{"id":231521,"date":"2025-07-03T15:00:08","date_gmt":"2025-07-03T15:00:08","guid":{"rendered":"https:\/\/evertise.net\/?p=120588"},"modified":"2025-07-03T15:00:08","modified_gmt":"2025-07-03T15:00:08","slug":"6-important-dental-insurance-terms-you-should-know","status":"publish","type":"post","link":"https:\/\/ipsnews.net\/business\/2025\/07\/03\/6-important-dental-insurance-terms-you-should-know\/","title":{"rendered":"6 Important Dental Insurance Terms You Should Know"},"content":{"rendered":"<p><span id = wx_e_120588><\/span><\/p>\n<p><span data-contrast=\"none\">Regular dental care is crucial to maintaining healthy teeth. Dental insurance helps you cover the costs of your care, from routine cleanings to major work.<\/span> <span data-contrast=\"none\">However, <\/span><a href=\"https:\/\/www.aflac.com\/individuals\/products\/dental-insurance.aspx\"  rel=\"noopener\"><span data-contrast=\"none\">dental insurance plans<\/span><\/a><span data-contrast=\"none\"> contain several features and terms to know. Understanding these can help you feel more confident in the process of getting a policy and answer questions like \u201c<\/span><a href=\"https:\/\/www.aflac.com\/resources\/dental-insurance\/what-is-a-dental-insurance-annual-maximum.aspx\"  rel=\"noopener\"><span data-contrast=\"none\">what does an annual maximum mean for dental insurance<\/span><\/a><span data-contrast=\"none\">?\u201d<\/span> <span data-contrast=\"none\">With that in mind, this article explains six important dental insurance terms to know.<\/span><\/p>\n<p><strong>1-Premium<\/strong><\/p>\n<p><span data-contrast=\"none\">Your premium is the price you pay to maintain coverage. Providers typically bill monthly or annually, and some may offer a small discount for annual payments.<\/span> <span data-contrast=\"none\">Dental insurance premiums tend to cost less than traditional health insurance, since it&#8217;s a form of supplemental insurance.<\/span> <span data-contrast=\"none\">However, your premiums depend on several factors:<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Coverage amounts:<\/span><\/b><span data-contrast=\"none\"> Higher coverage amounts will require higher premiums.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Deductibles: <\/span><\/b><span data-contrast=\"none\">Deductibles correlate inversely with premiums. Lower deductibles require higher premiums and vice-versa.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Provider network: <\/span><\/b><span data-contrast=\"none\">Policies with wider provider networks may cost more.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"4\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Policy type: <\/span><\/b><span data-contrast=\"none\">Different policy types may charge varying premiums to account for differences in flexibility and other benefits.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"5\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Insurance provider:<\/span><\/b><span data-contrast=\"none\"> Insurers vary in how they calculate premiums and may be in different financial situations. Therefore, each insurer may charge different amounts for the same coverage.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559685&quot;:720,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<strong>2-<\/strong><\/span><strong>Deductible<\/strong><\/p>\n<p><span data-contrast=\"none\">The deductible is the amount your policy requires you to pay out of pocket before the insurer begins covering the costs.<\/span> <span data-contrast=\"none\">For example, imagine you have a $200 deductible for a treatment that costs $300. That means you must pay $200 out of pocket before your insurance helps with the remaining $100.<\/span> <span data-contrast=\"none\">As mentioned, premiums and deductibles are inversely correlated. Raising one lowers the other and vice-versa.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Furthermore, some services \u2014 usually preventive care, like routine cleanings \u2014 are not subject to deductibles. Coverage kicks in immediately.<\/span> <span data-contrast=\"none\">This means people who only need routine care may opt for a higher deductible to save on premiums. Meanwhile, someone needing frequent care and more complex procedures may prefer higher premiums for a lower deductible.<\/span><\/p>\n<p><strong>3-Copayment and coinsurance<\/strong><\/p>\n<p><span data-contrast=\"none\">Copayments and coinsurance are two ways you may share the cost of coverage with your insurer.