In the Marketplace, you can get Dental Coverage 2 ways: as part of a health plan, or by itself, through a separate, stand-alone dental plan. It should be noted that you cannot buy a Marketplace dental plan unless you’re buying a health plan at the same time.
Dental Coverage is Available 2 Ways
- Health plans that include dental coverage: Dental Coverage is included in some Marketplace health plans. You can see which plans include dental coverage when you compare them. If a health plan includes dental, the premium covers both health and dental coverage.
- Separate, stand-alone dental plans: In some cases, separate, stand-alone plans are offered. You can see them when you shop for plans in the Marketplace. If you choose a separate dental plan, you’ll pay a separate, additional premium.
Dental Plan Categories: High and Low
There are 2 categories of Marketplace dental plans: High and Low.
- The high coverage level has higher premiums but lower copayments and deductibles. So you’ll pay more every month, but less when you use dental services.
- The low coverage level has lower premiums but higher copayments and deductibles. So you’ll pay less every month, but more when you use dental service.
When you compare dental plans in the Marketplace, you’ll find details about each plan’s costs, copayments, deductibles, and services covered.
Adult & Child Dental Insurance in the Marketplace
Under the health care law, dental insurance is treated differently for adults and children 18 and under.
Dental coverage is an essential health benefit for children. This means if you’re getting health coverage for someone 18 or younger, dental coverage must be available for your child either as part of a health plan or as a stand-alone plan. NOTE: While dental coverage for children must be available to you, you don’t have to buy it.
Dental coverage isn’t an essential health benefit for adults.
If you are looking to add dental coverage to your current plans, or perhaps you are looking for stand-alone dental coverage, please reach out to us today! We can offer you a variety of comprehensive dental coverage options and pricing same-day! Call Group Plans Inc at (623) 889-7600!