Summary: Ratings of Dental Insurance for Older Adults
How Dental Insurance for Seniors Works
Dental insurance for seniors works this way:
- A dental policy covers your dental care but the specific coverage varies by plan.
- You pay a premium unless your employer fully subsidizes the costs.
- In addition to the premium, you typically pay out-of-pocket costs like deductibles and coinsurance when you get care.
- Dental insurance often pays 100% of preventive costs but reimbursement for basic and major care often varies widely.
- Dental policies usually have annual coverage maximums and you must pay all of the costs after reaching any maximums.
- Dental insurance policies may have waiting periods depending on the type of care. Policies generally don’t have a waiting period for preventive care, but you may have to wait to get other types of care, including major care, dentures and dental implants.
What Dental Insurance for Seniors Covers
Dental insurance policies vary on what they cover, but here are services often covered:
- Preventive care like cleanings and X-rays.
- Basic services like simple tooth extractions and fillings.
- Major services like root canals, oral surgery and crowns.
- Additional services like dental implants and dentures.
What Dental Insurance for Seniors Doesn’t Cover
Dental insurance doesn’t generally cover cosmetic dentistry, such as dental bonding and veneers. Plans also often exclude orthodontia (or limit it to only children) and teeth whitening.
You may have to pay for those services out of pocket without any help from dental insurance.
How To Choose the Best Dental Insurance for Older Adults
How Much Does Dental Insurance for Seniors Cost?
The average monthly cost for senior dental insurance is $53 for a 70- or 80-year-old. Dental insurance costs vary based on the coverage and other factors.
Average Dental Insurance Costs by Company
Company | Plan name | Average monthly cost |
---|---|---|
Ameritas | PrimeStar Boost | $59 |
Ameritas | PrimeStar Complete | $69 |
Ameritas | PrimeStar Lite | $31 |
Anthem | Essential Choice PPO Bronze | $28 |
Anthem | Essential Choice PPO Gold | $57 |
Anthem | Essential Choice PPO Inventive | $65 |
Anthem | Essential Choice PPO Platinum | $68 |
Anthem | Essential Choice PPO Silver | $45 |
Cigna | Cigna Dental 1000 | $50 |
Cigna | Cigna Dental 1500 | $59 |
Denali Dental | Ridge Plan | $69 |
Denali Dental | Summit Plan | $105 |
Guardian | Achiever | $51 |
Guardian | Core | $35 |
Guardian | Diamond | $64 |
Guardian | Starter | $26 |
Humana | Bright Plus | $30 |
Humana | Complete Dental | $60 |
Humana | Loyalty Plus | $51 |
Spirit Dental | Spirit Core PPO | $46 |
Spirit Dental | Spirit Preventive Plus PPO | $26 |
Spirit Dental | Spirit Flex | $53 |
Spirit Dental | Spirit Flex Plus | $74 |
Spirit Dental | Spirit Pinnacle PPO | $63 |
Spirit Dental | Spirit Senior Preferred PPO | $58 |
UnitedHealthcare | DentalWise Basic | $39 |
UnitedHealthcare | DentalWise 1000 | $49 |
UnitedHealthcare | DentalWise 2000 | $63 |
UnitedHealthcare | DentalWise Max 1000 | $58 |
UnitedHealthcare | DentalWise Max 2000 | $72 |
UnitedHealthcare | DentalWise Max 3000 | $78 |
When comparing dental insurance plans, look deeper than just the monthly premium costs. You also should check out the:
- Deductible.
- Coverage maximum, which can be annual or lifetime.
- Coverage exclusions, such as not covering dentures or implants.
- Waiting periods.
By weighing dental insurance cost data and coverage, you can find the right company and policy for you.
