Dental Insurance for Self Employed

Dental insurance is an important aspect of maintaining good oral health. Unfortunately, many self-employed individuals do not have access to dental insurance through an employer-sponsored plan. In this article, we will discuss dental insurance options for self-employed individuals and what you need to know to make an informed decision.

What is Dental Insurance for Self Employed?

Dental insurance for self-employed individuals is a type of insurance that provides coverage for dental services. Generally, dental insurance plans cover preventive services, such as routine cleanings and check-ups, as well as basic and major restorative services, such as fillings, root canals, and crowns.

Self-employed individuals have the option to purchase dental insurance through private insurance companies or through healthcare exchanges such as HealthCare.gov. Depending on your state, you may be able to purchase dental insurance as a separate plan or as part of a health insurance plan.

Types of Dental Insurance Plans

When considering dental insurance for self-employed individuals, it is important to understand the different types of plans that are available. The three most common types of dental insurance plans are:

Type of Plan
Description
Indemnity Plans
Indemnity plans allow you to see any dentist you choose and provide coverage for a percentage of the cost of dental services.
Preferred Provider Organization (PPO) Plans
PPO plans have a network of dentists who agree to provide services at a discounted rate. If you see a dentist outside of the network, you may pay more out-of-pocket costs.
Health Maintenance Organization (HMO) Plans
HMO plans only provide coverage for services provided by dentists within the network. You may have to choose a primary care dentist who will provide referrals for specialist care.

Factors to Consider

When choosing a dental insurance plan as a self-employed individual, there are several factors to consider:

Cost

The cost of dental insurance can vary widely depending on the plan you choose and your location. You should consider how much you can afford to pay for premiums, deductibles, and out-of-pocket costs.

Network

If you have a preferred dentist, you should check to see if they are in the network of any dental insurance plans you are considering. If you do not have a preferred dentist, you should consider the size of the network and the availability of dentists in your area.

Coverage

You should carefully review the coverage provided by each dental insurance plan you are considering. Look at what services are covered, what the annual maximum benefit is, and what the waiting periods are for certain services.

FAQ

Q: Is dental insurance necessary for self-employed individuals?

A: While dental insurance is not required by law, it is important for self-employed individuals to have dental coverage. Dental services can be expensive, and having insurance can help you save money on out-of-pocket costs.

Q: Can I purchase dental insurance through HealthCare.gov?

A: Yes, depending on your state, you may be able to purchase dental insurance through HealthCare.gov as a separate plan or as part of a health insurance plan.

Q: What is the difference between an insurance premium and a deductible?

A: An insurance premium is the amount you pay each month for coverage, while a deductible is the amount you must pay out-of-pocket before your insurance coverage kicks in.

Q: Can I see any dentist I choose with dental insurance?

A: It depends on the type of plan you choose. Indemnity plans generally allow you to see any dentist, while PPO and HMO plans may have restrictions on which dentists you can see.

Q: What is an annual maximum benefit?

A: An annual maximum benefit is the maximum amount that your dental insurance plan will pay for covered services in a calendar year.

Conclusion

As a self-employed individual, it is important to consider dental insurance coverage to maintain good oral health and save money on dental services. There are several options available, but it is important to carefully review each plan’s coverage, cost, and network before making a decision.