Find the Best Dental Insurance in Florida with Our Comprehensive Guide

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Florida residents have a lot to consider when it comes to dental insurance, with numerous options available in the market.

The average cost of dental insurance in Florida is around $350-$400 per year for an individual plan, which can be a significant expense for many families.

To find the best dental insurance in Florida, it's essential to understand the different types of plans available, including PPO, HMO, and indemnity plans.

A PPO plan, for example, allows you to see any dentist you choose, but may have higher out-of-pocket costs.

Discover more: Tufts Health Plan Ppo

How Much Cost?

The cost of dental insurance in Florida can vary significantly depending on several factors.

Your location plays a huge role in determining your dental insurance rates, so if you live in a specific area, that's something to consider.

For adults purchasing their own stand-alone dental coverage through the exchange in Florida, premiums can range from about $7 to $40 per month.

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The average cost of dental insurance in Florida is around $32 per month or about $384 per year, but this can be affected by several factors.

Your choice of dental benefits, tobacco usage, the number of people covered on your policy, and location can all impact the final price of your dental insurance.

Deductibles and copayments are also important considerations, as they affect the cost-sharing structure of your dental plan.

Annual maximums, which are the most your plan will pay out for coverage in a plan year, can also impact your out-of-pocket expenses.

Overall, it's essential to understand these factors to get the best dental insurance for your needs and budget.

Insurance Options

If you're looking for dental insurance in Florida, you have 11 options to choose from through the Florida health insurance marketplace.

These insurers offer stand-alone individual/family dental plans that can be purchased separately from a medical plan. They are:

  • BEST Life
  • Cigna Healthcare
  • Delta Dental
  • DentaQuest Insurance Company, Inc.
  • Dominion National
  • EMI Health
  • Florida Combined Life
  • Guardian
  • Humana
  • Renaissance Dental
  • Solstice Benefits

These plans can be purchased through HealthCare.gov during open enrollment or a special enrollment period triggered by a qualifying life event.

Types of Insurance

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There are several types of dental insurance plans available in Florida, including DHMO and PPO plans. These plans vary in coverage and cost, with some or all expenses shared between the employer and employee.

DHMO plans, also known as Dental Health Maintenance Organization plans, are a more cost-effective option. You pay less on premiums, but must use dentists in the plan's provider network.

A list of insurers offering stand-alone individual/family dental plans through the Florida health insurance marketplace includes BEST Life, Cigna Healthcare, Delta Dental, and more. These plans can be purchased through HealthCare.gov during open enrollment or a special enrollment period.

Here are some key types of dental insurance plans available in Florida:

  • DHMO (Dental Health Maintenance Organization)
  • PPO (Preferred Provider Organization)

These plans can be purchased through the Florida health insurance marketplace or as part of an employer-sponsored benefits package.

Marketplace Insurers

In the Florida health insurance marketplace, there are eleven insurers that offer stand-alone individual/family dental plans in 2025. These plans can be purchased through HealthCare.gov during open enrollment or a special enrollment period.

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Some of the insurers that offer these plans include BEST Life, Cigna Healthcare, Delta Dental, and Humana. Plans from these insurers may not be offered in all areas.

You can find more information about these plans on HealthCare.gov, and you can also purchase them through this website during the designated enrollment periods.

Employer-Sponsored

Employer-sponsored dental insurance plans are typically offered as part of a benefits package by employers. These plans can vary greatly in coverage and cost.

Some employer-sponsored plans share expenses between the employer and the employee, while others may require the employee to pay the full cost.

These plans can be a convenient and cost-effective way for employees to access dental care.

Curious to learn more? Check out: How Does Employee Dental Insurance Work

Hmo vs. Ppo

Most insurance plans offer both HMO and PPO options.

The majority of insurance plans we have recommended will have both HMO and PPO options.

HMO plans typically require you to see a primary care dentist for a referral before seeing a specialist.

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In most cases, we recommend choosing a PPO plan for greater flexibility in choosing providers.

PPO plans allow you to see any dentist, in or out of network, without needing a referral.

This is in contrast to HMO plans, which may have limited provider options and require a referral.

A PPO plan is typically the more expensive choice, but it gives you more control over your dental care.

A HMO Plan

A HMO Plan can be a cost-effective option, allowing you to pay less on premiums.

However, this comes with a condition - you must use dentists in the plan's provider network.

You can consider a HMO Plan if your dentist is already in-network, making it an excellent choice.

This type of plan is often associated with a Dental HMO, or Dental Health Maintenance Organization, Plan.

Orthodontic Coverage

Orthodontic coverage may include services like braces or clear aligners for correcting misaligned teeth and bite issues, often with coverage tailored to specific plans.

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Some insurance plans offer comprehensive orthodontic coverage, while others may have limited or no coverage at all.

Braces and clear aligners are common orthodontic treatments that can be covered under certain plans, helping to correct issues like overcrowding or uneven teeth.

Insurance companies may have their own set of rules and requirements for orthodontic coverage, so it's essential to review your policy carefully.

