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Colorado residents can choose from a variety of dental insurance plans that cater to different needs and budgets.
Most dental insurance plans in Colorado cover routine cleanings, exams, and X-rays, which are essential for maintaining good oral health.
You can expect to pay around $20-$50 per month for a basic dental insurance plan in Colorado, depending on your age and the provider.
Many dental insurance plans in Colorado also offer discounts for preventive care services, such as fluoride treatments and sealants, to encourage regular check-ups and healthy habits.
Cost and Coverage
In Colorado, dental insurance premiums range from $0 to $232 per month for adults purchasing stand-alone or family coverage through the exchange.
The average monthly premium for a stand-alone family dental plan sold in Colorado in 2023 was $59.01, according to IHC Specialty Benefits.
Adults enrolled in Medicaid in Colorado, known as Health First Colorado, are eligible to receive comprehensive dental services up to $1,500 per year.
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Children enrolled in Medicaid and Child Health Plan Plus (CHP+) are also eligible for comprehensive dental benefits, with coverage of up to $1,000 a benefit year.
Colorado's dental insurance plans cover preventative exams, routine teeth cleaning, fillings, and X-rays, as well as periodontics, endodontics, dentures, bridges, root canals, and other surgical treatments.
Typically, dental insurance plans classify covered services into three main categories.
To determine whether the costs of a supplemental dental plan are worth it, calculate the potential savings on gum care services, considering deductibles, co-payments, and annual maximums.
Budget about $30 to $45 a month for an individual dental insurance plan in Colorado.
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Medicaid and CHIP Coverage
Colorado has a comprehensive Medicaid program called Health First Colorado, which provides dental coverage to adults with a yearly limit of $1,500.
Adults enrolled in Medicaid can receive a wide range of dental services, from routine cleanings to more complex procedures.
Children enrolled in Medicaid are also eligible for comprehensive dental benefits, giving them access to essential oral care.
The Child Health Plan Plus (CHP+) program provides dental coverage of up to $1,000 a year to children and pregnant women who don't qualify for Medicaid.
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Plan Types and Options
There are several types of dental insurance plans available in Colorado, including DHMO (Dental Health Maintenance Organization) and PPO (Preferred Provider Organization) plans.
DHMO plans are often more cost-effective, but you must use dentists within the plan's provider network. If your dentist is already in-network, this could be a great choice.
PPO plans, on the other hand, offer more flexibility and the opportunity to choose a dentist you prefer, but they are typically the most expensive option.
Here are some key characteristics to consider when choosing a plan:
- Network inclusions: Make sure your dentist's office accepts your insurance.
- Deductible: Look for a plan with a low deductible or no deductible at all.
- Covered procedures: Read your plan's terms to ensure it covers common dental issues.
Marketplace Insurers
You can buy dental insurance through the Colorado exchange, where four insurers offer stand-alone individual and family dental plans. These plans are certified by Connect for Health Colorado and can be purchased during open enrollment or a special enrollment period.
Anthem, Cigna Healthcare, Delta Dental, and Solstice are the four insurers that offer stand-alone individual and family dental coverage through the Colorado marketplace. These plans can be purchased through Connect for Health Colorado.
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Stand-alone dental plans are not included with medical plans, so you'll need to purchase them separately. They're compliant with the ACA's rules for pediatric dental coverage, which means out-of-pocket costs for pediatric dental care won't exceed $425 per child in 2025.
To choose a plan, consider the network inclusions, deductible, and covered procedures. Make sure your dentist is part of the plan's network, and look for a plan with a low or no deductible.
Here are the four insurers that offer stand-alone dental coverage through the Colorado marketplace:
- Anthem
- Cigna Healthcare
- Delta Dental
- Solstice
Types of
If you're looking for a dental insurance plan that fits your needs and budget, you have several options to consider. There are different types of dental insurance plans available, each with its own unique features and benefits.
One type of plan is the Dental Health Maintenance Organization (DHMO) plan, which can be a more cost-effective option. You'll pay less on premiums, but you must use dentists in the plan's provider network.
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PPO (Preferred Provider Organization) plans, on the other hand, offer more choice and flexibility. You can see any dentist you want, but this typically comes with a higher premium.
Another option is a Dental Discount Plan, which isn't insurance but rather a membership program that can save you 10-60% on dental care costs.
Here's a brief summary of the main types of dental insurance plans:
Ultimately, the right plan for you will depend on your individual needs and preferences. Be sure to research and compare different options to find the one that works best for you.
Free Quotes
To get free dental insurance quotes in Colorado, you can compare numerous quotes from multiple companies online. This is the best approach to finding affordable dental plan rates in the state.
All you have to do is click on one of the buttons to get started and get covered in minutes.
Plan Details
In Colorado, you can find certified individual and family dental plans from four insurers through Connect for Health Colorado.
These plans are specifically designed for adults and children, offering a range of coverage options.
Stand-alone dental plans are available for purchase, which means you can buy dental coverage separately from your health insurance plan.
A Dental HMO (Dental Health Maintenance Organization) Plan can be a more cost-effective option, requiring you to pay less in premiums.
