Our Approach

How we analyzed the best Dental Insurance

Dental Coverage
Companies that offer coverage beyond preventive care ranked higher with us.
Benefit Limits
We value companies that offer a robust maximum payout. On average, annual maximums for dental plans are limited to $1,000 to $1,500 a year.
Availability
We looked for companies with the largest networks of providers in the U.S. Some also offer access to networks in other countries. When you’re in need of a routine exam or have to take care of something as complex as a root canal, your search for a reliable dentist should be the least of your worries.
Pricing
We looked at plans offered in multiple states and evaluated premiums, annual maximum limits, coverage, and waiting periods to present affordable quality options for a variety of policy types.
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We receive compensation from these partners, which impacts the order they appear on the page. That said, the analyses and opinions on our site are our own and we believe in editorial integrity.

Our Top Picks: Dental Insurance Reviews

1Dental.com review

Best dental insurance with no waiting period

1Dental offers an inexpensive alternative to traditional insurance through its two discount plans: the Care500 Plan, which is part of the Careington Network, and a Dental Access Plan from Aetna. Both plans offer immediate savings, which provide discounts on treatment for pre-existing conditions, orthodontic and cosmetic care. These plans also offer cardholders lower rates on vision care at no extra cost.

As one of the largest dental discount providers in the US, with over 158,000 dental practice locations, 1Dental ranked as our top choice for dental discount plans. The company has a no-annual-commitment policy and anyone in your family group can join — including your parents.

Screenshot 1Dental.com August, 2023

AFFORDABILITY AND COVERAGE

Unlike traditional insurance, which typically offers maximum benefits of $1,000 to $1,500 per year, 1Dental provides unlimited use to its members through both of its plans. There are no deductibles and no waiting periods (for the Care 500 plan). This is a great alternative if you have a dental problem that requires immediate attention and you’re looking to save on expensive dental procedures.

1Dental offers a robust set of providers in-network, from general dentists to specialists such as oral surgeons, orthodontists, endodontists, periodontists, prosthodontists and pediatric dentists. However, you will save more with a general dentist. 1Dental only provides a maximum of 20% savings on treatment by specialists.

Both of 1Dental’s discount plan options offer slightly different benefits, so be mindful of their savings limits when choosing the right plan for you. 

Dental Access

As part of the Aetna Dental Access network, the Dental Access Plan has a larger network than the Care 500 plan, with 158,000 general dentists and specialists on their list of providers. With the Dental Access Plan, your savings card will have unlimited use, and you are not required to get a referral to be seen by a specialist.  

One thing to be aware of is that the Dental Access Plan offers slightly smaller savings than the Care 500 plan, with only 15-50% savings for general dentists and 15% on specialists. 

One difference we weren’t too keen about between Dental Access and Care 500 is that Dental Access’ discounts vary from provider to provider rather than by zip code. This means the savings you see online are based on nationwide estimates. Only your dentist will be able to provide exact savings, which can be worrisome. You may end up spending more than you initially planned for your treatment.

Care 500 Plan

Although Careington offers a smaller network of dentists than Aetna’s Dental Access plan, we like the fact that the Care 500 plan has higher savings. 

This dental savings plan will help you save between 20-60% on most dental procedures and a standard 20% on specialists. In addition to this, Care 500 includes discounts on prescriptions, vision care and Lasik benefits. 

The Care 500 plan is accepted at over 131,000 dental and orthodontic providers across the US. It also offers an online list that details exact savings according to procedure and zip code. The company claims that membership activation occurs within the first 24 hours, meaning you could start saving your first day.

 

1 Dental.com Fees

 

Members on Plan

Annual Fee
1 Member

$99

2 Members

$149

3+ Members

$179

The cost to enroll in either option is the same, but each has distinct primary advantages. If you sign up in a group of more than three members, everyone else added to the group will be added at no extra cost.

WAITING PERIODS, APPLICATION PROCESS

1Dental plans don’t have waiting periods, which is a nice feature in an industry where waiting periods for some types of coverage are very common.

Since 1Dental sells discount plans, not insurance, signing up is very easy. There is no paperwork necessary or pre-approval process — something that often takes traditional insurance companies a month or so. If the plan turns out not to be a good fit for you, 1Dental will give you a full refund within the first 30 days. 

One of the perks of signing up for a discount plan is that you can also combine your 1Dental plan with your dental insurance to cover expenses that it may not cover or help pay your deductible on a procedure.

Overall, 1Dental offers affordable prices for discounts on dental care, which we valued as a great alternative worth considering if you’re looking to save on dental procedures.

If you’re interested in learning more, visit 1Dental.com.