<\/span> <span data-contrast=\"none\">A copayment is a fixed cost you pay for a service. For example, your dental insurance may require $10 for a routine appointment that includes an oral exam and cleaning.<\/span> <span data-contrast=\"none\">Coinsurance is a percentage of a service\u2019s total cost you must pay. For example, your insurer may require you to pay 20% of the cost of a basic service. The insurer then covers the rest.<\/span> <span data-contrast=\"none\">If your services require a deductible, you must meet that deductible first before coinsurance kicks in.<\/span><\/p>\n<p><strong>4-Provider network<\/strong><\/p>\n<p><span data-contrast=\"none\">Insurance companies negotiate contracts with dental providers to perform services for the company\u2019s policyholders. In exchange, the insurer provides coverage and reimbursement to policyholders who visit these dental providers. This supplies the dental provider with a steady stream of patients while giving the patients access to inexpensive care.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">This list of dental providers is called the provider network. Visiting providers in-network, or within the provider\u2019s network, qualifies you for the maximum coverage amount under your plan.<\/span> <span data-contrast=\"none\">Dental Paid Provider Organizations (DPPOs) may offer some reimbursement for out-of-network providers, but you\u2019ll get the most coverage in-network.<\/span> <span data-contrast=\"none\">Meanwhile, Dental Health Maintenance Organizations (DHMOs) seldom offer reimbursement for visits to out-of-network providers.<\/span> <span data-contrast=\"none\">Either way, insurers differ in their provider networks even under the same kinds of dental plans.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><strong>\u00a05-Waiting period<\/strong><\/p>\n<p><span data-contrast=\"none\">A waiting period is a specified timeframe where coverage is not active. Insurers use these to prevent people from purchasing plans right after discovering they have a dental problem since insurance is meant to be a layer of security.<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Many dental plans don\u2019t have waiting periods for preventive care.\u202fMeanwhile, basic and major procedures may have waiting periods whose lengths vary by insurer and coverage levels. Waiting periods tend to be shorter or nonexistent with higher-priced plans.<\/span> <span data-contrast=\"none\">If you need a procedure during that procedure\u2019s waiting period, such as emergency care, you\u2019ll likely have to pay the full cost out of pocket.<\/span><\/p>\n<p><strong>6-Annual maximum<\/strong><\/p>\n<p><span data-contrast=\"auto\">An annual maximum for dental insurance is the highest dollar amount that an insurance plan will pay for covered dental services in a given year. Once you reach this limit, you\u2019re responsible for paying any additional costs for dental care out of pocket. The annual maximum will reset at the beginning of each new policy year. These limits can vary depending on your specific insurance plan and provider.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p aria-level=\"2\"><strong>The bottom line\u00a0<\/strong><\/p>\n<p><span data-contrast=\"none\">Dental insurance can significantly improve your dental health by encouraging you to visit the dentist.<\/span> <span data-contrast=\"none\">However, understanding the terminology is key to getting the right policy. Premiums, deductibles, copayments and coinsurance, provider networks, waiting periods, and annual maximums are some of the most important features to know.\u202fNow that you know these terms, you can shop more confidently for a dental plan that fits your needs and budget.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Content within this article is provided for general informational purposes and is not provided as tax, legal, health, or financial advice for any person or for any specific situation. Employers, employees, and other individuals should contact their own advisers about their situations. For complete details, including availability and costs of Aflac insurance, please contact your local Aflac agent.\u202f\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Aflac Coverage \u2013 Series A82000 \u2013 In Arkansas, Policies A82100RAR\u2013A82400RAR. In Delaware, Policies A82100R\u2013A82400R. In Idaho, Policies A82100RID\u2013A82400RID. In New York, Policies NY82100\u2013NY82400. In Oklahoma, Policies A82100ROK\u2013A82400ROK. In Oregon, Policies A82100ROR\u2013A82400ROR. In Pennsylvania, Policies A82100RPAR\u2013A82400RPAR. In Texas, Policies A82100RTX\u2013A82400RTX. In Virginia, Policies A82100RVA\u2013A82400RVA. Not available in AK, MA, NM, NV, PR, RI and UT.