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08 September 2023

Dental plans with high maximum benefit disrupting insurance market


DentalInsurance.com released a new report on dental plans shaking up the dental insurance market with coverage limits several times higher than found in the average PPO dental insurance plan. The company announced the release of the report on Aug. 29.

Coverage limits, known as a maximum benefit or annual maximum, is the limit on spending an insurance company will pay annually toward covered dental care. For example, a dental plan with a $1,500 maximum benefit contributes no more than $1,500 toward dental services in a year and any costs above that amount are paid by the patient. Approximately 90 percent of dental plans sold directly to consumers have a maximum benefit.

In the 1960 and 1970s, the average limit on insurance plan spending was around $1,000. That average has not kept up with inflation.

In 2023, DentalInsurance.com found the average maximum benefit among surveyed plans in California was $1,845; $1,703 in New York and $1,987 in North Carolina. However, DentalInsurance.com has found plans on the market with maximum benefits up to five times higher than these averages, including offerings from major brands such as MetLife and Humana.

"Inflation has been a problem in most industries in the post-COVID era," said Avery Smith, president at DentalInsurance.com.

These high maximum plans offer consumers dental insurance that's keeping up with costs, he said. "Three of the top 10 dental plans we sell across the nation have maximum benefits of $3,000 or more in the first year of enrollment."

DentalInsurance.com offers a variety of high maximum dental plans including:

  • NCD Complete by MetLife ($10,000 maximum benefit)
  • Humana Extend 5000 ($5,000 maximum benefit)
  • NCD Nationwide 5000 Plan ($5,000 maximum benefit)
  • Delta Dental Immediate Coverage Plan ($3,000 maximum benefit)

Consumers shopping for high maximum plans should always review the conditions of the insurance to see if the maximum is lower for any service, including implants, or excludes a service like braces.

For more information on dental plans with high maximum benefits, see "Dental Plans with the Best Maximum Benefits."

Launched in 2001 by Mark Kelsey, DentalInsurance.com is the pioneer of online dental insurance marketplaces. DentalInsurance.com is headquartered in Los Angeles, California, and has an A+ rating from the Better Business Bureau and a 4.8 stars out of 5 on TrustPilot.

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