Some other options for low-cost dental savings or discount plans are:

  • DentalPlans.com: Low-cost savings plans with add-ons, including vision
  • Careington: Savings cards that offer 20-60% off certain procedures.
  • Dental Access $99: Lists and compares discount plans underwritten by Aetna and Careington.
  • Ehealth: Best for browsing different dental plans and comparing prices on discount plans
  • AARP Member Advantages Dental: Members have access to discounts on insurance and other products and services at a modest cost

Guardian Direct review

Best dental insurance for braces

After much consideration, we judged Guardian Direct as our top choice for dental insurance in the United States specifically for braces. With an enormous network of dentists serving numerous locations nationwide, Guardian Direct offers comprehensive coverage options at affordable premiums for individuals and their families in most regions

Guardian Highlights

  • 50% off of orthodontia services with the Achiever and Diamond plans
  • In-network dentists at hundreds of thousands of locations nationwide
  • Comprehensive dental ynsurance plans (PPO and DHMO available)
  • Coverage for regular exams, cleanings, x-rays, root canals, crowns, implants and braces
  • No waiting periods for preventive care and maximum benefit payouts increase year over year
  • Online quote, provider lookup, purchase and service tools make it easy
  • Backed by one of the insurance industry’s most stable companies (highly-rated by AM Best)

Guardian Direct offers four levels of Preferred Provider Organization (PPO) plans: Starter, Core, Achiever, and Diamond. With affordable individual monthly premiums (depending on your age and the state where you live), you’ll have the freedom to visit any dentist, but save more if you choose an in-network provider. Guardian Direct’s PPO plans are accepted by dentists nationwide.

One advantage of PPOs is that they generally don’t require patients to obtain a referral for treatment by a specialist. However, some PPO plans have very low annual maximum coverage limits—as low as $500—which may be inadequate for some patients.

With a PPO plan, you pay an annual deductible and the plan pays a percentage of your cost once it’s met, so double check your annual maximum limit and what your plan covers. You don’t want to end up buying more insurance than you need, but neither do you want to spend money on a policy that doesn’t provide the coverage you require.

One thing that makes Guardian Direct stand out is that it’s currently the only dental carrier to offer a College Tuition Benefit for its members who carry qualifying lines of Guardian Group coverage. While this advantage is only available in some states, it could be a helpful tool if you want to save on tuition for your children, nieces, nephews, or grandchildren.

Affordability and Coverage

Depending on which plan you choose, Guardian can cover up to 100% of preventive care and range from 50 to 70% on other basic or major care procedures, including (in some cases) up to 50% savings on orthodontia. You pay no deductible for preventive care when you use an in-network dentist and Guardian also increases your annual benefit maximums year over year for the first three years. 

If you have a child on your plan who is 19 or younger, they qualify for orthodontic procedures such as braces. Parents often dread this added expense, but with Guardian’s Achiever and Diamond plans, you only pay half the cost. This alone could save you considerable out-of-pocket expenses when compared to many other insurance companies that cover only a small fraction of the price, if they cover any of it all. The savings on braces for a child alone might make this plan the best financial choice for many. 

Guardian makes it easy to find a provider in your local area. Their Find a Dentist quick search is available online or via smartphone to help you find in-network dentists close to you. Plus, they have an online member portal where you can access your insurance ID card, check claims and even chat live with their customer care center. Their website is straightforward and easy to use, which we liked, and their plans are detailed and easy to understand. 

Waiting Periods, Application Process

When you’re thinking about purchasing a dental insurance plan, you should pay attention to waiting periods. A waiting period is the amount of time you must wait before the full benefits of your dental plan kick in. During this waiting period, your dental insurance will not pay for certain procedures. On average waiting periods range between six months to a full year, depending on the plan you purchase and how complex your procedure is.

Keep in mind that waiting periods do not always apply to all benefits--only to certain procedures. These waiting periods vary from plan to plan and not all dental insurance plans have waiting periods.

Guardian has no waiting periods for preventive or routine care, including x-rays, diagnostic exams and routine dental cleanings. Basic care, which includes fillings, extractions and emergency care, has a six-month waiting period. Major care, which includes root canals and more complex procedures, has a 12-month waiting period. Orthodontia, considered a complex procedure, also has a waiting period of one year.

As for pre-existing conditions, dental plans will rarely provide coverage for in-progress work or dental problems that were present before you purchased insurance. Some dental plans have waiting periods starting at 12 months for pre-existing conditions before full benefits apply.

To find a Guardian dental plan that is right for you, visit GuardianDirect.com. Before choosing Guardian as your insurance provider, check the website for zip code specific cost and plan options.

Humana review

Best dental insurance for seniors on Medicare

Some people seem surprised to learn that most Medicare plans don't include dental insurance. With an impressive network of dentists operating in multiple locations across the country, Humana Dental provides extensive coverage options at reasonable premiums for Medicare recipients, among many other demographics. 

HUMANA HIGHLIGHTS

  • Extensive selection of dental insurance plans available
  • Supplemental dental benefits for Medicare Advantage plans
  • 335,000 in-network dentists at locations nationwide
  • Ability to bundle plans with vision coverage
  • Maximum benefit payouts increase each year
  • Online quote, provider lookup, purchase, and service tools for easy accessibility

Humana Dental offers a variety of Preferred Provider Organization (PPO) plans. With competitive monthly premiums (depending on your age and the state where you reside), you can visit any dentist, but you’ll save more if you choose an in-network provider.

Humana’s Find a Dentist quick search is available online or via smartphone to help you find in-network dentists near you. Plus, it has an online member portal where you can access your insurance ID card, check claims and chat live with its customer care center.

If your Medicare plan doesn't include vision coverage, Humana offers the ability to bundle those insurance benefits with your dental policy. This can be a great way to get a price break on policies you need and supplement your Medicare coverage.


