What is a dental benefit waiting period? Show
A dental benefit waiting period is the amount of time after purchasing a dental insurance plan that you must wait before you are eligible to receive benefits for treatment. Waiting periods differ from plan to plan, but there is typically no waiting period for preventive or diagnostic services such as routine cleanings and basic exams. Conversely, your dental plan may have a 6- to 12-month waiting period for restorative services such as filings and non-surgical extractions, where a 12-month waiting period is often standard for major services such as crowns or dentures. If you receive services during a waiting period, your dental coverage may not pay for them. Types of dental insurance waiting periods
Do all dental insurance plans have a waiting period? No, not all dental insurance plans have a waiting period. DHMO plans commonly have waiting periods, whereas most dental discount plans usually do not. It is important to check with your dental insurance administrator to determine your applicable waiting periods. Do waiting periods vary for different dental services? Yes! As mentioned above, there are no waiting periods for either diagnostic services, such as x-rays, or preventive services, like cleanings. In most cases, major dental work, such as crowns, bridges, and dentures, has a waiting period of 6,12, or 24 months. What other factors should I be aware of? Because waiting periods will differ depending on the plan, it’s important to read your description of benefits carefully and ask the right questions. Waiting periods are not the only factor that will affect costs. Here are some other factors to consider. Prior coverage In certain cases, a waiting period will be waived if a comparable dental insurance plan was terminated in the 30 to 60 days prior to the effective date of your new plan, but your former dental plan must include very similar coverage. Graduated benefits/incentive based Graduated dental benefits increase or otherwise change over time. For example, with Delta Dental of Tennessee’s Advantage Plans you can receive basic services that are covered at 25% in year one, 50% in years two and three, and 80% in year four and beyond. For major services such as crown repair and oral surgery, members are covered at 10% - 25% in their first year, and 25% - 50% in year two and beyond depending on the plan purchased. Many individuals are drawn to this option because it allows them to receive a discount for the services they need and takes the weight off having to pay in full during a waiting period. Discount plans like Delta Dental Patient Direct Discount plans, like Delta Dental Patient Direct, have no waiting period and no paperwork to file. Enrollees simply pay the discounted fee directly to the dentist at the time of treatment. After enrolling in a new dental plan, coverage for certain treatments could be subject to a waiting period. So, it’s important to be aware of your plan's specifications prior to enrolling. When possible, remain enrolled in your current insurance plan until you purchase a new plan, and avoid a coverage gap of more than one month. In many cases, a waiting period can be waived if you recently had comparable coverage. Always do your research, ask for detailed information about new dental coverage, and stay on top of your dental health so you can have a healthy smile for years to come. Additional resources Looking for more information? Brush up on dental benefit basics.
Want to learn more about dental insurance? Visit our individual dental insurance page. This article was developed jointly by Delta Dental Plans Association and Delta Dental of Tennessee Sources: 1https://www.healthcare.gov/glossary/pre-existing-condition-exclusion-period-job-based-coverage/
We independently research, test, review, and recommend the best products. Healthcare professionals review articles for medical accuracy. Learn more about our process. If you buy something through our links, we may earn a commission. One of the downsides to many dental insurance policies? Waiting periods. For context: A waiting period is the amount of time the insured person must subscribe to a dental insurance policy before their benefits begin. But not to worry: There are dental insurance policies without waiting periods available—and many of these plans are as affordable and comprehensive as the policies that have them. Dental insurance plans with no waiting periods share some common attributes with those that do. The best dental insurance for no waiting periods still manages to have affordable premiums while providing coverage right away. These plans cover things like cleanings and exams, fillings and other simple restorative work, and complex dental treatments—like bridges, crowns, and root canals—from day one of the insured’s coverage. Many dental insurance plans with no waiting periods also allow you to work in and out of network with a dentist of your choice. Here we rounded up the best options for you. Best Dental Insurance for No Waiting Period of 2022
Best Overall: Spirit Dental & VisionKey Specs
Why We Chose It We chose Spirit Dental & Vision as the best overall because it has coverage for all dental care from day one and offers many plan options. Also, it has generous annual maximums, up to around $5,000, depending on the plan you choose. Pros
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Spirit Dental & Vision is a nationwide provider that is offered by Ameritas Life Insurance Corp. which has been around since the 1880s and has high ratings from both AM Best and Standard & Poor’s. You can buy a dental insurance plan with no waiting periods directly or through an employer, and it includes policies for individuals, families, kids, and seniors. Spirit Dental is the best overall for a variety of reasons. With Spirit Dental, your coverage begins on day one of your effective date, and you have many plans and levels of coverage to choose from. You choose your dentist. Some other great features are the $100 lifetime deductible per person, preventive care coverage at 100% with three cleanings a year, and guaranteed acceptance. On most policies, the Basic and Major categories of care have increased coverage amounts for the first three years, with the annual maximum ranging from around $1,200 to $5,000, depending on your plan level. One thing to note is that Spirit does not cover prosthetics for missing teeth unless the prosthetic also covers a tooth lost while the subscriber is insured with them. In comparison, the premium rates vary based on where you live and other variables. An online search found that for a woman under 50 in CA, the range was roughly $44 to $108. Best for Braces: Anthem Anthem Essential Choice PPO Incentive Key Specs
