Unexpected dental problems can be costly.
Whether it’s a root canal, crowns, or a few cavities, those costs add up significantly.
And if you have a child that needs braces? Ouch.
Health insurance market place dental insurance gives you the peace of mind you need to cover those costs without breaking the bank.
This blog covers three tips to help you choose the best Florida health insurance market place dental insurance options for you and your family, some common terms you’ll want to know when choosing dental insurance, and typical costs for dental insurance and care.
Health Insurance Market Place Dental Insurance
Purchasing a health insurance market place dental plan is simple. The first thing to know is that you’ll have to purchase a health plan at the same time to purchase dental insurance through the market place.
There are two ways to get coverage through the market place:
- Dental Plans with Health Plans: You have the choice of a health plan that includes dental coverage in the health care market place. This option will combine your premiums for each plan into one consolidated payment.
- Stand-Alone Dental Plans: The other choice is a stand-alone dental plan from the health care market place. You can choose these in the shop when looking at health insurance options. With this option, you’ll have a separate premium.
To see which market place health plans include a dental plan, compare choices in the market place portal. You can compare dental plans and coverage limits in the portal for stand-alone plans, as well.
Open enrollment for the health insurance market place is from November 1, 2019, to December 15, 2019. Note: Dental coverage isn’t required so no penalty is applied if you choose to not select it.
Now, here are a few tips for choosing the best Florida health insurance market place dental plan for you and your family.
3 Tips for Choosing the Best Florida Health Insurance Market Place Dental Insurance Option
If you’ve never purchased dental insurance before, or you need a refresher on the basics, here are some tips to help you choose the best dental plan for your situation.
1. Evaluate Your Dental Coverage Needs.
The health insurance market place offers two coverage levels for dental insurance plans – high coverage and low coverage. High coverage levels have higher premiums and lower out-of-pocket costs at the dentist, where low coverage levels have lower premiums and higher out-of-pocket costs. Before deciding which option is best for you, determine what type of dental services you may need.
Preventative services are typically covered with most plans, but do you routinely need cavities filled? Do you have other teeth or gum issues that may need attention? Choose a coverage level suitable for your needs.
2. Compare Plans and Coverage Options Carefully.
Do you want a standalone plan, or do you want to purchase dental insurance with your health insurance plan? Are you looking for higher coverage limits or lower coverage limits? Coverage options will vary, so you’ll want to compare carefully. In just a few moments you’ll learn how to better understand your coverage limits and out-of-pocket costs.
Another factor to consider if you already have a dentist is whether your current provider is covered by your dental plan or not – the market place portal can help you determine if you’ll need a new provider, or if there is a plan suitable for your current provider.
3. Market Place Dental Insurance for Children.
With respect to children under the age of 18, dental insurance is considered an “essential health benefit.” It must be offered either as part of a health plan or as standalone coverage. This is slightly different from adults, as it is not considered an essential health benefit and doesn’t have to be offered to anyone over the age of 18.
If you have a child that may need braces or other major dental surgeries, you’ll definitely want to consider some of the dental options available to you and your family. Orthodontic services may or may not be included, so make sure to check for this.
Terms to Know When Choosing Health Insurance Market Place Dental Insurance
Dental plans are similar to health insurance plans, but they do have some differences when it comes to how coverage limits work and what services are covered. For example, with health insurance plans, most have an out-of-pocket maximum that reduces your overall healthcare costs.
With dental insurance, there are coverage maximums – that means, there is typically a maximum amount that your dental plan will pay per person or family for dental services.
Here are some other terms you need to know to accurately compare dental insurance plans in the health care market place:
- Premiums: What you owe to your insurance provider each month is called your premium. With a standalone plan, you’ll pay this monthly as a separate payment. If you choose a health plan with a dental plan, your premiums will be included with your health insurance premium.
- Copayments: When you visit your dentist, you’ll typically have a co-payment due for each office visit. Copayments are in addition to monthly premiums and will vary depending on your coverage levels. Higher premiums result in lower copayments, deductibles, and out-of-pocket costs.
- Deductibles: Every year you and your family will pay a deductible – this is required before any dental services are covered. You may have a per person deductible and a deductible for your whole family, so double-check that when comparing plans.
All of these terms are factors that determine how much your insurance will pay for dental services and how much you’ll pay for services.
How Much Does Health Insurance Market Place Dental Insurance Cost?
What you pay each month for a dental insurance plan through the Florida health care market place will vary from situation to situation. For example, an individual in Florida may pay anywhere from $8 a month for premiums to $50 a month for premiums. A family of four, on the other hand, can expect to see prices from about $37 a month to $167 a month for premiums.
Don’t let unexpected dental costs surprise you – for the best results, review these tips and terms to know before comparing your dental options.
Need help choosing health insurance market place dental insurance? Fiorella Insurance Agency can help you narrow down the best options for you and your family.