Screenshot Humana.com August, 2023

AFFORDABILITY AND COVERAGE

Depending on the plan you select, Humana can cover up to 100% of preventive care and range from 20% to 70% on other basic or major care procedures. You don't pay a deductible when you use an in-network dentist for preventative care.

Humana provides a greater selection of plan options than most other dental insurance providers. People on Medicare have greater flexibility when it comes to finding the right plan for their budget and dental needs. Plus, if your Medicare doesn’t cover vision, you can bundle coverage for a simpler insurance plan.

Bright Plus plan: This PPO dental insurance plan covers regular exams and cleanings without waiting periods. In addition to providing coverage for two fully covered routine oral exams and cleanings per year with in-network dentists, the Bright Plus plan offers a $100 per year in-office teeth whitening allowance. The deductible is set at $50 for individuals and $150 for families. This plan is available to residents in 26 states.

Preventive Value plan: Like the Bright Plus plan, this is a PPO dental insurance plan. It primarily covers preventive and basic services, with no waiting periods for preventive care. It provides for two fully covered routine oral exams and cleanings per year with in-network dentists. This plan’s deductibles are $50 for individuals and $150 for families.

Loyalty Plus plan: A unique offering from Humana, the Loyalty Plus plan recognizes and rewards customer loyalty with increasing benefits over a three-year period. With this plan, the annual benefit maximum rises over a three-year period, starting at $1,000 per individual in the 1st year, increasing to $1,250 in the 2nd year, and reaching $1,500 by the 3rd year. Both basic and major dental services coverage percentages also increase over the same timeframe. Coverage begins immediately without any waiting periods.

Dental Value plan: This DHMO plan offers comprehensive coverage for preventive, basic and major services at fixed fees and without any deductibles. It also allows for the selection of a primary care network dentist for routine care, with access to network specialists when needed. It also may offer discounts for orthodontia.

Complete Dental: This Humana PPO dental plan covers both basic and major services. It has waiting periods of six months for basic services, and twelve for major services. Its tiered coverage structure provides increased coverage for basic and major services based on the length of time the member has been enrolled in the plan.

Dental Savings Plus: This plan is a dental discount program offering discounts on a wide range of dental care services, from preventive to major services. The program also provides discounts for other health-related services such as alternative medicine, vision care, and prescription drugs. As it is not insurance, this plan doesn't require any deductibles or copays and doesn't have any annual limits.

WAITING PERIODS, APPLICATION PROCESS

Humana has no waiting periods for preventive or routine care, including x-rays, diagnostic exams, and routine dental cleanings. Basic care, which includes fillings, extractions, and emergency care, has a three-month or six-month waiting period, depending on the plan. For major care, such as root canals and more complex procedures, there is a 12-month waiting period. With the Humana Dental Savings Plus plan, you get up to a 20% discount for orthodontia with no waiting period.

One drawback to Humana Dental is that they don’t serve customers in every state, and not all plans are available in the states they do serve. To check your eligibility and to apply, you can call Humana's customer service line at 1-866-836-1916 or sign up via its website. Simply choose your state and enter your age, and a list of available plans and quotes will pop up. Select the plan you're interested in, read the fine print, and add it to your cart.

To find a Humana dental plan that’s right for you, visit Humana.com.

Physicians Mutual review

Best dental insurance for major dental work

Physicians Mutual is a Nebraska-based insurance company offering reliable and comprehensive insurance solutions since 1902. This review focuses on the company's dental insurance products, which earned Physicians Mutual a reputation as a top provider for those seeking coverage for major dental work. 

Physicians Mutual has an A+ rating from the Better Business Bureau and an A rating from AM Best for financial strength. Physicians Mutual stands out by offering an insurance solution that covers over 400 dental procedures, from routine check-ups to more serious procedures like root canals and bridges.

Screenshot PhysiciansMutual.com, August 2023

PHYSICIANS MUTUAL HIGHLIGHTS

  • No annual or lifetime maximum on cash benefits
  • Freedom to choose any dentist
  • Coverage for over 400 dental procedures, including major dental work
  • No deductibles
  • Full refund within 31 days if you're not satisfied
  • Four coverage levels to choose from: Economy, Standard, Preferred, and Premier
  • Highly rated by A.M. Best and BBB

Physicians Mutual's dental insurance plans provide a lot of flexibility when it comes to choosing a dentist. Members have the freedom to see any dentist they like. If they choose a dentist within the company's network, they can save an average of 36% on covered services. This network is one of the largest in the nation, boasting over 500,000 provider locations, offering members a vast array of options. With the simplicity of Physicians Mutual's dental plans, you'll know exactly how much you'll get reimbursed and how much you'll have to pay out of pocket.

Moreover, an impressive 95% customer satisfaction rating from a 2022 survey conducted by Wiese Research Associates showcases the company's commitment to providing quality products and excellent customer service.

AFFORDABILITY AND COVERAGE

Physicians Mutual offers four dental plans, all providing coverage for over 400 dental procedures. These are the Economy, Standard, Preferred, and Premier plans, and they have different coverage percentages for various dental procedures. However, each plan fully covers cleanings, routine exams, and x-rays when you see an in-network provider.

Another major benefit of Physicians Mutual's dental insurance plans is that there are no deductibles and no annual maximums on the amount of cash benefits a member can receive. This means that no matter how much dental work you need, you can rest assured that you will not hit a coverage limit.