However, with a DHMO, you'll need to use dentists within the plan's provider network.
If your dentist is already in-network, a DHMO could be a great choice.
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Maximize Your Benefits
To maximize your dental insurance benefits, consider the following tips. Understanding your policy is key, and it's essential to read your policy documents carefully to know what's covered and what's not.
Most dental insurance plans have an annual maximum benefit, which limits the amount of money your insurance will pay for dental care each year. This can range from $1,000 to $2,000 or more, depending on your policy.
Regular check-ups and cleanings are crucial for maintaining good oral health, and many insurance plans cover these services at 100% after a deductible. This can help prevent costly problems down the line.
Some insurance plans also offer a waiting period for major procedures, which can range from 6 to 12 months. This means you may have to pay out-of-pocket for these services during this time.
Services and Coverage
Adults enrolled in Medicaid in Colorado can receive comprehensive dental services up to $1,500 per year.
Preventive care services, such as dental checkups, cleanings, and fluoride treatments, are usually covered at 100% with no deductible or waiting period. This means you can get regular cleanings and exams without worrying about out-of-pocket costs.
Basic services, including fillings, extractions, and gum care, are covered between 50-80% after meeting the deductible, and a waiting period may apply. This is a standard coverage range for basic dental procedures.
Colorado's dental insurance plans typically classify covered services into three main categories, including basic services, major services, and preventive care. Understanding these categories can help you navigate your coverage.
Major procedures, such as crowns, bridges, dentures, and gum surgery, are generally covered 50% after meeting the deductible, and a waiting period is often required. This is a common coverage range for more complex dental treatments.
If your primary dental insurance plan doesn't provide sufficient coverage for specialized gum care services, you may consider purchasing supplemental dental insurance. This can help cover the costs of specific treatments like gum grafts and periodontal surgery.
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Tips and Best Practices
Preventive care services are covered at 100% with no deductible or waiting period. This means you can get dental checkups, cleanings, and fluoride treatments without paying a dime out of pocket.
To make the most of this benefit, schedule regular dental checkups to maintain optimal oral health. By doing so, you can avoid more expensive treatments down the line, like fillings, crowns, or even root canals.
Frequently Asked Questions
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You can find dental discount plans in your area by searching online for "dental discount plans" and the state you're looking to buy a plan in.
The average monthly cost of dental insurance in Colorado for one person is $31, or approximately $374 per year.
Colorado's most popular dental plan is a preferred provider organization (PPO) plan, which accounts for the vast majority of dental insurance plans purchased throughout the United States.
Delta Dental is a decent insurance provider with decades of expertise in the dental insurance sector and a solid reputation from AM Best and the Better Business Bureau.
To give you a better idea of how dental insurance works in Colorado, here's a breakdown of the 100/80/50 coinsurance ratio used by many plans:
- Preventive care, including cleanings, exams, and X-rays, is covered at 100%
- Basic dental procedures, such as fillings, are covered at 80%
- Major procedures, such as crowns and dentures, are covered at 50%
Oral Hygiene Tips for Northglenn Families
Good oral hygiene is crucial for every member of the family. Regular dental checkups, cleanings, and fluoride treatments are usually covered at 100% with no deductible or waiting period.
Taking care of our gums is essential for overall oral health. Preventive care services, such as dental checkups, cleanings, and fluoride treatments, are usually covered at 100% with no deductible or waiting period.
Don't let insurance-related concerns stand in the way of achieving optimal gum health. Maximize your insurance benefits by utilizing covered preventive care services to maintain optimal oral health and avoid more expensive treatments down the line.
Taking care of our gums is just as important as other aspects of oral hygiene. Understanding dental insurance for gum care services and dental procedures is crucial for making informed decisions about your oral health.
Schedule an appointment with a dedicated dentist in Northglenn, CO, and they'll gladly assist you in navigating your dental insurance coverage and working together toward a brighter, healthier smile.
Frequently Asked Questions
What is the best dental insurance plan?
Delta Dental's Premium PPO plan is considered the best overall dental insurance plan, offering comprehensive coverage and a low deductible of $50. It's also a top choice for those with braces, implants, or older adults due to its affordable pricing and generous annual maximum benefit of $2,000.
How much does dental insurance cost per month in Colorado?
In Colorado, individual dental insurance plans typically cost between $20-$50 per month, while family plans range from $50-$150 per month. Check out our guide to learn more about dental insurance options and costs in Colorado.
What is the average cost of dental insurance in Colorado?
In Colorado, average dental insurance costs range from $20 to $50 per month for individuals and $50 to $150 per month for families. Actual costs may vary based on individual factors.
Sources
- https://www.healthinsurance.org/dental/colorado-dental-insurance-guide/
- https://www.simplyinsurance.com/best-dental-insurance-colorado/
- https://www.tsdentalcolorado.com/post/maximize-your-benefits-tips-on-dental-insurance-from-ts-dental-colorado
- https://coloradogumcare.com/understanding-dental-insurance-coverage-a-guide-to-gum-care-and-dental-procedure/
- https://www.benzinga.com/money/best-dental-insurance-colorado
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