Are you wondering how much dental insurance costs? You’re not alone. Many people are curious about the price of dental plans and what factors influence premiums. In this article, we’ll break down the average costs of dental insurance and explain the key variables that determine how much you’ll pay. We’ll also provide tips to help you find affordable coverage for your oral health needs.
Average Monthly Premiums for Dental Insurance
According to our analysis of dental plans across major insurers, the average cost of dental insurance is $30-50 per month for an individual. For family plans covering two or more people, premiums average around $50-150 per month.
However, costs can vary significantly based on the type of plan:
- Dental Preferred Provider Organization (DPPO) plans: $20-50/month
- Dental Health Maintenance Organization (DHMO) plans: $10-30/month
- Dental Indemnity plans: $30-60/month
- Dental discount plans: $10-20/month
It’s important to note that lower premium plans like DHMOs and discount plans often provide less coverage and have more restrictions compared to higher premium DPPOs and Indemnity plans. Let’s take a closer look at the different types of plans.
DPPO Plans
DPPOs are the most common type of dental insurance. They provide the most flexibility, allowing you to visit any licensed dentist. However, you’ll save the most when using a dentist within the plan’s network. Preventive services like cleanings and x-rays are usually covered at 100%, while basic procedures are covered at 70-80% and major procedures at 50%.
DHMO Plans
With DHMOs, you are required to visit a dentist within the plan’s network and select a primary care dentist who coordinates your care. Preventive services have low or no copays, while other procedures have pre-set copay amounts. Premiums are lower, but you have less flexibility in choosing providers.
Dental Indemnity Plans
Also known as “fee-for-service” plans, Indemnity plans allow you to visit any dentist. You pay for services out-of-pocket and then submit a claim for reimbursement. The plan pays a percentage of the costs based on a fee schedule. Premiums tend to be higher than DPPOs.
Dental Discount Plans
Discount plans are not true insurance but provide discounted rates at participating dentists. You pay an annual fee and get a dental discount card to present for savings between 10-60% on average. There are no annual maximums or waiting periods.
Factors That Impact Dental Insurance Costs
In addition to plan type, several other factors influence how much dental insurance costs, including:
Coverage Level
Plans with higher annual maximums, lower deductibles, and higher coinsurance tend to have higher premiums. The more the plan pays toward dental services, the more you’ll pay in premiums.
Location
Where you live impacts costs, as premiums vary by zip code based on the cost of living and cost of dental services in your area. For example, the same plan may cost more in New York City than in a rural Midwest town.
Age
Premiums are typically higher for older individuals since they tend to have more dental issues that require treatment. Some insurers increase premiums at certain ages, such as 50 or 65.
Number of People Insured
Adding a spouse or children to your plan increases the premium, as the insurer is taking on more risk. However, family plans are still more affordable than buying separate individual plans.
Waiting Periods
Some plans have waiting periods for certain services, typically major procedures. The longer the waiting period, the lower the premium. If you want immediate coverage, you’ll pay more.
Tips to Find Affordable Dental Insurance
Now that you understand the factors that impact dental insurance costs, here are some tips to find an affordable plan:
1. Shop Around and Compare Plans
Don’t just go with the first plan you find. Get quotes from multiple insurers and compare the premiums, deductibles, annual maximums, and coverage levels. Look for a plan that balances affordability with good coverage.
2. Consider a DHMO if You Don’t Need Flexibility
If you don’t mind sticking to a limited network of dentists, a DHMO can provide good coverage at a lower cost. Just make sure there are dentists in the network near you.
3. Choose a Higher Deductible
Selecting a plan with a higher deductible can lower your monthly premium. If you don’t anticipate needing much dental work, this can be a smart way to save.
4. Look for Discounts
Some insurers offer discounts for paying your premium annually instead of monthly. Others provide discounts if you bundle dental with other types of insurance like health or vision. Ask about available discounts.
5. Take Advantage of an HSA or FSA
If you have a high-deductible health plan, you may be able to contribute to a Health Savings Account (HSA). You can use HSA funds to pay for dental expenses tax-free. Alternatively, a Flexible Spending Account (FSA) allows you to set aside money pre-tax for dental and medical costs.
6. See if You Qualify for Government Programs
Depending on your age, income, and location, you may be eligible for dental coverage through Medicaid, the Children’s Health Insurance Program (CHIP), or TriCare for military members. Check if you qualify for public programs.
The Bottom Line
The cost of dental insurance depends on many factors, but you can expect to pay between $20 and $150+ per month on average. DHMOs are generally the most affordable, while DPPOs and Indemnity plans provide more flexibility and higher coverage levels.
By understanding how premiums are determined and following the tips above, you can find a dental insurance plan that fits your budget and meets your oral health needs. Remember, having dental insurance can save you money in the long run by catching problems early and reducing your out-of-pocket costs for treatment.
Don’t let concerns about cost prevent you from getting the dental care you need. Invest in your oral health today by finding an affordable dental insurance plan. Your smile will thank you!