Plus, Physicians Mutual allows for multiple benefits to be collected in a single visit for covered services, providing a significant advantage for those undergoing extensive major dental procedures. This ensures you can get the care you need without worrying about financial limitations caused by stacking procedures in a single visit.

Your coverage will depend on your policy and location, but as an example, an individual under the age of 50 in Florida would pay the following monthly premiums: $30.50 (Economy), $38.75 (Standard), $46.95 (Preferred), or $56.50 (Premier).

WAITING PERIODS, APPLICATION PROCESS

Like most dental insurance providers, Physicians Mutual has waiting periods for certain procedures.

One of the standout features of Physicians Mutual's plans is the comprehensive coverage they provide for major dental procedures, including root canals, crowns, dentures, and surgical tooth extractions. After a waiting period of 12 months, members can receive coverage for these major services, with the Premier plan paying 70% of the maximum allowable charge. This level of coverage is particularly valuable for individuals who anticipate needing significant dental work.

In addition to its coverage for major dental work, Physicians Mutual also provides immediate coverage for preventive and basic care services. This includes routine exams and cleanings and over 130 basic dental services, such as fillings for cavities and minor oral surgery procedures.

Physicians Mutual's application process is straightforward and customer-friendly. Prospective customers can quickly get a quote and apply for coverage online. The company's website provides comprehensive information about the various plans and coverage options, making it easy for individuals to select the plan that best suits their needs.

Physicians Mutual provides an online portal for its dental insurance policyholders, streamlining numerous aspects of account management and information accessibility. Once you create an account, you can seamlessly handle a multitude of tasks from the comfort of your home. These include paying bills, viewing and downloading ID cards, checking policy information, and monitoring claims. You also have the ability to update your address and check the status of your application.

For individuals anticipating major dental work, Physicians Mutual's dental insurance plans provide a flexible, robust, and affordable solution. Plus, they come with a 31-day satisfaction guarantee. To find out more and to apply for coverage, visit the Physicians Mutual website.

Smylen review

Best dental service marketplace

Smylen is our choice for best marketplace for dental service . Although Smylen does not provide insurance itself, it can help you find the best provider for your specific procedure. The company features a price comparison feature with which customers can search for the dental procedure they need, and compare between providers using information such as their fees, proximity and customer review ratings. Functioning as a one stop shop, Smylen’s website also facilitates appointment booking. Once you have chosen a provider, you can book an appointment online. 

Screenshot Smylen.com August 2023

The company has an extensive network of dentists available to help, whether you need procedures like root canals, crowns, cleanings, implants, fillings, or others. This is due to the fact that Smylen provides an opportunity to fill up empty slots in their schedules for a reduced fee. Another great feature of Smylen is its Self-Diagnosing tool, for customers who are not quite sure of  which treatment they need. Additionally, the company offers treatment packages that work as bundles, reducing the overall cost to patients who need more than one procedure. Smylen charges a fee of $30-$60 to book through its platform. Booking through Smylen includes your initial dental consultation, X-rays, and post-operative care.

United Healthcare Dental Insurance review

Best dental insurance for families

As a well-known insurance company in the US, United Healthcare Dental offers affordable, low premium rates and a variety of dental plans suitable for all ages. Their dental care insurance is underwritten by Golden Rule Insurance Company and is currently available in 40 states.

Highlights:

  • Additional benefits: vision and hearing aid discounts 
  • Medicaid-compatible dental plans
  • Shorter waiting periods

With a nationwide network of more than 85,000 dentists, United has both DHMO and PPO plans that provide better coverage after the first year. For example, if you have the Dental Primary plan (which is available for individuals and families) your policy pays 50% on day one, 65% after year one, and 80% after year two on basic care procedures such as simple fillings and extractions.

Screenshot UHC.com August, 2023

AFFORDABILITY AND COVERAGE

All Dental Primary plans cover preventive routine exams at 100% starting day one, which is a standard benefit to look for when choosing your dental care insurance. 

While dental plan options are different in each state, United Healthcare has a base coverage amount and annual maximum of $1,000 — far better than competitors that start off with annual caps as low as $350 for some procedures.

Generally, deductibles start at $50 per person for United family dental plans. With this dental plan, you don’t have to pay any deductibles if you are in a group of three or more family members. One major drawback is that United dental plans do not include orthodontia, which may not be optimal for some families.

One great thing about United Healthcare is that it offers specifically designed plans for adults who are on Medicare, which in contrast to Medicare for children, doesn’t include dental benefits. 

Monthly premiums for United Healthcare’s Dual Eligible, Medicaid, or Children’s Health Insurance Program (CHIP) plans start as low as $0, depending on your Medicaid eligibility. Medigap, Health Reimbursement Accounts (HRA), Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) are also compatible with United Healthcare. As this option varies by state, we advise you to visit its website and view available plans in your area.

The quotes United Healthcare provided for individual plans varied by state and ranged from $25.96 monthly premiums for the Primary Dental plan, which covers preventive and basic care, to $52.68 for more comprehensive plans. Pricing for family plans vary by the number of members and their ages. For a free quote, you can visit the company’s website.

United Healthcare’s policy states that it will remove eligible children from family plans on their 26th birthday or as state law requires.

