Dental Insurance vs Dental Plans – What’s the Difference?

When you decide to get some form of dental coverage, you’ll run across “dental insurance” and “dental plans”.  Both aim to provide some form of cost-relief for dental work – but are quite different.  The fact is a dental plan isn’t coverage, it’s dental care or discounted dentist pricing.

Generally speaking, dental insurance pays out a larger portion per visit or work done IF the procedure is covered by the policy.  Discount dental plans give you access to lower-cost dental prices for a wide range of dental work.

Break it down – dental insurance vs dental plans

Structure: A discount dental plan is not insurance.  It’s more of a membership model where your membership gives you discounted prices for dental work.

Committed annual cost: dental insurance premiums are typically more expensive than dental plan membership costs.  When you get dental insurance, you’re committing to paying more money each year.

Coverage: dental insurance will pay more (sometimes all) of the cost of procedures covered.  Discount dental plans are not coverage.  Instead you get a discounted price for the work – usually anywhere from 10 to 60% off the usual price.

Qualifying: It’s typically easier to qualify for a discounted dental plan.  Some dental insurance policies have onerous restrictions – such as health restrictions and may even do background checks.

Paperwork: Some dental insurance policies require you to pay first, then get reimbursed later.  Discount dental plans don’t pay the full cost.  The discount is available immediately so you have no paperwork hassle.

Annual spending limits: Most dental insurance policies have a payout cap per year (and may not rollover unused portions into following years).  Dental plans have no cap – you can get as much work as you wish; you pay your portion and enjoy the set out discount for work done.

Activation speed: Dental insurance applications can take a while to process.  A quality discount dental plan can get you a response and activated (if approved) in 3 business days.

Pre-approvals for dental work: Some dental insurance policies require you get a pre-approval for work done.  Not so with dental plans – if the work is discounted in the plan, you choose when to have it done and enjoy the discount.

Looks like dental plans are the way to go – why get dental insurance?

The one key advantage to dental insurance is if a procedure is covered, a larger portion will be paid (generally) by the insurance.  The situation where insurance is very good to have is for expensive dental work items that are covered in the policy.

However, the overall savings to you may be as  good as with dental plans in the long run.  Why?  Because dental insurance may have deductibles, the committed annual cost is higher, and the procedures you have done may not be covered.  Moreover, you may not get sufficient work done that actually warrants the cost of the insurance premium.

Any other advantage to dental plans?

Generally, with discount dental plans, you have more control over what you spend largely because your committed fixed cost is not as high each year.  You get discounted pricing on the procedures you choose to have.  Even if you require an expensive procedure, if that procedure is included in the dental plan, you enjoy the savings.

Recommended source for dental plans:

DentalPlans.com compare more than 30 discount dental plans.

Click Here to Visit the Official DentalPlans.com Website.

Dental Insurance or a Dental Plan – Are Either Worth It?

Short answer:  It depends.

I’m a believer in being insured, but I’m a bigger believer in getting coverage that works for me.  For you this could include dental insurance for individuals … or a discount dental plan.  Most of the time I don’t collect on my premiums.  In other words I’ve paid far more into insurance plans than I’ve collected.  This goes for my dental insurance coverage as well – and that’s where a discount dental plan can be a better options.

Why I like having a dental plan or dental insurance – big picture?

  1. Peace of mind:  I place a great deal of value on peace of mind.  I like know that if a huge dental cost comes along, I’m covered.
  2. Preventative dental care:  If I didn’t have dental coverage for individuals, I probably wouldn’t get regular cleanings.  I probably wouldn’t bother going to the dentist at all.  How do I know this?  Because there have been times I didn’t have dental insurance for individuals and I didn’t go to the dentist.
  3. Financial planning.  In order to have a good financial plan, I like having a consistent budget.  Insurance, including dental insurance for individuals helps me keep my expenses consistent.

These are the three main benefits of dental coverage in general – whether dental insurance or a dental plan.

Consider the cost of common dental services cost?

  • Cleaning:  $65 – $75
  • X-rays:  $100 – $125
  • Filling:  $110 – $130
  • Root Canal: $500 – $1,000

The wrong approach to dental coverage

If you’re thinking about getting dental insurance for individuals or for a family or a discounted dental plan, the wrong approach is adding up your dental costs for the past 2 or 3 years and then comparing that cost to the premium or dental plan joining fees.  If the premium or joining fees cost more than your recent dental work costs, then you may opt against getting dental insurance or a dental plan.

When you use this method (i.e. adding up your recent dental work cost) for deciding on insurance coverage there are 3 significant variables that aren’t considered:

  1. The value of peace of mind:  We all place a different value on this, but no matter who you are, having dental insurance will provide some level of peace of mind.
  2. In the past, did you get all the dental care you should?  Probably not and so the amount you spent in the past while not covered with dental insurance for individuals is not truly reflective of your actual dental costs.
  3. The possibility of a large dental expense:  No matter how healthy your teeth in the past, there’s a chance you could have a major dental expense arise.  Unexpected large expenses can wreak havoc on most budgets.

One Caution to Dental Insurance for Individuals and dental plans

The best way to make dental insurance or a discounted dental plan worth the cost is to get quality dental coverage – whether dental insurance or a discount dental plan.  To learn more about what to consider when shopping for quality dental coverage, read 14 Features of Quality Dental Insurance and Dental Plans.

I know insurance premiums and dental plan fees add up if not provided by your employer.  However, a goal I have in financial management is to smooth out my budget as much as possible.  In other words I like to reduce household expense fluctuations as much as I can.  Insurance and/or discount dental plans is one of the best ways for me to establish a consistent budget and significantly reduce large, unexpected expenses.

Accordingly, with the right discount dental plan, you can have peace of mind and improve your personal financial management.