MS Dental Insurance Coverage Options Explained

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MS dental insurance coverage options can be overwhelming, but understanding the basics can help you make informed decisions. There are several types of plans available, including PPO, HMO, and DHMO.

A PPO plan offers more flexibility in choosing dentists and specialists, but often comes with higher premiums. Some PPO plans also have a maximum out-of-pocket expense limit, which can help you budget for dental care.

If you're looking for a more affordable option, an HMO plan may be a good choice. HMO plans typically have lower premiums, but you'll need to choose a primary care dentist within the plan's network.

With an HMO plan, you'll typically pay a small copayment for routine care, and may need to pay a higher copayment for specialty care.

Get Started

Getting started with dental insurance in Mississippi is easier than you think. You can get dental insurance through your employer's health insurance plan.

To get started, you can purchase a stand-alone dental insurance plan, which allows you to choose the date your plan begins and can have coverage as soon as tomorrow.

You can get a quote and submit your application to purchase a plan, but make sure to compare carriers and coverage levels to keep costs at a minimum. This will help you find the best plan for your needs.

Understanding Coverage

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Dental insurance in Mississippi typically covers preventative exams, routine teeth cleaning, fillings, and x-rays, with some plans covering periodontics, endodontics, dentures, bridges, root canals, and other surgical procedures.

Some plans may have different benefits than others, so it's essential to compare the level of coverage when choosing a plan to anticipate potential out-of-pocket costs.

In Mississippi, dental insurance works in much the same way that medical insurance works, where you pay a specific monthly rate (or "premium") for certain dental benefits.

Delta Dental PPO plans, for example, offer 100% coverage for preventative services and save you up to 40% on covered procedures with a Delta Dental PPO dentist.

Get Coverage You Can Count On

Life's full of surprises, but dental care costs shouldn't be. You can get low, negotiated rates with individual PPO plans to help limit out-of-pocket costs.

Good dental health is essential to your overall well-being, and choosing a plan that supports your needs can help maintain your oral health and quality of life.

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With three out of four U.S. dentists in our combined networks, you'll likely find a dentist you can trust, whether for routine visits or specialized dental services.

We design our plans with individual needs in mind, so you never have to compromise on your oral health, whether you're embracing retirement or navigating the gig economy.

Here are some key benefits to consider:

  • Preventative exams, routine teeth cleaning, fillings, and x-rays are typically covered
  • Some plans cover periodontics, endodontics, dentures, bridges, root canals, and other surgical procedures
  • You can choose a plan that fits your needs and budget, with options available for individuals, families, and seniors

By understanding your coverage options and choosing a plan that suits your needs, you can get the dental care you need without breaking the bank.

Are Pediatric Plans ACA-Compliant?

Pediatric plans that are available on the exchange in Mississippi are ACA-compliant, which means they follow specific rules for pediatric dental coverage.

The out-of-pocket costs for pediatric dental care on a stand-alone plan obtained via HealthCare.gov will not exceed $400 per child in 2024, or $800 for all the children on a family's plan.

There's no cap on medically necessary pediatric dental benefits, so you can rest easy knowing your child will get the care they need without breaking the bank.

For 2025, the out-of-pocket maximums will increase to $425 and $850, respectively.

Finding a Dentist

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Finding a dentist is an important part of having good oral health, and Delta Dental makes it easy. You can find a Delta Dental network dentist in your area by using their Find a dentist tool.

Delta Dental has a high satisfaction rate among their members, with 93% being satisfied with their coverage, and 99% being happy with the quality of care they received. This suggests that you can trust Delta Dental to find a good dentist for you.

If you're looking for a dentist in Mississippi, you'll want to select the PPO network to likely save the most. You can also search by dentist or practice name, specialty, languages spoken, gender, office hours, and which dentists are accepting new patients.

Here are some details about the Delta Dental PPO network:

  • Available in AL, DC, FL, GA, LA, MS, MT, NV, and UT
  • Underwritten by Delta Dental Insurance Company
  • Also available in CA, PA, MD, NY, DE, and WV through not-for-profit dental service companies
  • In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan

By choosing a Delta Dental network dentist, you can feel confident that you're getting quality care and reliable coverage.

Purchasing and Enrollment

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You can run a quote online to compare dental plans and purchase directly from a website. This is a convenient option for those who prefer to shop online.

You can also live chat with a licensed expert or give them a call to enroll via phone. This is a great option for those who prefer to ask questions and get help from a real person.

To find affordable dental insurance in Mississippi, you can use eHealth's tools to shop for the best coverage based on price, benefits, and insurance carrier. This can help you make an informed decision.

eHealth works with top leading carriers that provide dental insurance, offering a range of plans to choose from. You can select the plan that fits your dental care needs and budget.

You can enroll in a dental plan with Spirit by running a quote online, comparing plans, and purchasing directly from their website. This is a straightforward process that can be completed online.

eHealth offers the best Mississippi dental plans for individuals and families from trusted carriers at affordable prices. This means you can find a plan that fits your budget and meets your needs.

Cost and Coverage

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In Mississippi, dental insurance plans typically cover preventative exams, routine teeth cleaning, fillings, and x-rays. Some plans cover periodontics, endodontics, dentures, bridges, root canals, and other surgical procedures.

You can expect to pay between $12 to $40 per month for a stand-alone dental coverage through the exchange in Mississippi. However, these costs can vary depending on the type of plan, coverage options, provider network, location, and individual or family enrollment.

Here are some estimated monthly costs for dental insurance plans in Mississippi:

Keep in mind that these costs are estimates and may vary depending on your specific needs and circumstances.

Annual Maximum

Annual maximums in dental insurance plans can vary depending on the provider and plan, but some comprehensive plans in Mississippi offer annual maximums ranging from $1,000 to $3,000.

Spirit Dental offers a $5,000 annual max after only two years, which is a notable exception to the usual range.

Starting at $17.30

A Dentist Showing a Dental X-ray
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Starting at $17.30, you can get individual insurance plans with Delta Dental PPO. This plan offers 100% coverage for diagnostic and preventive services like cleanings, exams, and x-rays.

Basic and Premium plans are available, with different waiting periods and maximum plan pays per calendar year. The Basic plan has a 6-month waiting period for Basic services and a $1,000 maximum plan pay, while the Premium plan has a 6-month waiting period for Basic services and a 12-month waiting period for Major services, with a $2,000 maximum plan pay.

Here's a breakdown of the waiting periods and maximum plan pays for both plans:

Keep in mind that these costs and coverage options are subject to change, so it's essential to review the plan details carefully before enrolling.

Frequently Asked Questions

Does MS Medicaid cover dental for adults?

Yes, Mississippi Medicaid provides limited dental benefits for covered adults. However, the extent of coverage may vary.

Does dental insurance cover 100%?

No, dental insurance typically does not cover 100% of costs, with deductibles, copays, and coinsurance often still applying. Read on to learn more about what's covered under comprehensive dental plans.

Lola Stehr

Copy Editor

Lola Stehr is a meticulous and detail-oriented Copy Editor with a passion for refining written content. With a keen eye for grammar and syntax, she has honed her skills in editing a wide range of articles, from in-depth market analysis to timely financial forecasts. Lola's expertise spans various categories, including New Zealand Dollar (NZD) market trends and Currency Exchange Forecasts.

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