WAITING PERIODS, APPLICATION PROCESS

Perhaps the best thing about United’s dental plans are the short waiting periods. According to United, basic care procedures have a maximum four-month waiting period, while major care has a standard six-month waiting period. While this may still seem like a lot of time, compared to other dental insurance companies that have waiting periods starting at six to 12 months, this is great. Preventive care services and basic procedures have no waiting periods.

We advise you to read the policy details of your dental plan before signing up with United Healthcare or any other company. While United Healthcare is a good dental care provider, if you need extensive dental work, some of their plans may not cover a tooth more than once. For example, sealants are limited to one per first and second permanent molar every 36 months. If your sealant is compromised in any way, United won’t cover resealing the tooth until the 36-month period is complete. 

To view and apply for United Healthcare’s dental plans, visit its website. You will be required to enter your zip code, gender, and date of birth, and state whether you or your family members are tobacco users. You will also be asked if you have a spouse or child to determine the best plans for you or your family according to your region. You’ll get a list of plans you are eligible for as well as monthly premium quotes. Simply select the plan you want and proceed to the checkout. If you need assistance, you can call 1-800-273-8115.


OUR TOP PICKS: DENTAL SAVINGS PLANS REVIEWS

Worried about not being able to afford dental care? You’re not alone. Cost is one of the main reasons why people generally avoid a visit to their dentist regardless of income, age, or source of dental benefits. 

If affordability is an issue, Evelyn Ireland, Executive Director of the National Association of Dental Plans recommends dental discount plans as a viable option, especially if you need care urgently. 

“Discount savings plans offer a quick, affordable alternative to traditional insurance. By joining and making a low monthly payment, you will have access to member-only discounts – very much like a coupon,” said Ireland. “These plans, however, aren’t licensed as insurance companies.”

On average, dental savings plans can save you up to 60% or more on your dental procedures. Many savings plans are compatible with traditional insurance, so they can help cover a certain amount of your deductible.

Since discount plans aren’t licensed as traditional insurance, there’s no paperwork or lengthy pre-approval process. 

According to Ireland, these plans are growing more popular and some can be activated in as little as 24 hours, which makes them perfect if you have a dental emergency.

While the networks of dentists who participate in dental savings plans may be smaller than traditional insurance networks, discount plans can be as affordable as $8 a month.

Popular discount plans are offered by Aetna, CVS Health, Humana, 1Dental, and Careington.

Our Research

More insight into our methodology


Dental Coverage

Dental insurance coverage is divided into four classes or categories: preventive, basic, major and orthodontia. Class I, or preventive dental care, includes routine cleanings, diagnostic exams, and X-rays. Class II, or basic care, usually includes root canals, sealants, extractions; while Class III, also known as major care, covers more complex procedures such as crowns, bridges, dentures or oral surgery. Orthodontia is one of the most expensive dental treatments and compromises the fourth category.

Basic Guide of Dental Care Procedure Classification

 

Class I

Class II

Class III 

Class IV

 

Preventive Care

Basic Care

Major Care

Orthodontia

Services

Exams, cleanings, x-rays

Fillings, extractions, emergency care

Root canals, crowns, dentures, inlays, onlays, oral surgery

In some cases, orthodontic policies have age limits for children up to 19 years-of-age.

Coverage

100%

80%

50%

Depends on plan.

Waiting Period

None

3-6 months

6-12 months

6-12 months

Most traditional dental insurance plans follow a 100-80-50 standard for coverage; meaning that 100% of preventive care will be covered, 80% will be designated for basic care, and 50 % for major procedures. This may change depending on which dental care provider you choose. Not all plans include orthodontia coverage. 


Benefit Limits

An annual maximum is the dollar amount your dental plan will pay toward your dental care expenses within a specific period, usually a year. Some dental plans don’t have an annual maximum limit on extensive dental care, but others do. A typical annual maximum can range between $750 and $1,500. We took a look at the annual maximums imposed by different dental insurance companies in search of those policies that provide adequate annual limits.


Availability

Waiting periods vary depending on what kind of dental treatment you are seeking and what your dental care plan provides. Preventive care usually has no waiting period, while basic care procedures have a waiting period anywhere between three to six months. Coverage for major care or complex procedures like orthodontia becomes available around the 12-month mark. If waiting periods are an issue for you, learn more about the best dental insurance with no waiting period.


Pricing

Dental care plans vary depending on where the insured lives and what their needs are. We compared different dental plans from traditional insurance to discount plans and federal programs. We also took a look at alternatives to dental insurance, such as low-cost clinics throughout the US for individuals, groups and employers to offer the most competitive prices that ensure affordable, quality options.

Helpful information about Dental Insurance

By the end of 2021, approximately 255 million Americans had some form of dental insurance. Still, a disturbingly high rate of the population remains uninsured. A survey conducted by CareQuest Institute for Oral Health revealed that around 76.5 million US children and adults had no form of dental coverage as of that fiscal year. 

“Most people are unaware that their oral health is linked directly to their general health,” said American Dental Association spokesperson, Dr. Julius Manz. “Your oral health could show initial indicators to serious and preventable conditions such as strokes, chronic heart disease, or other systemic health issues. This is why visiting your dentist is essential to your everyday well-being.”

According to the Academy of General Dentistry, more than 90% of all systemic diseases produce oral signs and symptoms at some point.