Why We Chose It Anthem is the best dental insurance without waiting periods for braces because the Anthem Essential Choice Incentive plan has no waiting periods for braces. The Incentive plan pays 50% coinsurance for up to $1,000 in orthodontic maximum for kids' braces from the first day of coverage. Pros
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Since, the 1940s, Indianapolis-based Anthem is one of the largest health benefits companies in the U.S. It offers numerous health plans and specialty plans to over 43 million subscribers. AM Best gives it a stellar rating for financial strength and for long-term issuer credit rating. The has also won numerous awards, including a place on Fortune’s the World’s Most Admired Companies. Anthem is available direct and through employers. Anthem is the best dental insurance for no waiting periods for braces because one of their plans, the Anthem Essential Incentive plan, covers children's braces on day one for up to $1,000 per year at a 50% coinsurance rate. The Anthem Essential Choice Platinum also covers braces with no waiting period. While it doesn't cover braces, Anthem Dental Net 3000 also had no waiting periods for 500 covered procedures with no deductible or annual maximums. The range of rates for a woman in California under 50 is about $16 to $60 a month, and the Incentive plan is roughly $58. Best for Seniors: Physician’s MutualKey Specs
Why We Chose It We chose Physicians Mutual as the best dental insurance with no waiting periods for seniors because it covers preventative immediately and basic coverage after three months. At 12 months, you have 350 procedures covered, with no annual maximums and no deductibles. Pros
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Physicians Mutual has been around since 1902 and is based in Omaha, NE. It offers dental insurance to individuals and families, as well as life and health insurance. Per their website, AM Best gives Physician’s Mutual top ratings for financial strength. Physicians Mutual has three excellent plans for seniors who need dental insurance with no waiting periods. It immediately covers preventive care and basic care just three months later. One drawback is there is a 12-month waiting period for Major care. However, once that is met, the three plans cover 350 dental procedures. Also, the programs have no annual maximums or deductibles associated with the benefits. The premium rates are affordable for seniors. For example, the range of premiums is about $30 to $47 each month in California. Moreover, Physicians Mutual's nationwide network makes it easy for seniors to find a dentist nearby. Best for Basic Coverage: UnitedHealthcareKey Specs
Why We Chose It We went with UnitedHealthcare because it has a variety of insurance plans with no waiting periods for preventive care and basic. Also, the high-end plans have generous coverage maximums at a reasonable premium per month. Pros
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UnitedHealthcare is a prominent nationwide brand for insurance with a top rating from AM Best. It insures almost 40 million people nationwide and is underwritten by the Golden Rule Insurance Company. The company has a robust network of providers of roughly 1.3 million. UnitedHealthcare's dental plans are available in most states through employers and direct, but the plan features may vary based on where you live. There are no waiting periods on Basic and Preventive care, generous annual maximums on the higher levels, and shorter, three-month waiting periods for group health plans. In addition, several plans cover preventive at 100%. There are also no age restrictions on coverage. Moreover, the premiums are lower than we expected. For example, the monthly premium for a woman under 50 in California ranges from $24 to $64, depending on the plan. Best for Root Canals: HumanaKey Specs
Why We Chose It We chose Humana because you are covered on your first effective date. Also, as you subscribe longer, you get more coverage for root canals up to 50%. Pros
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Headquartered in Louisville, KY, Humana was founded in 1961. It's a large, well-known brand for insurance with a wide range of insurance products and a substantial nationwide presence. It also has top ratings from AM Best. Policies are available direct and through employer groups. We like Humana's dental plans with no waiting periods for the best for root canals category because their Loyalty Plus PPO has no waiting periods and covers root canals at 20% on day one. That coverage increases over the next three years until it reaches 50%. Also, waiting periods might be waived on Basic and Major care for the other plans they have available if the new subscriber shows similar dental coverage for the previous 12 months. In addition, you can choose any dentist. However, you get more discounts if you choose an in-network dentist. One thing to bear in mind is the Loyalty Plus PPO also has a higher lifetime deductible of about $150 for an individual and roughly $450 for a family. The rates for a woman under 50 in California range from around $19 to $60. Best Budget: MetLife TakeAlong DentalKey Specs
Why We Chose It We chose MetLife TakeAlong Dental because the premiums are reasonable: Preventive, Basic, and Major coverage are the same as other providers. Pros
