At least 8-10 times each year, I have a patient ask me: “do you think I should buy dental insurance?”. Often, it is a patient retiring from their job who will suddenly be without a comfortable safety net. There are a lot of people in this position. For them, it is unfamiliar territory and the prospect of not having dental expenses covered is concerning.
Now, I am absolutely not supposed to answer this question. Keep in mind that, for me as a Dentist, it much easier if everybody has dental insurance. People are more willing to undergo necessary treatment when all or a large portion of associated costs is kicked in by their insurance provider. So, what I often do is share some facts with my patients so that they can make a better-informed decision for themselves. Now every patient operates under different circumstances so, purchasing private insurance might make sense for some but not others. And, secondly, there are 2 main types of factors that I find relevant to the decision: a) Financial and b) Psychological.
Before I start, I will make the point that my job as a Family Dentist is probably easier if all patients have dental insurance. Secondly, you have to way a number of factors related to purchasing private dental insurance and decide what is best for you. This post is not meant to direct anybody toward or away from purchasing private dental insurance. For some people it is probably a good idea, while for others it makes little sense from a financial perspective. Below I will explore little known facts that may help you to better evaluate if purchasing private dental insurance is right for you.
What do we spend on dental expenses each year?
This is a really, really important piece of the puzzle. You can easily find out how much private dental insurance will cost you each year. But, most people have no idea what the average Canadian spends on dental care annually. Well, the number is close to $600. This includes cleanings, x-rays, diagnosis and any necessary treatment. This amount works out to roughly $50 per month. So, take a look at available dental plans and compare to this amount first.
How much is private dental insurance?
I would strongly recommend that you get quotes from multiple providers. You can do this easily online, or with the help of a broker. I have seen numbers starting at $80/month up to $120/month depending on yearly maximum amount and percentage covered by your plan (i.e. 80% of treatment costs for example). That range translates to $960 to $1,440 yearly. Again, it is important you do your research on this as there may be less expensive rates available.
What else should I know about insurance?
There are details built into private insurance plans that you should learn about. Some might not affect the value that your plan provides. Others will. For example, some plans will not cover replacement treatment for any teeth extracted prior to the initiation date on our plan. Other private plans do not cover any portion of major expenses such as dentures, dental crowns, dental bridges, etc.,. Make sure you know the “ins and outs” of the dental insurance plan you are planning to purchase.
The Psychological Value of Having Dental Insurance
I have a few patients that have private dental insurance plans. They are retired, and decided that they would like to continue maintaining the safety net that health insurance provides. Every year, they pay far more for private dental insurance than they get back in coverage for treatment. Mathematically, maintaining their private dental insurance makes no sense. However, as one patient explained, “there is value in knowing that, if I need a lot of treatment or major treatment in a given year, I’m covered”. For them, the psychological benefit and piece of mind they get from having a safety net is well worth the price.
If you are considering the purchase of private dental insurance, make sure to research available plans and associated costs. Make sure a plan has value to you (either financially, psychologically, or both) prior to purchase. Don’t hesitate to get a copy of your dental ledger from your Family Dentist. This way you can look at your average annual dental expenditures for a specified period of time. Doing so will help you to better understand what type of coverage, if any, will be right for you.
Written by Dr. Kyle Hornby, Kitchener Dentist
This article is intended to promote understanding of and knowledge about general oral health topics. It is not intended to be a substitute for professional advice, diagnosis or treatment. Always seek the advice of your Dentist in Kitchener or other qualified healthcare provider with any questions you may have regarding a dental condition or treatment.