Fortunately, a rising number of American children are getting the dental care they need. The American Dental Association has seen significant changes in dental care utilization patterns since 2000 among the US population. The US Centers for Disease and Control Prevention has documented a rising trend in dental care utilization among children, particularly in lower income groups, over the past decade. The elderly population has also been getting more dental care in recent years.

To put it into perspective, in 2004, the American Dental Association reported that 17% of children were uninsured. That year, 33.3% of children three to five years of age experienced cavities in their primary teeth. By 2016, the rate of uninsured children had dropped to 10% and 29% of children ages three to five had cavities in the previous year.

MEPS 2000—2016 Insurance Breakdown, Children Ages 2-18

The American Dental Association’s Health Policy Institute gathered new data, showing a slight decrease in uninsured children for 2016. – Courtesy of the American Dental Association and the Medical Expenditure Panel Survey (MEPS).

“The American Dental Association and other organizations have worked diligently to address a problem that affects millions of Americans across the socio-economic spectrum,'' said Dr. David Kerr, 2020 President Elect of College of Dental Surgeons of Puerto Rico. “Over the last 36 years of my profession, I’ve seen an incredible decrease amongst patients that need full dentures.”

Kerr believes this improvement is in part due to an increase of educational programs, commercials, and volunteerism efforts targeted to the vulnerable groups that were prone to experience poor oral health or lack of access to regular dental care. This group includes low-income children (ages 0-18), seniors in long-term care, racial/ethnic minorities, and people with special needs.

However, in the US, working age adults still presented the highest percentage of untreated dental cavities at a whopping 31.6% compared to 18.6% of children in 2016. 

According to the CDC, dental visits for both children and seniors are higher than working age adults. This is hard to fathom since this is the group with the most dental coverage through employer group benefits,” said Evelyn Ireland. “This is the group that is targeted for education on getting and using their dental benefits.”

So, what’s the problem? 

“It’s plain and simple,” said Dr. Kerr. “A lot of people fear going to the dentist or find it too expensive. Then, they end up in an Emergency Room when the pain is intolerable. Chances are they will be treated for the symptom with pain medication, but their illness--for example, an infection--will go unaddressed.”

People without dental benefits also reported much higher incidences of other chronic illnesses than people who had coverage, according to the ADA.

You might think: “This doesn’t apply to me. If I brush my teeth every day, chances are that I won’t get any serious disease.” Well, according to the American Dental Association and leading experts, you’re wrong. 

Preventive dental care is critical to maintaining your overall health. Dr. Manz and Dr. Kerr expressed that aside from visiting your dentist regularly, flossing your teeth correctly is a straightforward method to maintain oral health. If you’re not sure how to floss, follow these helpful steps created by the American Dental Association.

common dental issues

HOW DOES DENTAL INSURANCE WORK? 

Dental insurance operates on a system of coverage and benefits that help individuals manage the costs of dental care. When you have dental insurance, you typically pay a monthly premium to the insurance company. In return, the insurance company provides coverage for a variety of dental services and procedures. When you receive dental treatment, you usually pay a portion of the cost through deductibles, co-pays, or coinsurance, while the insurance company covers the remaining balance up to certain limits or maximums.

WHAT DOES DENTAL INSURANCE COVER? 

Dental insurance coverage varies depending on the specific plan and provider. Commonly covered services include preventive care, such as routine cleanings, exams, and x-rays, which are important for early detection and prevention of dental issues. Insurance often covers basic procedures, like fillings and simple extractions.

The best full-coverage dental insurance may also provide coverage for major services, including root canals, crowns, bridges, and dentures. However, coverage levels and limitations can differ among insurance plans.

Some plans may have waiting periods for certain services, annual maximums that cap the coverage amount, and restrictions on specific treatments. Reviewing the details of the dental insurance policy and consulting with the insurance provider can provide a clear understanding of the coverage provided.

HOW MUCH IS DENTAL INSURANCE? 

The cost of dental insurance can vary depending on several factors, including the insurance provider, the specific plan chosen, geographical location, and individual circumstances. You typically pay dental insurance premiums on a monthly or annual basis. On average, the best dental insurance plans can range from $15 to $50 per month, while family plans can range from $50 to $150 per month. 

It's important to note that these figures are approximate and can vary significantly. Additionally, certain factors, such as deductibles, copays, and coinsurance, can affect the overall cost of dental care. To determine the exact cost of dental insurance, individuals can request quotes from different dental insurance companies and compare the coverage and prices to find the most suitable option for their needs and budget.

HOW TO GET DENTAL INSURANCE

There are several ways to acquire dental insurance coverage. One common method is through an employer-sponsored group dental insurance plan. Many employers offer dental insurance as part of their employee benefits package, allowing individuals to enroll during specified enrollment periods. 

Another option is to purchase individual or family dental insurance directly from insurance providers. Individuals can explore various dental insurance companies and plans, compare the coverage, premiums, and terms and select the plan that best suits their needs. Some government programs, such as Medicaid and the Children's Health Insurance Program (CHIP), offer dental coverage for eligible individuals and families. Exploring these programs and their eligibility requirements can help you determine if you qualify for their dental insurance. 

