Waiting periods, restrictions, spending limits, existing conditions, co-pays or co-insurance … even after you read the fine print, you still don’t know which dental procedures that dental insurance plan does and doesn’t cover. So how can seniors easily save the most on their dental care needs? The information below will help you find a solution that fits your needs and your budget.
Unfortunately, most of the affordable health insurance options designed for seniors, such as basic Medicare, do not cover dental care. But there are ways to reduce the cost of the expensive dental restorative treatments typically needed by seniors such as crowns, bridges and dentures, and the other care you need to keep your smile healthy and strong. Your options include purchasing dental insurance, or joining a dental savings plan.
Dental insurance is intended to reduce the cost of dental care. Seniors who receive Medicare may get the best prices for dental insurance from a Medicare Advantage plan. People over 55 may want to review AARP plans, which are designed to offer coverage for the treatments that older people often need.
Dental insurance providers typically negotiate lower fees with in-network dentists, and also pay (“cover”) a percentage of the reduced fee. But once you exceed your insurance’s spending limit – $1,000-$1,500 – you have to pay for dental care out of your own pocket.
Spending limits are a problem for many seniors, who look to insurance to reduce the cost of treatments. One root canal and crown, and you’ve exhausted your insurance coverage for the year. Below are the usual fees1 for common dental restorative treatments:
|Procedure||ADA Code||Usual Fee1|
|Full Upper Denture||D5110||$1,600|
|Add clasp to existing partial denture||D5660||$282|
|Dental (endosteal) implant||D6010||$2,441|
|Abutment supported cast metal crown (predominantly base metal)||D6063||$1,486|
|Implant supported metal crown (titanium, titanium alloy, high noble metal)||D6067||$1,650|
|Tooth Replacement Part of Permanent Bridge||D6210||$1,550|
|1The “Usual Fee” is determined by DentalPlans.com, Inc., using benchmark data from FAIR Health, Inc. FAIR Health data is used under license. Fees may reflect combined fees from several different procedures into one procedure and may not be directly comparable to a specific benchmark in FAIR Health Data. Actual fees charged by your provider may vary for a variety of reasons.|
Dental insurance plans typically do not cover costs for treating problems that you have prior to purchasing insurance, or dental work that is already in progress.
Typically, no. Dental implants- both standard-size and the “mini” sizes used to secure lower dentures - are considered a cosmetic treatment, and dental insurance often doesn’t cover cosmetic care.
Most dental insurance plans consider implants a cosmetic procedure, as there are less-expensive ways to restore missing teeth. Cosmetic care is typically not covered.
Dental insurance usually covers dentures and bridges, up to your annual spending limit. There is usually a year-long waiting period before you are covered for dentures or bridges.
Dental Savings Plans – sometimes called “dental discount plans” – are an affordable alternative to traditional dental insurance for seniors. Plan members save 10-60% on their dental care, with reduced rates from 100,000+ participating dentists. Simply pay the reduced rate directly to the dentist, after receiving care.
What advantages do Dental Savings Plans offer seniors?
Joining a Dental Savings Plan offered on DentalPlans.com makes a good thing even better. Along with all the advantages of your plan, you also get friendly, professional customer care from our experienced U.S-based team. And your satisfaction is ensured with our 30-day money-back guarantee.