How to Save on Dental Insurance
Types of Dental Plans for Seniors
Companies offer multiple types of health insurance plans for retirees. Three types of dental insurance policies are:
- Dental Health Maintenance Organization
- Dental Preferred Provider Organization
- Fee-for-Service Plans
Dental Health Maintenance Organization (DHMO)
DHMO plans typically have lower costs and strict provider networks. These plans generally only cover in-network dental coverage. If you get coverage from a provider outside of the provider network, you pay for those costs yourself.
Dental Preferred Provider Organization (DPPO)
DPPO plans usually cost more than DHMOs but offer more flexibility. A DPPO typically lets you get care outside of your provider network, but that might be at a higher cost than an in-network provider.
Fee-for-Service Plans
Fee-for-service plans, which are also called indemnity plans, let you see any dentist and the plan pays a percentage of the dental services. You pick up the rest of the costs. Fee-for-service plans don’t have contracts like DPPO and DHMO plans, so the rates aren’t discounted.
Alternative to Dental Insurance
In addition to those types of dental insurance, companies may offer discount plans.
A discount plan isn’t dental insurance but offers lower rates from participating dentists. The company offering the discount doesn’t help pay for services but gives you lower rates to pay a dentist who accepts the plan.
Methodology
We compared 37 dental insurance companies from our best dental insurance companies by reviewing each plan’s costs, coverage, waiting periods and benefits, including dental implants coverage.
Ratings are based on the following criteria:
- Costs for 70-year-old and 80-year-olds: Forbes Advisor collected information from each company’s site and got quotes for 70- and 80-year-olds in California: 40% of score.
- Year one annual maximum coverage: 10% of score.
- Waiting period for preventive care: 10% of score.
- Basic care coverage percentage: 10% of score.
- Basic care waiting period: 10% of score.
- Major care percentage: 10% of score.
- Dental implants coverage: 10% of score.
Other Dental Insurance Companies We Rated
Insurance company | Plan name | Forbes Advisor rating |
---|---|---|
Anthem | Essential Choice PPO Gold |
|
Anthem | Essential Choice PPO Silver |
|
Guardian | Core |
|
Anthem | Essential Choice PPO Incentive |
|
Ameritas | PrimeStar Boost |
|
Guardian | Achiever |
|
Spirit Dental | Spirit Senior Preferred PPO |
|
UnitedHealthcare | DentalWise Basic |
|
UnitedHealthcare | DentalWise 2000 |
|
UnitedHealthcare | DentalWise Max 2000 |
|
UnitedHealthcare | DentalWise Max 3000 |
|
Ameritas | PrimeStar Lite |
|
Anthem | Essential Choice PPO Bronze |
|
Denali Dental | Summit Plan |
|
Humana | Bright Plus |
|
Spirit Dental | Spirit Pinnacle PPO |
|
Spirit Dental | Spirit Preventive Plus PPO |
|
UnitedHealthcare | DentalWise 1000 |
|
Cigna | Cigna Dental 1000 |
|
Cigna | Cigna Dental 1500 |
|
Denali Dental | Ridge Plan |
|
Humana | Loyalty Plus |
|
Spirit Dental | Spirit Flex |
|
UnitedHealthcare | DentalWise Max 1000 |
|
Guardian | Starter |
|
Humana | Complete Dental |
|
Spirit Dental | Spirit Flex Plus |
|
Dental Insurance For Seniors Frequently Asked Questions
Do seniors need dental insurance?
Seniors should look into getting dental insurance, just like anyone else. The need for dental insurance is especially acute for older people because Medicare does not cover routine dental care and many seniors lose employer dental benefits when they retire.
Consider these findings from the Centers for Disease Control and Prevention:
-
- About two in three adults age 65 and older have gum disease.
- The median age for oral cancer diagnosis is 62.
- One in five adults age 65 and older have lost all of their teeth.
- One in five adults age 65 and older have untreated tooth decay.
Does Medicare include dental coverage?
Medicare doesn’t typically cover regular dental care. That includes treating, filling, removing or replacing teeth.
One exception is if you’re undergoing inpatient hospital services and dental work is connected to your medical condition or the severity of a dental procedure.