Word of Mouth: What to Do in an Emergency

The American Dental Association estimates that about two million people visit emergency rooms in the U.S. for dental-related issues. That's an average of one person walking into an emergency room every 15 seconds. Even though Medicaid expansion under the Affordable Care Act led to an increase in dental coverage and care among Medicaid-enrolled adults, an estimated $1.7 billion is spent on unnecessary hospital visits each year.

According to the ADA, the majority of these patients suffered from dental decay that could have been easily prevented with a visit to their dentist.  What they soon find out to their dismay is that hospitals aren’t equipped to provide comprehensive dental care.

To get a sense of the bigger picture, at least 50% of the adult population has some form of periodontal disease, according to the Centers for Disease Control and Prevention. Periodontitis, a disease of the gums may cause tender, swollen gums that bleed, painful chewing, and tooth loss or movement. 

“What happens generally is that a patient will receive pain medication to treat a symptom, but the underlying illness will go unaddressed,” said Dr. Kerr. “At the end of the day, you’ll still have to go to a dentist to treat the infection or injury and end up spending double the money.”

Trauma cases such as mountain bike accidents that may damage your teeth will often be attended by maxillofacial surgeons or other specialists, depending on the case. 

“There are two cases that warrant a visit to the Emergency Room, trauma and cellulitis,” said Dr. Alvin Lugo, a general dentist based in Puerto Rico. “For trauma cases, the ER will stabilize your injuries and have a surgeon attend you. You will then be referred to a dentist or an orthodontist to continue treatment as many hospitals generally are not equipped with these kinds of physicians.”

Cellulitis, Dr. Lugo said, erupts in cases of severe infection and can cause swelling, fever, and pain that can make it hard to swallow. The ER will stabilize the infection, and will refer you to a dentist or specialist depending on your case.

“Dental schools are an affordable alternative if you need low-cost treatment or urgent care,” said Dr. Lugo. “As teaching facilities, they usually have clinics where dental students have the opportunity to gain experience by treating patients under the supervision of licensed dentists.”

Post-graduate and faculty clinics are also available at most schools for more complex procedures, according to Dr. Lugo. In some cases, trauma patients are taken directly to dental school clinics from the ER.

Can Fluoride Prevent Cavities?

Backed by more than 70 years of scientific research, the American Dental Association has confirmed that fluoride in water is safe and effective at reducing tooth decay by at least 25% in children and adults. 

The ADA recommends that children under three years old use no more than a grain-of-rice sized amount of fluoride toothpaste. For children three to six years old, use only a pea-sized amount. A list of approved products that contain healthy levels of fluoride and have been approved by the ADA may be viewed here.

Is Your Smile Healthy? Take the Quiz to Find Out!

Room for Improvement in Providing Dental Insurance to All

Comprehensive coverage of dental care for children under Medicaid and the Children’s Health Insurance Program (CHIP) is one of the 10 essential health benefits (EHB) under the Affordable Care Act (ACA). 

Medicaid provides a comprehensive mandatory benefit package for children which includes oral health screenings, diagnosis, and treatment services. However, it’s not available to adults.

Dental benefits for adults on Medicaid are not required by federal law, but are offered as a state option, which has made access to dental coverage more challenging for seniors than for children. Furthermore, most states only provide limited coverage (restricted to extractions or emergency services).

“Seniors are the biggest focus of the uninsured population,” said Evelyn Ireland. “Sixty percent of seniors with Medicare Advantage plans instead of traditional Medicare have dental benefits through those plans. In 2017, only 1/3 of Medicare-eligible individuals had Medicare Advantage plans, and 63% of those have dental.”

In the last decade, Medicaid and Children’s Health Insurance Program (CHIP) have slightly improved their dental care benefits. This improvement has sparked an increase in children’s use of preventive and primary dental services.

“While discussions are underway about adding dental to Medicare, that is a long road politically, so NADP is working to get the Centers for Medicare & Medicaid Services to decouple dental and medical purchases on the federal exchange,” said Ireland. “This would make more affordable individual dental coverage widely available for seniors.”

Types of Dental Insurance Plans

Dental insurance typically comes in the form of three different plan options: dental health maintenance organization (DHMO), preferred provider organization (PPO), or an indemnity plan.

  • Preferred Provider Organization (PPO): Dental PPO plans offer you the freedom to visit any licensed dentist, although in-network providers will cost you less. In the long-run, these plans can cost more than a DHMO plan due to higher premiums, but you’re offered more comprehensive dental care.
  • Dental Health Maintenance Organization (DHMO): A DHMO tends to be a lower-cost benefits and insurance plan. You are required to choose one in-network dentist or dental facility as your primary care provider. A typical DHMO plan doesn’t have any deductibles or maximums and you just pay a fixed dollar amount (copay) for any covered treatment. If the procedure is not covered by a copay, you are responsible for the total cost.
  • Indemnity or Fee-for service dental plans:  Also known as a fee-for-service option, these plans offer greater variety because you can pick any dentist. Like PPO plans, you typically pay a deductible, then a fixed percentage for each service, and the plan pays for the rest. However, participating PPO providers usually offer discounts on procedures not covered by your plan. You do not have this option with an indemnity plan, so it’s possible you’ll end up paying more in addition to the high premiums.
  • Dental Savings: Also known as discount plans, these plans are not licensed as traditional dental insurance. Their programs provide a network of dental care providers that have agreed to perform procedures at a reduced price. Dentists are paid the discounted price directly by the plan owner, and the dental savings plan will cover the rest of the expense. Dental savings plans aren’t available in every state and can be only used with in-network providers. One benefit of dental savings plans is that they can be used alongside your traditional dental insurance.