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Waiting Periods

Waiting periods are a common feature of dental insurance plans, where certain services or procedures are not covered for a specific duration, usually for new policyholders.

These waiting periods can vary among plans, but they often apply to more extensive procedures like crowns, bridges, and orthodontic treatment.

In Florida, waiting periods for dental insurance plans are not uncommon, and they typically kick in for new policyholders.

The length of the waiting period can vary depending on the insurance plan, with some policies requiring several months before coverage for specific procedures becomes effective.

New policyholders should be aware of these waiting periods to plan accordingly and avoid unexpected expenses.

Coverage and Benefits

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In Florida, dental insurance typically covers a range of essential dental services to help individuals maintain their oral health and address common dental issues.

Preventative exams, routine teeth cleaning, fillings, and X-rays are all covered by Florida's dental insurance plans. These services are crucial for catching problems early and preventing more costly procedures down the line.

Dental insurance policies may also include periodontics, endodontics, dentures, bridges, root canals, and other surgical treatments, which can be a huge relief for those with more complex oral health needs.

Typically Covers

In Florida, dental insurance typically covers a range of essential dental services to help individuals maintain their oral health and address common dental issues.

Preventative exams, routine teeth cleaning, fillings, and X-rays are all covered by standard dental insurance policies in Florida.

Preventative care typically includes routine dental check-ups, cleanings, and X-rays designed to identify and prevent common dental issues like cavities and gum disease.

Dental insurance policies may also include periodontics, endodontics, dentures, bridges, root canals, and other surgical treatments.

Routine dental check-ups and cleanings are crucial for maintaining good oral health and preventing more serious issues down the line.

Additional Benefits

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Having a comprehensive coverage plan can also provide additional benefits, such as access to a network of healthcare professionals and facilities.

You can expect to receive 20% off on prescription medications, which can help reduce your out-of-pocket expenses.

Having a coverage plan can also give you peace of mind, knowing that you're protected in case of unexpected medical expenses.

The plan covers you for up to $1 million in medical expenses per year, which can provide a significant financial safety net.

You can also use the plan's online resources to find a doctor or hospital near you, making it easier to get the care you need.

The plan's customer service team is available 24/7 to answer any questions or concerns you may have.

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Plan Details

Dental Discount Plans are not considered insurance, but rather a membership program that can save you 10-60% on dental care costs at a network of over 100,000 dentists.

You can expect to pay a membership fee to join these plans, but it's a cost-effective way to access affordable dental care.

In Florida, dental insurance typically covers a range of essential dental services to help you maintain your oral health and address common dental issues.

Annual Maximum Coverage

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Annual Maximum Coverage is a crucial aspect of dental insurance plans. It's the maximum dollar amount that the insurance company will pay for covered dental services within a policy year.

Many dental insurance plans have annual maximums, which vary depending on the specific plan and provider. It's essential to review your policy details to understand your coverage limits.

Reaching the annual maximum means you'll be responsible for covering any additional dental expenses out-of-pocket. This can be a significant cost, so it's essential to plan ahead and budget for these expenses.

Annual maximums can range widely, and it's not uncommon for them to be quite high. However, it's still important to understand what your specific plan covers and what you'll be responsible for paying.

Checking Provider Networks

Checking Provider Networks is a crucial step in selecting the right dental insurance plan for you. It's essential to ensure your preferred dentist or dental clinic is within the plan's network, reducing potential out-of-pocket expenses.

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A DHMO (Dental Health Maintenance Organization) plan requires you to use dentists in the plan's provider network, so it's vital to check if your dentist is already in-network. If they are, this could be an excellent choice.

When comparing plans, examine the provider networks to see which one offers the most flexibility. A PPO (Preferred Provider Organization) plan, for example, allows you to see both in-network and out-of-network providers.

If you need to see a specialist, it's good to know that PPO plans don't require a referral from your primary dentist, unlike HMO plans. This flexibility is especially important if you have a preferred dentist or dental clinic outside of the plan's network.

Checking provider networks will give you a clear understanding of the potential out-of-pocket costs associated with your chosen plan. Make sure to compare the coverage of the plan you're considering so that you know what to expect.

Frequently Asked Questions

Which dental insurance has the best coverage?

Delta offers the best dental insurance coverage, with the most PPO and HMO plans that cover adult braces and the highest lifetime coverage.

What is the average monthly cost of dental insurance in Florida?

The average monthly cost of dental insurance in Florida is between $23 to $57 for individuals and $42 to $165 for families. Actual costs may vary based on specific plan details and providers.

Is Delta Dental a good insurance?

Delta Dental is a top-rated insurance provider, recognized for its excellent coverage for braces, implants, and older adults. Consider Delta Dental for comprehensive dental insurance that meets your needs.

Helen Stokes

Assigning Editor

Helen Stokes is a seasoned Assigning Editor with a passion for storytelling and a keen eye for detail. With a background in journalism, she has honed her skills in researching and assigning articles on a wide range of topics. Her expertise lies in the realm of numismatics, with a particular focus on commemorative coins and Canadian currency.

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