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MetLife has been providing insurance products since 1868. Underwritten by the Metropolitan Life Insurance Company in New York, MetLife provides benefits to over 20 million people. MetLife also has high ratings from AM Best and is available in 50 states and the District of Columbia. It offers benefits through employers and direct to individuals. The MetLife TakeAlong Dental plans give you 100% coverage for Preventive care from day one and six months for Basic care. Like PPO plans, you can pick your dentist; the coverage is the same in and out of network. The higher the plan level, the more coverage you have for Basic and Major care. The highest level plan has a lower deductible than the standard option. Plus, you can keep your children on the benefits until they turn 26. Perhaps best of all, the premiums are competitive. The rates for an individual under 50 in California come in at about $18, $38, and $45 per month, and $60, $111, and $138 per family. Final VerdictYou can get an excellent dental insurance plan without waiting periods. Some are less expensive month to month, like MetLife’s TakeAlong Dental, but do not cover as much as the insurance programs with higher monthly premiums, like the ones provided by UnitedHealthcare. Some of the best dental insurance for no waiting period is not the least expensive but has a great benefit (e.g., Anthem for braces or Physicians Mutual for seniors). However, the overall best dental insurance for no waiting periods in 2022 is Spirit Dental. Spirit Dental has reasonable rates, excellent coverage benefits, and no waiting periods for any category of care. Moreover, it has a lifetime deductible of only $100 and preventative care is covered at 100% from day one of coverage. It also has generous annual maximums that go up to $5,000 per subscriber. Compare the Best Dental Insurance for No Waiting Periods
How to Choose the Best Dental Insurance for No Waiting PeriodThere are several other critical considerations that you should use to comparison shop dental insurance with no waiting period. Here are a few of the most essential ones:
Frequently Asked QuestionsDo Dental Insurance Plans With No Waiting Period Cover Everything?It depends on the policy. The ones we have identified in our list have at least one policy that often does cover everything with no waiting period. However, even with these policies, you will see in the details that the coverage increases the longer you subscribe, often over three years. When you are shopping for dental insurance policies with no waiting period, you'll find that most plans do not have waiting periods on cleanings and exams, but they do for fillings, crowns, or braces. That's because dental insurance divides care into three service categories: Preventive, Basic, and Major. Here’s a rundown on those different categories:
We also advise you to look at the details on the policy in the fine print when comparing coverages and waiting periods. Most dental insurance companies will not waive the waiting period if the coverage of the policy the new subscriber is moving into is not very similar to the policy they had before. If your policy has this waiver and you think you might qualify, be sure to talk with the plan administrator or dental insurance company representative to determine how to take advantage of it. Who is Eligible for Dental Insurance With No Waiting Period?For many of the policies we identified in this category, anyone is eligible. However, there are sometimes waiting periods that are determined by your employer. Also, some policies have a pre-existing condition exclusion period. Is It More Expensive to Use Dental Insurance with No Waiting Period?It depends on the category of care you seek. For example, it is not more costly to get preventive care, as dental insurance policies with no waiting period usually provide these and pay 100%. However, if you have Basic or Major care needs, you might pay more in the first year or two than you would by year three. That's because many policies will increase coverage the longer you subscribe. For example, many UnitedHealthcare plans pay a smaller percentage on day one of coverage than they do a year later. How We Chose the Best Dental Insurance With No Waiting PeriodWe looked at many variables when comparing the dental insurance policies with no waiting period. We started by choosing plans that had no waiting period in their policy description. Then we reviewed the number of programs available without a waiting period, the network size of the company, the number of states where it's available, the annual maximums, and deductibles. We also compared coverage and the rates quoted to determine the best one. Lastly, we looked at the company's ratings from unbiased sources. Also note: It is essential to investigate the policy stipulations for where you live. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Is a root canal considered an emergency?A Root Canal Counts As An Emergency Dental Treatment
A root canal is typically considered to fall under the umbrella of emergency dentistry. Tooth infections are extremely painful and uncomfortable, and they can cause serious complications if they are left untreated, including the death of the infected tooth.
Can I wait 6 months to get a root canal?But if you need a root canal, many dental insurance plans require a waiting period of 6 to 12 months before it's covered. And that could be a pain in the mouth…and your pocket book.
How long is the Aflac dental waiting period?This benefit is payable twice per policy year, per covered person. The treatment must be performed by a dentist or dental hygienist. There is no waiting period for this benefit. X-Ray Benefit Aflac will pay $10 per visit to you or any covered person for any one of the X-ray procedures listed below.
What does no waiting period mean in dental insurance?Preventive: Most dental insurance plans do not require a waiting period for preventive care. That means you and your family may receive exams, cleanings, x-rays, and fluoride treatments as provided in your plan. Basic: Some basic procedures may have a three- to six-month waiting period.
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