Obamacare News Blog

California to Offer Stand-Alone Pediatric Dental

California has opted to have dental as a stand-alone plan for children for the new ObamaCare Health Exchange Plans. California was the first state to release its plans and premiums, and now it is leading all the other states in making its pediatric dental Exchange plans transparent.


Pediatric Dental is an Essential Health Benefit

All of the ObamaCare “metal” plans, known as Bronze Plan, Silver Plan, Gold Plan, and Platinum Plan, must include the Health Care Exchange essential health benefits. Pediatric dental and vision are included as one of these benefits. However lawmakers believe that it will cost parents less if these plans are separate from a bundled plan.

UPDATE CA Pediatric Dental Premiums

CA pediatric dental premiums released 6/25/13. These premiums range from less than $10 a month to about $30. The pediatric dental premiums range in price by area and plan. There two types of plans offered are one with an actuarial value of 85%, and one with an actuarial value of 70%. All those values mean is you would pay 15% or 30%, respectively.

Pediatric dental, although an essential health benefit, does not need to purchased for children according to Covered California Executive Director Peter V. Lee “Purchase of the pediatric dental benefit is not required. However, the plans offer comprehensive child dental coverage, particularly important for consumers of child-only coverage and family plans.” Although Lee went on to talk about the importance of children having access to dental care: “Dental care is a vital component of overall health, and especially critical for our state’s children. Access to dental services as a youngster means better health, both for children and as they get older.”

Under ObamaCare a stand-alone dental plan meets the requirements, however Lee’s statement that having pediatric dental benefits is not a requirement is in conflict with the Affordable Care Act’s list of essential health benefits. Hmmm.. We will continue to look into this as more states release their dental care plans and update this page accordingly.

Adults Dental Care and ObamaCare

Because all of this is so new there isn’t a lot of concrete info about how adult dental plans will work once the Exchange kicks in. The Essential Health Benefits aspect of the Affordable Care Act only addresses pediatric dental not adult dental. To learn more read the article New ObamaCare Health Plans Do Not Include Dental and Vision.

Should I Wait for the Exchange to get Dental Coverage?

No. And there are two reasons why you wouldn’t want to wait.

1) As of now all dental coverage has guaranteed issuance, which just means that anyone who applied for dental, gets dental.
2) Dental plans are month to month, so better to get coverage now if you have an emergency root canal or need your wisdom teeth out.

Go to our dental overview page to learn about dental plans.

Ready to sign up for dental coverage
For further questions about dental coverage in your state call 800-930-7956 or contact Medicoverage for assistance.

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