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Choosing the right dental insurance plan can be overwhelming, especially with so many options available on Long Island.
There are various types of dental insurance plans to consider, including PPO, HMO, and indemnity plans.
Some dental insurance plans offer coverage for a wide range of services, including routine cleanings, fillings, and extractions.
On Long Island, many dental insurance plans also offer coverage for specialty services like orthodontics and oral surgery.
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Types of Dental Insurance Plans
There are different types of dental insurance plans available, and it's essential to understand the options before making a decision.
You can enroll in a separate or stand-alone Anthem dental plan, which can be bought at any time of the year. This type of plan covers routine preventive care to complex procedures like root canals.
A dental plan can save you money on dental care and help protect the health of you and your family.
In New York, NY State of Health has certified individual and family dental plans from four insurers: Solstice, Anthem Blue Cross, Delta Dental, and Guardian.
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If you're looking for a stand-alone dental plan, you can purchase it through NY State of Health during open enrollment or a special enrollment period triggered by a qualifying life event.
These plans are compliant with the ACA's rules for pediatric dental coverage, ensuring that children's dental needs are met.
Here are the four insurers offering stand-alone individual/family dental coverage through NY State of Health:
Benefits and Features
Having a dental insurance plan can bring numerous benefits to your oral health and wallet. Separate or stand-alone dental plans cover routine preventive care to complex procedures like root canals.
One of the perks of dental insurance is that it covers cleanings, exams, and X-rays at 100% with no waiting period when you visit a dentist in your plan’s network. This means you can get the care you need without breaking the bank.
A dental plan can save you money on dental care and help protect the health of you and your family. Consider enrolling in a separate or stand-alone Anthem dental plan, which you can buy any time of the year.
Here are some benefits of dental insurance plans:
- Covers routine preventive care to complex procedures
- Covers cleanings, exams, and X-rays at 100% with no waiting period
- Helps protect the health of you and your family
- Can be purchased at any time of the year
By having a dental insurance plan, you can enjoy peace of mind knowing that you have access to quality dental care when you need it.
Choose the Right One for You
When considering dental insurance plans on Long Island, it's essential to choose the right one for you. You may need a separate dental plan if your medical plan doesn't cover dental expenses, or if you want more choices and better benefits for your family.
Availability of separate dental plans varies by state, so it's crucial to check what's available in New York. You can also ask a dentist for recommendations or search online for non-ACA qualified dental plans.
Delta Dental offers a wide variety of affordable individual dental insurance plan options, including PPO, Dental HMO, managed, and discount dental plans. You can explore their plans and learn about the different types of dental insurance coverage using their chart.
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Delta Dental PPO is a preferred-provider option program that offers access to a network of dentists who accept reduced fees for covered services, giving you the lowest out-of-pocket costs. Delta Dental Premier is their original fee-for-service plan that offers the largest network of dentists, with contracted fees that ensure you pay no more than your copay and deductible.
To help you make an informed decision, here are some key features of Delta Dental's plans:
Delta Dental Patient Direct is a dental service discount plan that allows you to choose from a panel of participating dentists who charge discounted fees for their services. You pay the discounted fee directly to your dentist at the time of treatment, with no paperwork to file.
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Plan Options
If you're looking for dental insurance plans in Long Island, you have several options to consider.
Avia Dental Plan offers annual payment options, with prices starting at $29.25 for the initial payment. Discounts are not available from Illinois Providers.
MetLife TakeAlong Dental provides benefits for a broad range of covered services and procedures, giving you flexibility to choose any licensed dentist. This plan offers expansive network of dental providers, more savings when you stay in-network, and no paperwork.
If you have a health plan with minimal or no dental benefits, consider enrolling in a separate or stand-alone dental plan. Anthem offers such plans, which cover routine preventive care to complex procedures like root canals.
Here are some insurers that offer dental coverage through the New York marketplace:
PPO
PPO plans offer a range of benefits that can help you save money on dental care.
You can choose from a large network of dentists and oral care specialists to find the right provider for you and your family.
PPO plans often have shorter waiting periods than traditional plans for basic, complex, and major services, making it easier to get the care you need.
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Some PPO plans, like the Essential Choice PPO Dental Plans, offer 100% coverage for diagnostic and preventive care with no waiting period.
You can also enjoy higher annual benefit maximums up to $2,500 with some PPO plans.
Here are some key benefits of PPO plans:
- No deductible for diagnostic and preventive services when you visit a doctor in your plan’s network
- Shorter waiting periods than traditional plans for basic, complex, and major services
- Higher annual benefit maximums up to $2,500
- Diagnostic and preventive care covered at 100% with no waiting period
These benefits can help you save money and get the dental care you need, whether you're an individual or a family.
With the Avia
With the Avia Dental plan, you can enjoy a range of benefits that make taking care of your teeth easier and more affordable.
The Avia Dental plan offers annual payment options starting at $29.25 for the initial payment.
You can choose from two payment options, both of which offer the same great benefits. The initial payment for the first option is $29.25, while the second option starts at $33.25.
One of the best things about the Avia Dental plan is its flexibility. With this plan, you can see any dentist you want, both in-network and out-of-network.
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The Avia Dental plan also offers a Prescription Drug Discount Program, which can help you save money on your medications. On average, you can expect to save around 20% on generic drugs, and even more in some cases.
Here are some of the benefits of the Avia Prescription Drug Discount Program:
- Average savings of 20% and even more on generic drugs
- Access to over 59,000 participating pharmacies nationwide
- Unlimited use with no restrictions
- No claim forms to complete
- Extra savings when you use the mail order program
Saving Money
You can save big on dental services with an Avia Dental Plan. As a MetLife member, you can take advantage of negotiated fees that are typically 35-50% less than average dental costs.
Many plans have a waiting period, but Avia doesn't. You can get affordable dentistry whenever you need it. You can even get a discount vision plan free of charge with each dental plan.
In New York state, an Avia Dental Plan can save you 50% or more on dental services. With over 40,000 participating dentists in 29 states, you'll be able to find a dentist who fits your needs.
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Here are some specific savings you can expect with an Avia Dental Plan:
- Average savings of 20% and even more on generic drugs
- Extra savings when you use their mail order program
Avia Dental Plans offer flexible payment options, with initial payments starting at $29.25. Discounts are not available from Illinois providers, however.
Frequently Asked Questions
Which is the best dental insurance to have?
Delta Dental is considered the best overall dental insurance option, offering comprehensive coverage at an affordable price with a low deductible of $50 and an annual maximum benefit of $2,000.
How much is dental insurance a month in New York?
In New York, the average monthly cost of dental insurance is $30.17. Compare rates to find the best coverage for your needs.
Sources
- https://www.metlife.com/insurance/dental-insurance/
- https://www.deltadental.com/us/en/product/individual-and-family.html
- https://www.anthem.com/ny/individual-and-family/dental-insurance
- https://www.healthinsurance.org/dental/new-york-dental-insurance-guide/
- https://aviadental.com/discount-dental-plans/new-york-dental-plan/
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