Is dental insurance worth the cost?

Is dental insurance worth the cost?

These days, employers hardly ever offer dental insurance as a part of their benefit package to employees.

Because many individual dental plans seem to cost more than paying out-of-pocket for things like routine cleanings, most people opt to go without. But don't write off dental plans so fast. Many can save you serious money in the long run. While many dental policies focus on preventive measures by offering two annual visits, you'll really start seeing the savings with more expensive treatments, like root canals and crowns.

Dental insurance provides you with peace of mind that no matter what the cause of that ache in your mouth, you're covered.

Types of dental insurance

The main three types of dental plans are HMO (short for health maintenance organization), PPO (preferred provider organization) and discount plans. HMOs and PPOs work in many ways like regular health insurance. HMOs limit coverage to dentists within a specific network. PPOs allow you choose from a network of "preferred" providers. You don't have to select a dentist from that network, but you will have to pay a higher amount if you do.

Another type of dental insurance offers a discount plan to enrollees. You pay an annual premium, and the insurance picks up a percentage of your dental costs when you go to providers within the network. These plans typically cost less than HMOs and PPOs, but they won't save you as much money in the long run.

What dental insurance covers

HMOs and PPOs typically offer "100-80-50" coverage. That means that your insurance will pick up 100 percent of preventive care (like cleanings and X-rays), 80 percent for basic services (such as fillings) and 50 percent for major procedures (like crowns and root canals). Discount plans typically provide a list for all procedures up front. Most dental plans will not cover cosmetic procedures.

To research dental costs, take a look at Healthcare Blue Book, a free online guide that lists fair prices for health care services. The fair price is what a health service provider typically allows from insurance companies as full payment, which is substantially less than the billed amount. You'll start getting a feel for how much common procedures costs and how much you can save.

For example, according to the Healthcare Blue Book, the national fair price for a full crown is $861. (The fair price in your area will vary.) Therefore, an HMO or PPO dental plan could save you about $430 per crown.

What you can expect to pay

The cost of dental insurance varies depending on your provider and benefit level. Typically, group plans like those offered by your employer cost less than individual plans. Either way, dental insurance may cost you less than you think. For example, if you pay $180 per year and get two free cleanings, you'll break even on your premium without even considering a cavity or other dental work you may need. Every additional service you need throughout the year increases your savings.

If you can't swing the monthly premium of HMOs and PPOs, look into a discount plan. Typically, the savings you'll see on one to two cleanings per year will make up for the cost of the plan as well. Dental plans will cost around $75 a year and will provide you with a list of predetermined rates.

Choosing a dental insurance plan

Choosing a dental insurance plan may not be as hard as remembering to floss each morning, but that doesn't mean it's easy. If you have a trusted health insurance broker, take the time to research a few plans and weigh the cost of the premium and the benefits offered. The best plan for you depends on the amount of dental work you expect each year. Once you choose a plan, take comfort in knowing your pearly whites are protected, no matter what comes up.



Subject: PPO



Subject: Insurance vs. discount plan

We have used a discount plan for years. At one point, we had both it and regular dental insurance and ended up defaulting almost everything to the discount plan because it was cheaper. They also covered braces for our child, which some dental insurance excludes - and even if they didn't, the annual amount you can use is far too small to help much. I am a big fan of our discount plan!

Steve S

Subject: Wrong.

"no matter what the cause of that ache in your mouth, you're covered."
I had 2 root canals in 2011 and the second one wasn't covered at all because I exceeded my pitiful $1000 annual cap. Now in 2015 I've learned that one procedure failed and have has a slowly growing infection for 4 years that has now eaten a hole in my jaw and my insurance will not pay for the extraction, bone graft, or implant. Dental insurance is the very definition of garbage.

Nick Balandiat

Subject: Not Worth the Cost???

Most of the PPO plans I've researched provide a annual maximum benefit of between 1-2000 dollars. So you're paying 500 to get maybe 1000. This isn't going to be worth it.

The HMOs are better but they REALLY limit you with dentists. So pick carefully. Because the dentists I talked really ripped on the HMOs saying they provided slipshod treatment.


Subject: Dental Insurance

Forego the dental nsurance if you have a Health Savings account.
Put the $40-60 monthly dental premium you would have paid in
your HSA. Use if you need it and spend it on other health care
costs if you don't. My dentist understands I am self-insured and
charges me a little less for immediate payment sans insurance.


Subject: Not hardly true

It's really not true that "hardly" any employers offer dental insurance these days. 166 million Americans have dental benefits and only a very small percentage of those people have bought it for themselves in the individual market.

View Comments - 6 Hide Comments