Dental insurance can be an excellent way to help you maintain good oral health while saving money. It covers a range of services and incentivizes you to visit your dentist regularly. Self-employed people can also get dental coverage, but may face unique circumstances requiring extra consideration. This article will explain how dental insurance works for self-employed individuals and cover a few plans available to help you pick the best option for you and your loved ones.
Dental insurance is a form of supplemental health insurance that helps self-employed people cover dental care costs. This policy can cover a variety of treatments, from routine cleaning to oral surgery. Self-employed people can seek coverage through a workplace plan if available through an employer or spouse. However, many purchase these policies independently.
Self-employed people have two options for getting dental coverage:
Some traditional health insurance plans let you add dental coverage to the policy. Insurers often provide bundle savings if you bundle policies like this. Plus, you can streamline your policy management by working with one insurer for both policies.
If your current policy doesn’t let you add dental insurance or the policy doesn’t offer the coverage you need, you can purchase an individual plan from another insurer, such as Aflac. Individual dental plans vary in coverage, premiums, exclusions, and other features. Compare quotes and coverage to find a policy that suits your needs.
Self-employed people can choose from several types of dental insurance plans, each offering benefits and considerations:
A Dental Health Maintenance Organization plan, or DHMO, requires choosing a primary care dentist to coordinate care. Under these plans, you must obtain a referral from your primary care provider to see specialists. Out-of-network providers are rarely covered, meaning you will likely have to pay full price if your provider isn’t in the network. However, DHMO plans tend to have lower premiums and no deductibles. When you seek treatment, you’ll likely pay coinsurance and copays.
A Dental Preferred Provider Organization plan, or DPPO, charges higher premiums than DHMO plans. Plus, you may have to meet a deductible before coverage kicks in, and annual maximums can limit your yearly coverage. However, DPPO networks tend to be broader, and you don’t need referrals from your primary care dentist to visit specialists. DPPO plans may offer partial coverage for out-of-network providers, too. Overall, these plans provide more flexibility than others in exchange for higher costs.
Dental discount plans are technically not insurance policies. Instead, they are typically membership programs that offer discounts on various dental procedures. To stay in the plan, you can pay a simple annual fee. In exchange, you can receive a card that grants you lower rates on covered services.
Dental discount plans don’t often offer significant coverage on some basic and major services, but the annual fee is quite low. Therefore, these could be helpful if you only need preventative care and want to minimize costs.
Don’t wait until it’s too late. Help cover yourself and your family with affordable coverage from Aflac.
Choosing the right plan is particularly important for self-employed individuals, given the potential for unsteady income. Consider the following factors when shopping for coverage:
Dental insurance can be worth purchasing for self-employed people in several circumstances:
Children face unique dental issues and helping them maintain good oral health as they grow can set them up for a lifetime of strong dental health. Dental insurance can help you cover the costs of their routine care and any treatments they may need, such as tooth extractions or fillings.
Dental procedures beyond routine care can have significant costs. For example, a single composite resin filling, which is a lower-cost cavity filling material, can cost $100 to $400 per tooth.3 Meanwhile, policyholders typically spend $20 to $50 per month on dental insurance before any copayments and similar costs.4 As a result, dental insurance can significantly bring down the costs of care for loved ones with oral health issues.
No one knows what the future holds. Even if you and your loved ones have perfect dental health, your situation could change. Dental insurance can offer a layer of financial protection, giving you added peace of mind that you can get affordable coverage if problems suddenly appear. Plus, it encourages you to visit your dentist regularly. The dentist can look for early signs of these problems and treat them while it’s easier and less expensive to do so.
Dental insurance can help provide significant peace of mind and protection to the self-employed and their loved ones. This type of policy is typically affordable, making it easy to fit into circumstances where your income may fluctuate. Whether you need to cover your children, reduce the costs of frequent treatment, or just want added peace of mind, Aflac offers excellent dental insurance for the self-employed. Speak with an agent today to learn more about coverage and get a quote.
1Investopedia – Dental Insurance HMO vs. PPO: What’s the Difference? Updated February 26, 2024 https://www.investopedia.com/dental-insurance-hmo-vs-ppo-whats-the-difference-8553452. Accessed May 13, 2024.
2Humana – What is a dental discount plan? Updated October 24, 2023. https://www.humana.com/dental-insurance/dental-resources/dental-discount-cards. Accessed May 13, 2024.
3GoodRX - How Much Does a Dental Filling Cost? Published February 9, 2024. https://www.goodrx.com/conditions/dental-care/cavity-filling-cost. Accessed May 13, 2024.
4MoneyGeek - How Much Is Dental Insurance? (2024). Updated December 28, 2023. https://www.moneygeek.com/insurance/health/dental-insurance-costs/. Accessed May 13, 2024.
Content within this article is provided for general informational purposes and is not provided as tax, legal, health, or financial advice for any person or for any specific situation. Employers, employees, and other individuals should contact their own advisers about their situations. For complete details, including availability and costs of Aflac plans, please contact your local Aflac agent.
Aflac coverage is underwritten by American Family Life Assurance Company of Columbus. In New York, Aflac coverage is underwritten by American Family Life Assurance Company of New York.
In Delaware, Policies A81100–A81400. Policies A82100R–A82400R. In Idaho, Policies A81100ID–A81400ID. Policies A82100RID–A82400RID. In Oklahoma, Policies A81100OK–A81400OK. Policies A82100ROK–A82400ROK. In Virginia, Policies A81100VA–A81200VA. Policies A82100RVA–A82400RVA.
Coverage underwritten by Tier One Insurance Company:
Dental, Vision and Hearing: In Arkansas, Policy T80000AR. In Delaware, Policy T80000. In Idaho, Policy T80000ID. In Oklahoma, Policy T80000OK. Not available NY or VA. Dental claims are administered by Aflac Benefits Solutions, Inc. Vision claims are administered by EyeMed Vision Care, LLC. Hearing claims are administered by Nations Hearing. NOTICE: The coverage offered is not a qualified health plan (QHP) under the Patient Protection and Affordable Care Act (ACA) and is not required to satisfy essential health benefits mandates of the ACA. The coverage provides limited benefits. Tier One Insurance Company is part of the Aflac family of insurers.
Coverage may not be available in all states, including but not limited to DE, ID, NJ, NM, NY or VA. Benefits/premium rates may vary based on state and plan levels. Optional riders may be available at an additional cost. Policies and riders may also contain a waiting period. Refer to the exact policy and rider forms for benefit details, definitions, limitations and exclusions.
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