Maintaining
good oral health, as well as correcting dental problems, is essential to
a healthy lifestyle. However, a growing number of Americans are finding
themselves without effective dental coverage to treat and maintain their
dental health needs. This is due in part to businesses increasingly
cutting-back on dental benefits for their employees. As a result, people
have started looking online to explore their dental benefit options. The
#1 question people are asking is, “What’s the difference between Dental
Insurance and Discount Dental Plans?”
There are distinct differences between the way “traditional dental
insurance plans” and “discount dental plans” work. As a general rule,
dental insurance is utilized by large groups and businesses to cover
their employee’s dental care. Dental insurance is considered true
insurance where monthly premiums are paid for defined coverage. Dental
insurance is not readily accessible to individuals and families, unless
provided by their employer. Some drawbacks of dental insurance include
annual spending maximums, deductibles, waiting periods for certain
procedures, and limitations and exclusions on care. There are also
claims forms to fill out and submit. Dental insurance usually covers the
cost of preventive services (such as cleanings and exams) at 100% after
deductibles are met. Annual deductibles vary from $25 to $50 per covered
individual, depending on the policy. The cost of deductibles should be
considered when calculating the overall costs associated with dental
insurance. While you are able to use any dentist, the monthly premiums
for dental insurance may be as much as $30 per month for individuals and
over $100 per month for family plans.
Discount dental plans, on the other hand, are available for the
millions of Americans that do not
receive dental benefits through their work or business. Discount dental
plans are designed to provide consumers access to dental networks at
reduced rates. These plans, are commonly known as “referral” or “reduced
fee” plans, and are not considered an insured dental plan. Discount
dental plans are affordable to join and are the most widely available
dental programs for individuals and families. These discount plans work
differently than dental insurance plans, yet provide consumers with real
and substantial savings on most dental procedures. Discount dental plans
are membership-based programs that usually provide coverage on an annual
basis. Consumers pay a membership fee in exchange for secured discounts
on most dental services, such as dental exams, routine cleanings,
fillings, extractions, root canals, dentures, crowns, and braces. These
plans typically save the consumer ten to sixty percent off standard
out-of-pocket fees when visiting a participating network provider. Most
discount dental plans provide a “fee schedule” with the discounted fees
listed out in the membership materials to ensure consumers will receive
their promised savings.
While there are several differences between traditional dental
insurance plans and discount dental plans, they can also be used
together in certain situations to maximize savings. If you are looking
for group dental insurance via your business or employer, you can visit
our Group Dental Plans section. If you are an individual or family
looking save money with a discount dental plan, please use our “Step 1”
search to find the plans available in your area.