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As a parent, it's natural to want the best for your child, including their oral health. Many parents opt for dental insurance for kids to ensure regular check-ups and cleanings, and to prevent costly procedures down the line.
Dental insurance for kids can be a cost-effective way to maintain your child's oral health. According to the article, a typical dental insurance plan for kids can cost between $100 and $300 per year.
Choosing the right dental insurance plan for your child involves considering several factors, including the type of coverage, the network of dentists, and the costs associated with the plan. Some plans may have a higher premium but offer more comprehensive coverage, while others may have a lower premium but fewer benefits.
Ultimately, the goal is to find a plan that fits your family's budget and meets your child's oral health needs.
When to Get Dental Insurance for Kids
Babies usually start getting teeth around 6 months of age, so consider getting dental insurance as early as possible. Your baby's first dental visit will mostly be about getting them used to the dentist and teaching you how to care for baby's teeth.
You can buy pediatric dental insurance in one of two ways: separately or as part of a medical insurance plan. Many insurance companies include pediatric dental coverage as part of their medical plans, while others offer stand-alone policies.
It's recommended that your baby sees a dentist by their first birthday or within six months of getting their first tooth (whichever comes earlier). Babies usually start teething when they're about 6 months old – but a baby's first tooth can show up earlier or later.
Kids' dental insurance isn't required, but having it can reduce your out-of-pocket care costs if you find the right plan. If your family is committed to cleanings and checkups every six months, which can help develop healthy habits and prevent decay, dental insurance can help keep your child's annual dental costs low.
Here are some key milestones for your child's dental visits:
- First dental visit: by their first birthday or within six months of getting their first tooth
- Second dental visit: when they're two years old
- Regular dental visits: every six months, starting when they're two years old
Understanding Dental Insurance for Kids
Dental insurance for kids is not required, but it can significantly reduce out-of-pocket care costs if you find the right plan. Having a plan can help keep your child's annual dental costs low.
The Affordable Care Act (ACA) says that all children under age 19 are entitled to basic dental care, and pediatric dental insurance is one of the ACA's 10 essential benefits that must be included in all marketplaces plans.
Kids should see their dentist regularly to make sure their teeth and gums stay healthy, and pediatric dental insurance helps pay the cost. Most plans cover preventive services like cleanings and X-rays, and many also cover fillings and other types of dental care when kids see an in-network dentist.
Some benefits require a waiting period before you can use them, and you'll usually need to meet the out-of-pocket deductible before the insurance carrier will share any of the costs (other than the preventive ones) with you.
Coverage varies among plans, so make sure you review what is and isn't covered. Consider your children's ages and their needs over the next year, and look for plans that cover all or most of the cost of preventive care and basic care.
Here are some key things to look for in a pediatric dental insurance plan:
- Preventive care (exams, cleanings, X-rays) and basic care (fillings, tooth extractions) are usually covered
- Fluoride treatments and dental sealants for cavity prevention in children are often included
- Deductibles, out-of-pocket limits, and co-insurance or co-payments should be clearly outlined
- The plan should have a large network of dentists, including pediatric dentists and specialists
It's a good idea to check your current plan to see if you have pediatric dental coverage, and you can always call your insurance company to check your coverage. If you don't have coverage for your child, you can ask how you can add it.
Obtaining Dental Insurance for Kids
You can get dental insurance for your kid through your health insurance plan or a separate dental insurance plan. Many insurance companies include pediatric dental coverage as part of their medical plans, while others offer stand-alone policies.
You can buy a separate dental plan, and the ACA limits what you'll have to pay out of pocket for in-network dental care. This means the most you'll pay is capped at $700 per child ($1,400 per family) per year, or $1,000 in some state marketplaces.
To find the right plan for your family, it's essential to shop around and compare benefits. Pediatric dental plans may not cover everything, so be sure to read the fine print and understand what's covered and the associated costs.
You can get a quote for your child's dental coverage by contacting Health For California or Progressive Health by eHealth. They can help you determine your eligibility and find a dental plan that works for your family.
Some family health plans already include dental coverage for children, so it's worth checking your current plan first. To find this information, sign into your health plan's online account and find a document called Summary of Benefits and Coverage.
Here are some insurance companies that offer pediatric dental coverage in California:
- Kaiser Permanente
- Blue Shield
- Anthem Blue Cross
- Oscar Health Plan
- L.A. Care
- Sharp Health Plan
- Valley Health Plan
- Chinese Community
- Molina Healthcare
- Western Health Advantage
- Health Net
Frequently Asked Questions
What age does dental insurance stop for kids?
Dental insurance typically stops covering dependents at age 19, but some plans may cut off coverage earlier or later, depending on your insurance provider and plan specifics. Check your policy for details on dependent coverage.
Does Texas Medicaid cover dental for children?
Yes, Texas Medicaid covers emergency or medically necessary dental services for children from birth through age 20. For more information on covered services and eligibility, please see our dental benefits page.
How much is dental insurance per month in Texas?
In Texas, dental insurance premiums typically cost between $20-$50 per month, with some plans requiring a deductible before benefits kick in. Check with providers for specific rates and coverage details.
Sources
- https://www.deltadental.com/us/en/protect-my-smile/dental-insurance-101/dental-insurance-for-infants-children.html
- https://www.progressive.com/answers/dental-insurance-for-kids/
- https://www.healthpartners.com/blog/whats-included-in-my-pediatric-dental-coverage/
- https://company.getinsured.com/pediatric-dental-insurance-explained/
- https://www.healthforcalifornia.com/covered-california/dental-plans/embedded-coverage
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