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Coverage is underwritten by American Family Life Assurance Company of Columbus. In New York, coverage is underwritten by American Family Life Assurance Company of New York.<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Tier One Coverage \u2013 Series T80000 \u2013 In Arkansas, Policy T80000AR. In Delaware, Policy T80000. In Idaho, Policy T80000ID. In Oklahoma, Policy T80000OK. In Oregon, Policy T80000OR. In Pennsylvania, Policy T80000PA-DEN ONLY; T8000PA-DVH. In Texas, Policy T80000TX &amp; T8000TXR. Not available in NJ, NY, or VA. Dental claims are administered by SKYGEN USA, LLC. Vision claims are administered by EyeMed Vision Care, LLC.\u00a0 Hearing claims are administered by Nations Hearing.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">NOTICE: The coverage offered is not a qualified health plan (QHP) under the Patient Protection and Affordable Care Act (ACA) and is not required to satisfy essential health benefits mandates of the ACA. The coverage provides limited benefits.<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Coverage is underwritten by Tier One Insurance Company. Tier One Insurance Company is part of the Aflac family of insurers. In California, Tier One Insurance Company does business as Tier One Life Insurance Company (Tier One NAIC 92908).<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">This is a brief product overview only. Coverage may not be available in all states. Benefits\/premium rates may vary based on plan selected. Optional riders may be available at an additional cost. Plans and riders may also contain a waiting period. Refer to the exact plans and riders for benefit details, definitions, limitations and exclusions. For availability and costs, please contact your local Aflac agent\/producer.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Aflac WWHQ | Tier One Insurance Company | 1932 Wynnton Road | Columbus, GA 31999<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Z2500172\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 EXP3\/26<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-teams=\"true\"><strong>Contact Information:<\/strong><br \/>\nSenior PR &amp; Corporate Communications<br \/>\nContact: Angie Blackmar, 706-392-2097 or\u00a0<a id=\"menur6q0\" class=\"fui-Link ___1q1shib f2hkw1w f3rmtva f1ewtqcl fyind8e f1k6fduh f1w7gpdv fk6fouc fjoy568 figsok6 f1s184ao f1mk8lai fnbmjn9 f1o700av f13mvf36 f1cmlufx f9n3di6 f1ids18y f1tx3yz7 f1deo86v f1eh06m1 f1iescvh fhgqx19 f1olyrje f1p93eir f1nev41a f1h8hb77 f1lqvz6u f10aw75t fsle3fq f17ae5zn\" title=\"mailto:ablackmar2@aflac.com\" href=\"mailto:ABlackmar2@aflac.com\"  rel=\"noreferrer noopener\" aria-label=\"Link ABlackmar2@aflac.com\">ABlackmar2@aflac.com<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p><span><\/span>Regular dental care is crucial to maintaining healthy teeth. Dental insurance helps you cover the costs of your care, from routine cleanings to major work. <a href=\"https:\/\/ipsnews.net\/business\/2025\/07\/03\/6-important-dental-insurance-terms-you-should-know\/\" class=\"more-link\">Continue Reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":271,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[390,385,391,57,717,20,727,387,388],"tags":[],"class_list":["post-231521","post","type-post","status-publish","format-standard","hentry","category-dj","category-gomedia","category-internal","category-ips","category-maple-media","category-press-release","category-preview","category-si","category-vm"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>6 Important Dental Insurance Terms You Should Know - Business<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ipsnews.net\/business\/2025\/07\/03\/6-important-dental-insurance-terms-you-should-know\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"6 Important Dental Insurance Terms You Should Know - Business\" \/>\n<meta property=\"og:description\" content=\"Regular dental care is crucial to maintaining healthy teeth. 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Dental insurance helps you cover the costs of your care, from routine cleanings to major work. 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