your insurer doesnt cover.

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Can I Visit The Dentist During My Waiting Period

Dental insurance waiting periods commonly apply to major procedures like crowns, bridges, and implants. If your dental insurance plan has a waiting period, it will be listed in your benefits summary along with the length of wait time and the procedures for which the waiting period applies. If you have a dental procedure that isnt covered during the waiting period, you are responsible for the full cost.But some dental services are covered from day one of coverage. In most cases, there is no dental insurance waiting period for routine care like exams, cleanings, and x-rays. These services are considered preventive they keep your teeth healthy and help you avoid more costly procedures down the road. Because of this, preventive care is usually covered from day one, even if your dental insurance plan has a waiting period for other procedures.

Private Vs Nhs Dental Insurance

Before buying dental insurance, check if you have a local NHS dentist .

Some dental insurance policies only cover you for NHS dentists but others cover some private treatment, too.

NHS-only policies tend to be cheaper, and have other advantages.

Most NHS-only dental insurance policies will pay out an unlimited amount towards treatment on the NHS over a policy year.

All of the private policies we looked at set maximum benefit levels for check-ups, scale and polish/hygienist visits and treatment and most also set caps on the percentage that they would pay towards it.

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How Long Do Waiting Periods Last

Other dental insurance plans might stagger their coverage levels. For instance, you might receive 70% coverage for a particular service during the first year, 80% during year two, 90% during year three, and 100% coverage for the same service beginning in the fourth year. This is a way to encourage prevention through regular visits.

Overview Of The System

Can You Get Wisdom Teeth Removed Without Insurance ...

First, heres a breakdown of how private dental insurance works. You select a plan based on the providers you want to be able to choose from 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 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 your dentist than an in-network oneso 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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What Is Supplemental Dental Insurance

Supplemental dental insurance is purchased to fill the gaps in a policy holders dental or medical coverage. Gaps in coverage can occur when the primary policys annual spending limit is reached, or when a policy doesnt provide coverage for necessary or desired dental treatments.

And, since many health plans do not include dental coverage, dental insurance itself is often acquired as a supplementary policy.

This article outlines the most typical scenarios that result in a need for supplemental dental insurance such as limited or no dental insurance, or running out of dental benefits due to a need for expensive treatments such as braces, root canals, crowns and dental implants.

The article provides guidance on choosing Medicare Advantage, supplemental insurance plans, and dental savings plans and how to coordinate dental insurance benefits when using a supplemental or savings plan.

Dental Insurance With No Waiting Period

All of this being said, finding dental insurance with no waiting period is still possible. For example, the Delta Dental Clear Plan has no waiting period. You can see more details of that plan here. Also, many employers offer dental coverage with no waiting period. If you are enrolled in a dental insurance plan through work, talk to your human resources staff about your options. If you purchase dental insurance with a waiting period and find yourself in need of major treatment, get in touch with your insurance carrier. Many dental insurance companies waive the waiting period if you had other dental insurance coverage before enrolling in your current plan. The bottom line: before you buy a new dental insurance plan, make sure you know what waiting periods may apply.

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Delta Dental of Washington is a part of Delta Dental Plans Association. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. © 2001 – 2022 Delta Dental of Washington.All rights reserved.

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Its Much More Straightforward And Specific Than Medical Insurance

    Dental insurance policies help many people effectively budget for the cost of maintaining a great smile. Compared to medical insurance, understanding dental insurance policies is a breeze. Most policies are straightforward and specific regarding which procedures are covered and exactly how much you have to pay out of pocket. Dental insurance is available as part of medical insurance plans or as a stand-alone policy.

    How Does Dental Insurance Work

    How to Get Health & Dental Insurance : Insurance & Finance Info

    Dental insurance can pay for things like annual cleanings, minor oral health fixes, or big-dollar dental claims for crowns and bridges. In general, dental coverage is broken out by preventive, basic and major services:

    • Preventive dental care includes diagnostic and preventive services like regular oral exams, teeth cleaning, and x-rays. It may also include fluoride treatments and sealants . In many cases, dental plans include 100% of the cost of preventive care.
    • Basic dental care includes office visits, extractions, fillings, periodontal treatment , and root canals. Your insurance company might pay anywhere from 60 to 80% of the cost for these services, with you covering the rest of the cost. But if you’re paying a lower percentage of the costs, you may have a high-dollar copay.
    • Major dental care covers crowns, bridges, dentures, and inlays. Inlays are something between a filling and a crown: Your tooth might have extensive decay and need a more substantial filling, but it may not be in bad enough shape to require a crown. Meanwhile, crowns completely cover the tooth. Some dental insurance plans include root canals under “major” dental care, while others categorize them as “basic.” The cost of major dental care is higher, and most insurance plans cover about 50% of the fee.

    There are two main types of dentail insurance plans:

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    How Dental Insurance Works

    With most dental insurance policies you pay your dentist for any treatment received and then claim the money back from the insurer.

    Dental insurance policies cover maintenance such as check-ups, scale and polish, and X-rays as well as treatments such as fillings, root canals and crowns at NHS practices, private clinics, or sometimes both. Cosmetic dental work, such as teeth whitening, is generally excluded.

    Dental Insurance Is Like Triple A For Your Mouth

    Now, lets say you do have dental insurance. Thats certainly more favorable than the alternative, but its hardly ideal. If you undergo a serious procedure, youll likely still be left with a hefty bill.

    Dental insurance, unlike medical, is not regulated and it tends to be very constrained, says Powell. The annual maximum benefit is not that high, and theres usually some sort of deductible.

    And its a relatively new type of insurance, with Dr. Bobbi Stanley, a dentist, noting that it was first introduced some 60 years ago. Dental work was a fee for service agreement until the mid-50s when dental insurance was introduced in California, says Dr. Stanley. rose in popularity throughout the 60s and had a reimbursement of about $1000.

    Inflation may have catapulted the worth of the dollar over the decades, but the reimbursement rate for dental insurance hasnt budged much. Most dental insurance companies have an maximum of $1,500.00, says Dr. Anil Dwivedi, a general dentist with a specialty in anesthesiology.

    Clearly the purpose of dental insurance is not to cover dire issues, but to prevent them by encouraging regular maintenance. Dr. Powell likens dental plans to Triple A for your mouth,” highlighting that “it’s not like car insurance , but it includes a few free oil changes.

    Dr. Powell asserts that one major reason dental plans tend to be so minimal in what they cover, is because people dont want to shell out higher premiums.

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