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Alaska uses the federally facilitated health insurance marketplace HealthCare.gov for the sale of certified individual/family dental plans.
Not all insurers who offer medical plans through the Alaska exchange include dental coverage with their health plans, but stand-alone dental plans are available for purchase that cover both adults and children.
For adults who purchase their own stand-alone or family dental coverage through the exchange, premiums range from $67 to $102 per month.
IHC Specialty Benefits reports that the average monthly premium for a stand-alone family dental plan sold in Alaska in 2022 was $81.46.
If a family is purchasing coverage through the health insurance exchange, the premiums associated with pediatric dental coverage may or may not be offset by premium tax credits (premium subsidies). Here’s more about how that works, depending on whether the health plan has integrated pediatric dental benefits.
The stand-alone pediatric dental plans available on the Alaska exchange will comply with the ACA’s pediatric dental coverage rules. This means out-of-pocket costs for pediatric dental care will not exceed $375 per child in 2023 (or $750 for all the children on a family’s plan), and there is no cap on medically-necessary pediatric dental benefits.
As is the case for all essential health benefits, the specific coverage requirements for pediatric dental care are guided by the state’s essential health benefits benchmark plan.
Alaska’s benchmark plan includes coverage for both basic and major dental services for children.
In 2023, there are two insurers that offer stand-alone individual/family dental coverage through the health insurance marketplace, with coverage available for both adult and pediatric dental services. These are dental plans that are not included with a medical plan and must be purchased separately:
These plans can be purchased through HealthCare.gov during open enrollment (November 1 to January 15) or during a special enrollment period triggered by a qualifying life event. Exchange-certified stand-alone dental plans are compliant with the ACA’s rules for pediatric dental coverage.
There are also a variety of dental insurers that sell stand-alone dental plans directly to consumers in Alaska. These plans are not subject to the ACA’s essential health benefit rules for pediatric dental coverage, but they are regulated by the Alaska Division of Insurance. If you would like to purchase a non-ACA qualified dental plan, ask a dentist for recommendations or search online.
There are also various dental discount plans available in every state. Dental discount plans are not insurance, but can offer discounted rates at participating dentists. Here’s what you need to know about the differences between dental insurance and dental discount plans.
To find plans in your area, search online for dental discount plans and the state you are looking to buy a plan in.
Adults enrolled in Medicaid in Alaska are eligible to receive emergency dental services only for acute pain or infection. Alaska also offers eligible adults an enhanced dental benefit with more comprehensive coverage with up to $1,150 in annual dental services. Children (up to age 21) are eligible for comprehensive dental benefits in conjunction with Denali KidCare..
Denali KidCare (which is Alaska’s CHIP) provides coverage to children and pregnant women with income above the eligibility limits for Medicaid.
Alaska's individual health insurance market had been by far the most expensive in the country in the first few years of ACA implementation. Rates began to decrease in 2018 under the state's new reinsurance program, and continued that trend for a few years. But they increased significantly for 2023, and only two states have higher average full-price premiums than Alaska. However, subsidies cover the bulk of the premium cost for the majority of enrollees. Premera offers plans statewide in Alaska, and Moda offers plans in some areas of the state.
Check short-term health insurance plan availability in Alaska and shop for coverage. Learn about state regulations regarding short-term plan duration and renewal.
Medicaid expansion took effect in Alaska on September 1, 2015, implemented by Governor Walker's executive order. More than 73,000 people were covered under Medicaid expansion in the state by 2023. Post-pandemic Medicaid disenrollments in Alaska begin at the end of May 2023.
For all information on Medicare in Alaska, healthinsurance.org has you covered. Get all the resources you need to make an informed decision.