FAQs about Dental Insurance


What insurance covers dental implants?

Dental insurance policies sometimes cover dental implants. You'll find better coverage if you need implants as a result of an accident. If you have other reasons for the implants, many plans will look at that as a cosmetic procedure. When evaluating the total price tag, you also have to think about the costs of services secondary to the procedure, like X-rays and anesthesia. Your plan may cover some or all of these services, but you'll have to read over your plan's unique terms and restrictions.


How much are dental cleanings without insurance?

The price of a dental cleaning might vary for those without dental insurance based on a number of factors. A dental cleaning normally costs $75 to $200 on average without insurance.

Remember that dental cleaning rates might vary depending on your region, your dentist, and how difficult the cleaning will be. Check with local dental offices to inquire about their specific pricing for dental cleanings without insurance. Some offices may offer financial assistance or payment plans, as well. And in some states, you may be able to qualify for free or discounted insurance coverage depending on your financial circumstances.


What is a waiting period for dental insurance?

A waiting period in dental insurance refers to the specified period of time you must wait after enrolling in a dental insurance plan before you can access certain services or procedures. Major dental work and orthodontic treatments frequently have waiting periods. The length of waiting periods might change based on the dental insurance provider and the particular plan selected. Understanding the waiting period requirements for dental services requires careful examination of the dental insurance plan's terms and conditions.


What is the best dental insurance with no waiting period?

Having dental insurance with no waiting period means you can get coverage for your dental treatments right away without having to wait for a certain period of time after enrolling in the plan. This can be helpful if you need urgent or expensive dental care, such as crowns, implants, or root canals. 

If you are moving from one provider to another, you may be able to request that the new company waives the waiting period. If not, there are many choices if you're looking for dental insurance coverage without waiting periods. One of them is Dental1’s Careington Care 500 plan.


What dental procedures does medical insurance cover?

While dental insurance primarily focuses on dental services and procedures, medical insurance may cover certain dental procedures under specific circumstances. Medical insurance may provide coverage for dental procedures deemed medically necessary due to a related health condition. Examples include oral surgeries required for the treatment of a medical condition or trauma to the jaw. Consult with both dental and medical insurance providers to determine the extent of coverage for dental procedures under medical insurance plans. 


When should a child go to the dentist?

You should take your child to the dentist as soon as their first tooth arrives, according to the American Association of Pediatric Dentistry. A check-up every six months is a standard recommendation to prevent tooth decay. Your pediatric dentist will let you know how often your child should make a visit based on his or her personal health.


Can I purchase a dental insurance discount plan to cover me in an emergency?

If you have a dental emergency and are uninsured, a good alternative is purchasing a dental discount plan. Some of these cards can be activated within 24 hours. You might also visit a dental school clinic to receive dental care at a reduced rate. These alternatives may help you manage the expenses of your dental procedure.

Generally, dental insurance plans won’t cover dental injuries and illnesses that began prior to the purchase of the policy. Some dental insurance plans require waiting periods of up to three years for coverage of dental damage caused by prior injuries. This is not optimal if you want a quick remedy.


Low-Cost Dental Plan Alternatives

Other Affordable Options

Dental care programs vary from state to state, but the following list includes some low-cost alternatives for basic dental care, 

  • Dental schools often have dental care clinics where students perform procedures at a reduced cost in order to gain experience. Procedures are supervised by a licensed experienced dentist at all times to ensure patient safety. Some dental schools may also have faculty and postdoctoral clinics available that are available for treatment of more complex procedures.
  • CHIP provides medical coverage and in most cases dental care to children under the age of 19 who qualify. To find coverage for your family visit InsureKidsNow.gov.
  • Medicare provides limited dental coverage for people who are 65 years and older and for people with specific disabilities. Medicare generally doesn’t cover most routine dental care or dentures but may be used in some emergencies that could require dental extractions.
  • Medicaid is a state-run program that in some cases provides dental benefits to eligible families and individuals. States set their own guidelines but tend to provide at least emergency dental services. There are no minimum requirements for adult dental coverage.

Helpful Tools

  • In addition to their “Finding a Dental Plan” tool, The National Association of Dental Plans is in the process of building a consumer dental site called WhyDental.org, which gives consumers the basics of dental coverage, tips on using benefits, and reasons to focus on oral health.

The American Dental Association created an Action for Dental Health interactive map, where you can find emergency room referrals, Give Kids a Smile events, Missions of Mercy (MOM), Community Dental Health Coordinators, Medicaid, nursing home programs, and fluoridation levels by state.

Our Dental Insurance Review Summed Up

Company NameBest for
Guardian Direct® Dental InsuranceBest dental insurance for braces
Physicians Mutual Dental InsuranceBest dental insurance for major dental work
United Healthcare Dental InsuranceBest dental insurance for families
Humana Dental InsuranceBest dental insurance for seniors on Medicare
Smylen Dental InsuranceBest dental service marketplace
1Dental.com Discount Dental PlanBest dental insurance with no waiting period
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