Smile! Such a small action does so many things. Smiling conveys a positive image. Smiling even makes you feel happier and healthier. Smiling is contagious. Regular trips to the dentist keep your smile at its best. Sounds like an oxymoron? Well, the better your oral health, the more reason you have to smile.
Dental insurance helps take the bite out of visits to the dentist. Plus, regular dental visits can alert you to health concerns such as stroke and heart disease. So, if you want to continue to pass along that positivity, it’s good to learn more about the power behind your smile – dental insurance.
The Best Dental Insurance in New Jersey is:
- Delta Dental: Best Overall in NJ
- Horizon BCBS: Cheapest Dental in NJ
- Nationwide: Best for Flexibility
- Mutual of Omaha: Best for Transparency
- Humana: Best for Customizing
- The Best Dental Insurance in New Jersey is:
- Types of Dental Coverage
- What Does Dental Insurance Cover?
- What Does Dental Insurance Not Cover?
- Average Cost of Dental Insurance in New Jersey
- What to Look for in a Dental Provider
- Best Dental Insurance Providers in NJ
- Keep Calm and Smile On
- Frequently Asked Questions
Types of Dental Coverage
Many types of dental plans are offered in New Jersey. According to the American Dental Association (ADA) the 3 most popular are PPO, DHMO and Discount or Referral Dental Plans. Let’s take a look.
Preferred Provider Organization (PPO): A PPO is a dental plan that uses a network of dentists who agree to provide dental services for set fees. The dental services covered depends on the plan you choose. If you see an out-of-network dentist on a PPO plan, you will likely pay more out of pocket.
Dental Health Maintenance Organization (DHMO): A DHMO is like an HMO (Health Maintenance Organization). Dentists in the network receive a monthly fee to provide covered dental services to you. The dentist gets paid regardless if you see them. Some services are fully covered as part of your plan. Other services require a copayment.
Discount or referral dental plans: The company selling a discount or referral plan contracts with a group of dentists. These dentists agree to discount their dental fees. Discounts are usually applied to all services including cosmetic procedures. Discount or referral dental plans do not pay the dentist for any services received. Instead, you pay for treatment yourself at the reduced rate determined by the plan.
What Does Dental Insurance Cover?
First, you need to know that dental insurance isn’t really insurance. The more precise term is “dental benefits.” Over time, the terms dental insurance and dental benefits became interchangeable. Insurance absorbs risk. Benefits cover some things in full, other things in part, and some things not at all.
When you’re looking for a dental plan, you will likely see it described as dental benefits rather than dental insurance. Yes, it’s confusing. Let’s take a look at insurance versus benefits. Dental benefits, or a dental plan, works a bit differently than health insurance. Both dental benefits and health insurance allow for preventive care.
Here’s the difference. Insurance reimburses you for a loss. As explained by the ADA, “Your car insurance pays you the value of your car if it’s totaled in a crash, and your health insurance covers the cost of your hospital stay if you’re injured in that crash. In an insurance plan, the insurer carries the risk.”
A benefit plan’s purpose is to cover certain predetermined costs. As mentioned, your dental benefit plan covers some procedures fully. The plan then pays a percentage of other procedures. Your dentist may recommend a cosmetic procedure like teeth whitening or veneers. Often, cosmetic procedures aren’t covered. Before accepting a recommendation for an elective procedure double-check what your benefits cover for a surprise-free visit.
Typically, dental plans cover some or all the cost of preventive care. Preventive care includes cleanings, X-rays, fillings, crowns, root canals and oral surgery. Some plans cover orthodontics (braces), periodontics (bridges) and prosthodontics (dentures). Normally, you’re covered for 2 preventive visits per year or every 6 months.
What Does Dental Insurance Not Cover?
Dental plans, like vehicles, come in different shapes, sizes and options. It’s handy to have some Excel skills so you can map out a spreadsheet with your dental provider options. List what they cover and the related costs. A little research will go a long way.
Most dental plans cover 2 preventive visits per year or every 6 months. Look at the dental plans base options. Also, note any upgrade opportunities and the related costs. As an example, not all plans automatically include braces (orthodontics). If you have young children, you might want to choose a plan that includes ortho services.
You might ask yourself, is dental insurance worth it? The quick answer is, yes! Smiling is a good thing. The right dental plan helps keep you calm, happy and healthy.
Average Cost of Dental Insurance in New Jersey
Nationally the cost of dental insurance runs an average of $15 to $150 per month or $180 to $1,800 per year. Many factors influence this average price. For example, are you insuring just yourself or a family? The more people dental benefits need to cover, the more you’ll pay.
What deductible did you choose? The higher your deductible, or the amount you pay before insurance pays, the lower your rate. What services does the plan include? The more services included in your benefits means a higher price. Where do you live? Urban areas typically generate higher rates.
Discounts for dental insurance aren’t as common as discounts for insurance for things like homes and cars. Preventive maintenance is the best way to spend less. Keeping up with your bi-annual exams helps to catch problems early when they’re most easily treated. It could mean the difference between a filling and a root canal.
If budget is your most pressing factor, there are some great affordable dental insurance options.
