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Dental Insurance - Does it really make sense?

Posted by Russ Swallow on Fri, Jun 13, 2008 @ 12:25 PM
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 Would you pay $160,000 per year
to insure your $320,000 house?

 

 

 Would you pay $500 per year
for $1,000 of dental insurance?

Here's a typical group dental insurance plan ...

 Premium = $42 per month = $500 per year
(rate shown is for an individual)
Maximum Annual Benefit = $1,000

 Preventive Services:
Restorative Services:
        Major Services:

 100%
  80%
  50%

Let's say you need an $800 root canal (restorative) ...

You first pay the $50 deductible.
The dental insurance pays $600 (80% of $750).
You then pay the remaining $150 (20% of $750).  

You've now paid $500 for the dental insurance, $50 for the deductible, and $150 for the root canal.  That means you've paid out a total of $700 to receive $600 from the dental insurance.  Does it really make sense?

What if you didn't need dental care other than maybe a couple of cleanings during the year?  And, how many people really have two cleanings each and every year?  If you did have those two cleanings (about $100 each), you'd still have $300 in your wallet instead of having paid out the entire $500 to the dental insurance company.

There's a lot more to this equation ...

The American Dental Association tells us that "almost 35% of people with dental plans do not receive dental care in a given year.  Of those who do receive dental care, most incur dental care of less than $300 annually."

We can now make a case for dental insurance, no dental insurance, partial self-funding by the employer, no partial self-funding and voluntary dental insurance.  Which one fits you?

One thing is clear ...

As dental care plans, dental care and dental insurance costs continue to increase along with health insurance, gas prices, food prices and everything else, we should begin looking at things differently.  Would taking another look at dental insurance be the place to start?

*****************************************************

 Next BLOG:  Health Savings Accounts (HSAs)
                   1. Why don't more companies use them?
                   2. How do you get employees to buy-in?

*****************************************************

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COMMENTS

Very interesting and useful analysis of the value of dental insurance. This post will be required reading for all my clients.

posted @ Saturday, June 14, 2008 5:46 PM by Roy Sequeira


When you break down the actually cost of dental insurace like this it makes sense for companies to self-fund or have a voluntary dental program. Companies need to stop buying insurance on fear of what might happen and start looking for alternative solutions.

posted @ Monday, June 16, 2008 11:52 AM by Damian


well done, Russ. The value does seem to vary a lot from one family to another. I'll pass it on. Now, have you run into Transportation Savings Accounts as ee benefits?

posted @ Tuesday, June 17, 2008 10:56 AM by Lisa


Funny how easy it is to assume that dental insurance is a good idea without questioning that assumption. Thanks, Russ - now I can agree with Damian re looking at self-funding rather than blindly following the herd into a dental insurance contract that makes no sense.

posted @ Tuesday, June 17, 2008 10:56 AM by Catie


Nice to hear from you. A comment on gas you might write about: Divide the present price of gas by your mpg your car gets, and you know the cost of gas/mile. (example: 4.00 $ divided by 20 mpg is 20 cents/mile.) Little cars cost 13.3 c/mile and SUV's or pickups cost 27 c/mile. Now people can figure out what a trip to "the store" costs and decide whether to go there now for every little thing that comes into their mind. Also, this calculation is important for their trip to work and back. We should all learn to calculate our cost/mile versus being upset about the price increases. Knowing "your" cost/mile makes the gas crisis more bearable.
I would like to talk to you some day on the phone. Give me a call.
603-496-5587, cell. Best regards, Lutz

posted @ Tuesday, June 17, 2008 11:57 AM by Lutz Wallem


Suppose a person needs some major restorative dental work NOW. Does dental insurance make sense in that case?

posted @ Wednesday, June 18, 2008 7:55 AM by Donna Cox


Donna, it's a relatively simple math calculation. If the dental insurance has a maximum benefit of $1,000, what does it cost you to buy the dental insurance? And, if you're thinking about a small group dental insurance plan, it may have restrictions on major services for the first year or two. In other words, if there's a two year moratorium on major dental services, you'll have paid in two years of premiums to even qualify for the major dental services. I guess the "bottom line" is "buyer beware."

posted @ Wednesday, June 18, 2008 7:57 AM by Russ Swallow


I am old not as old as you but need some Dental work. I don't need much work know but maybe in the future. What do you think. Paul Ceccarelli

posted @ Wednesday, June 18, 2008 8:08 AM by Paul Ceccarelli


Paul, please read my response to Donna (above). There's another factor to consider with small group dental insurance plans. If you were to install a dental plan, you'd have to provide it for all employees. If you were the only one really needing the dental insurance, the company would end up having to pay for all employees to be on the plan which seems to be an exorbitant amount of money to pay to get $1,000 worth of dental insurance for one employee. If you then opted for a VOLUNTARY dental insurance plan, you very likely will have the moratorium on major services. BUYER BEWARE!

posted @ Wednesday, June 18, 2008 8:15 AM by Russ Swallow


Russ, The blog looks good! Great info on the dental insurance.

posted @ Wednesday, June 18, 2008 8:22 AM by Brent Wilde


Hi Russ, Good information...I am now wondering if paying for a Dental Plan is really worth it. I look forward to your next blog on this topic.

posted @ Wednesday, June 18, 2008 8:24 AM by Lalitha Ramakrishnan


Well, I never looked at it that way. That's for an individual - perhaps the same doesn't hold true for a family. Either way I'm doing the math when I get home and look at the records

posted @ Wednesday, June 18, 2008 10:30 AM by Martha


Martha, a family might pay $1,500 or so per year for their dental insurance. The American Dental Association (see above link) says that 35% of the population who have dental insurance do not receive dental care or treatment in a given year and of who do receive dental care, most incur dental costs of just less than $300 annually. My role is to provide my clients with ALL of the information so they make more informed decisions. Whatever they decide … dental insurance … no dental insurance … is their decision.

posted @ Wednesday, June 18, 2008 3:36 PM by Russ Swallow


Dental insurance helps you in providing with the require dental care and that too at an affordable
coast without causing harm to your financial position.I will have to think about this myself and see where else I may like to visit. Great post!

posted @ Monday, July 14, 2008 1:38 AM by shaun


Thank you. Everyone is so shocked when I didn't buy dental insurance. Why when it costs so much for so little coverage, especially for pre-existing conditions? I found I was better off combining my HSA with a reputable dental discount card.

posted @ Wednesday, August 06, 2008 6:12 AM by BlahBot


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