Dental Insurance Guide | Vitality (2024)

Guide

In this dental insurance guide, you’ll learn what dental insurance is, what it covers and whether it’s right for you. We also look at how to get dental insurance.

In the UK, the NHS and private dentists charge for their services. This can end up costing a lot of money, especially if you need regular dental treatment. This is where dental insurance helps.

What is dental insurance and how does it work?

Dental insurance lets you claim back what you pay NHS or private dentists for treatments. You pay the dentist up front yourself, then your insurer pays you back.As with most kinds of insurance, you can choose to pay an excess. This means you cover part of the cost, and the insurer pays for the rest, up to your cover limit.

Dental insurance usually only covers oral health and maintenance. It covers things like:

  • Routine treatments (check-ups, scaling, and polishing)
  • Complex treatments (oral surgery, extraction of teeth, crowns, fillings and bridges)
  • Emergency cover (such as a broken tooth)
  • Oral cancer care.

It won’t cover cosmetic work (for example, teeth whitening).

Does health insurance cover dental?

Most health insurers don’t cover dental treatment as part of their standard product. But they will usually offer an optional extra that covers these costs.

Vitality offer an optical, dental and hearing option, which you can include in your health insurance plan. This lets you group your cover together, and may cost less than buying a separate dental insurance policy.

How much is dental insurance?

The average person in the UK can expect to pay around £10 a month for dental insurance1. This can vary depending on factors like your dental health history, age and gender. It also depends on the level of cover you choose and location. Choosing NHS or private treatment will also affect the cost.

Is dental insurance worth it?

It's worth considering dental insurance. It's there to help protect you from having to pay any high costs in the future.

Say you needed a crown. Even through the NHS, this would cost £282.80 (NHS, 2021). If you had dental insurance, you could be treated privately and you wouldn't need to cover the costs. It also means you could be treated quickly, avoiding any lengthy waiting lists.

Can I get dental insurance at any time?

Yes, it’s possible to buy dental insurance at any time. But if you include dental insurance in your health insurance plan, you might need to wait until the date your plan renews.

Some providers will need you to have had a check up in the last 12 months and had all treatment completed.

Check with your insurer to understand exactly how your policy works.

Does dental insurance cover pre-existing conditions?

Most insurers won't cover pre-existing conditions, but each insurer defines 'pre-existing conditions' differently.

If you had treatment for a root canal, and it returned after your cover began, many insurers would view this as a pre-existing condition. Because of this, it might not be covered. Check with your insurer if you have any doubts.

Telling your provider about pre-existing oral health conditions is also important. Not doing so could mean your treatment won’t be covered.

Can I have more than one dental insurance policy?

You can have more than one dental insurance policy, but you will not get back more than you paid for your treatment. Where two insurance policies cover the same treatment, they would normally split the cost between them. It is not usually in your interest to have more than one policy that covers the same things.

Dental Insurance Guide | Vitality (2024)

FAQs

What are the best dental insurance plans? ›

Compare the Best Dental Insurance Companies Ratings
Our expert takeInsurance companyTop-scoring plan
Best OverallAnthemEssential Choice PPO Platinum
Good Price for Benefits ProvidedGuardianDiamond
Good for No Waiting PeriodsAmeritasPrimeStar Complete
Good for No DeductibleCigna DentalPreventive
3 more rows
4 days ago

Why is dental work so expensive? ›

The Overhead Costs And The Insurance Policies Of The Dental Office. Like any other business, dental clinics have to bear numerous operational expenses: rent, utilities, equipment, staff salaries, marketing, and more.

Why won't insurance cover my crown? ›

A tooth must exhibit a significant structural loss from decay or fracture to be covered by dental insurance. For example, crowns that cover weak, cracked, or large cavities are covered by insurance. Crowns that are to restore and repair lesions due to wear, attrition, abrasion, and abfraction are not typically covered.