What to Look for in a Dental Provider
When choosing a dental provider, there’s a lot to consider. You need to examine the coverage, the network and the fine print.
Think about your life when contemplating what coverage fits you. Are you single, married or do you have kids? If you’re married, you need to figure out what works best for you and your significant other. And if you have kids you need to consider things like braces. Keep in mind that the ADA recommends kids visit an orthodontist at age 7. Thinking about who makes up your household helps you determine what coverage you need. Plus it helps simplify your options.
You also need to look at the dental networks associated with each plan. How many dentists are in your area? You should also check to see if they’re accepting new patients. If you live in Hackensack, then a network of dentists in and around Cape May isn’t going to help you. Do you already have a dentist in mind? Then you need to check if that dentist is on the network provider list.
Finally, look at the fine print. Now that you know what’s covered, you need to know when it’s covered. For example, if you know that you need to have those wicked wisdom teeth removed, can you have it done as soon as coverage begins? Or, is there a waiting period before your benefits begin? If you’re not in a hurry, then a delay is not a hassle. If you’re not up to waiting, look for a provider whose coverage begins immediately.
Best Dental Insurance Providers in NJ
Delta Dental, MetLife Dental and Guardian Dental are the 3 best dental insurance companies in the U.S. Here are how the dental benefit providers in New Jersey stack up:
1. Delta Dental: Best Overall
When it comes to dental insurance, Delta Dental works on a less-is-more and simpler strategy. Delta Dental touts less out-of-pocket fees, more dentists and simpler processes.
That means more money stays in your pocket, a plethora of dentists to choose from and saving your mind for the Sunday crossword rather than filling out loads of forms. Getting a quote online is easy. Finally, Delta Dental keeps its customers smiling. More than 95% of enrollees choose to stay with Delta Dental year over year.
2. Horizon BCBS: Cheapest Dental Insurance in NJ
With good dental basics available at a low cost, Horizon Blue Cross Blue Shield of New Jersey is the cheapest dental insurance in New Jersey. Focused on quality benefits at a reasonable price, Horizon negotiates deep discounts with its network of dentists.
That means members get big benefits for a small price. Horizon has a plethora of plans available for the choosing. Plans begin at the basic coverage level and build to extensive coverage.
3. Nationwide: Best for Flexibility
Nationwide offers affordable dental coverage through Multiflex Dental Insurance. Its noted for flexibility. You can choose from many coverage options from you to you and your family. Plus, you can choose the way you pay with its many payment options.
Those options include monthly or yearly, and online, through the mail or over the phone. Nationwide’s Multiflex guarantees acceptance, fast quotes and easy online enrollment. It also makes available a scaled version of coverage, which is diagnostic and preventive services only.
4. Mutual of Omaha: Best for Transparency
As you might expect from a company headquartered in Nebraska, Mutual of Omaha is straightforward in its benefits explanations. Mutual says what it means and means what it says. So, what does that mean to you? You’ll know before signing up what to expect with coverage, deductibles and out-of-pocket expenses.
Mutual of Omaha knows that good dental care is important for your health. Knowing what to expect to pay for things like cleanings, fillings, crowns, bridges, dentures and root canals is important.
5. Humana: Best for Customizing
Humana is a pickers paradise. It has multiple plan options at varying coverage levels and an array of costs. Humana is a great option for the people who like to wade through options and pick the pieces to make a perfect plan.
Additionally, Humana members can choose their dentist, at no extra cost, in and out of network. If you want to save some money, however, pick an in-network dentist to earn a discount.
Keep Calm and Smile On
Dentists and anxiety could go hand in hand. But choosing dental benefits carefully can ease the process by taking things one bite at a time. Think about what you need and from your benefits. Consider your budget and how dental insurance fits. Look at your options and choose the best one for you and your household. You can keep calm and smile on.
Frequently Asked Questions
1) Q: What kinds of dental insurance are available?
Your choices for dental insurance plans are similar to health insurance choices. You can choose from a dental HMO, which helps to keep premium costs low by keeping services within controlled network. Dental PPOs give more freedom to choose your dentist and care but cost more than HMO plans. A third option is called a dental indemnity plan, which pays a fixed amount or percentage for covered services. Compare quotes from our top providers for the best price.
2) Q: Is dental coverage part of health insurance?
Some health insurance plans bundle dental coverage as well but, in many cases, dental insurance is a separate plan. Healthcare plans that are ACA-compliant are required to offer dental coverage to children but there is no requirement that adults have dental insurance coverage. Choosing a separate dental insurance plan can be a cost-saving step and helps make dental health costs more predictable. Check out our best providers for the cheapest rate.
3) Q: How does dental insurance work?
A dental insurance plan charges a premium in exchange for covered benefits. Unlike health insurance plans, dental insurance plans usually have a cap on benefits, which means your plan may stop providing coverage once you reach the annual cap, often between 1k and 3K. Like other types of healthcare insurance, dental insurance focuses coverage on essential services, like cleanings, fillings, etc. Many plans don’t cover braces or elective cosmetic procedures. Get the cheapest premium here.
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