What percentage does most dental insurance cover? ›

Most dental insurance plans follow the 100/80/50 payment structure: They pay 100% for preventive care, 80% for basic procedures, and 50% for major procedures.

Which type of dental plan is the most common? ›

Dental Preferred Provider Organization (PPO) Plans

Dental PPOs are the most common dental policy. The NADP reports that 82 percent of dental policies are dental PPOs.

Is aflac dental worth it? ›

Dental insurance is worth it if you are looking for additional support for minor and major dental procedures. With an Aflac dental insurance plan, the costs of cleanings, crowns, bridges, and implants can be significantly minimized. For some of our basic and preventative services, there is little to no waiting period.

What state has the cheapest dental work? ›

Best and worst for: Dental treatment costs

Lowest dental treatment costs: Alabama, Kentucky, Mississippi, Tennessee and Texas. Highest dental treatment costs: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont.

Which dental treatment is the most expensive? ›

Major services include crowns and inlays/onlays, implants, bridge repair and construction, dentures, and even night guards. These are the most expensive dental procedures. Dental insurance typically only covers a smaller portion of procedures or limits how often you can do the procedure.

Why is dental work so cheap in Mexico? ›

One of the main reasons that it's so cheap to go to the dentist in Mexico is the price of labor. A Mexican dental practice can hire staff for significantly less money than they could in the USA. This means that Mexican dental practices can afford to offer their services for much less than their counterparts in the US.

What to do if you need a crown but can't afford it? ›

Many dentists offer payment plans or financing to help you pay for care over several weeks or months if you cannot afford a dental crown. Please do not let the cost of a crown prevent you from getting care. Your community may have a university dental school or dental clinic to help you get the necessary care.

What is a root canal considered under insurance? ›

Most insurance plans will consider a root canal to be a preventative procedure, because its goal is to prevent you from losing the tooth entirely, but because root canals aren't usually covered at 100% in a dental plan, you should still prepare to pay some amount out of pocket.

Are dental crowns tax deductible? ›

Some dental procedures, such as a crown, may be considered both cosmetic and medically necessary. While a crown may improve the appearance of a tooth, it also increases the tooth's strength. Since there is a clear medical reason for it, the procedure is likely to be deductible.

How much does the average American pay for dental insurance? ›

On average, people spend between $20 and $50 per month on dental insurance premiums, with annual estimates ranging from $240 to $600. However, dental insurance costs also include co-insurance, copayments for specific treatments, annual maximums (the coverage limit per year) and deductibles.

Do most Americans have dental insurance? ›

For adults ages 19-64, 61.4 percent have private dental benefits, 15.7 percent have dental benefits through Medicaid, and 22.8 percent do not have dental benefits. Source: National trends in dental care use, dental insurance coverage, and cost barriers (PDF) (HPI Report).

What is the best dental plan in CA? ›

Top Dental Insurance Companies in California:
  • Delta Dental of California. Pros: Delta Dental is a well-established and widely recognized dental insurance provider. ...
  • Anthem Blue Cross. ...
  • MetLife Dental. ...
  • Guardian Life Dental. ...
  • Aetna Dental. ...
  • UCLA Dental.

What is the difference between Delta PPO and Delta Premier? ›

Premier fees are typically higher than Delta Dental PPO fees, but PPO members still enjoy cost protection at Premier dentists. Non–Delta Dental dentists can set their prices wherever they want. Low fees reduce your members' out-of-pocket expenses and let their plan dollars go further.

What is the most common dental insurance in Florida? ›

Like health insurance, there are many different types of dental plans, and the average dentist participates in about six of those plans, according to the National Association of Dental Plans (NADP). The most popular type of dental plan in Florida is preferred provider organization (PPO) plan.

Is Delta Dental USA a PPO or HMO? ›

As an employee, the OCC Dental Insurance Program offers you the choice of two quality dental options — the PPO option called Delta Dental PPO and the dental HMO (DHMO) option known DeltaCare® USA. Each option is structured differently.

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