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Connecticut dental insurance guide 2022

Connecticut dental insurance guide 2022

Access Health CT has certified individual and family dental plans from one insurer

Dental insurance in Connecticut

Connecticut has a state-run exchange named Access Health CT for the sale of certified individual/family dental plans.

Not all insurers who offer medical plans through the Connecticut exchange include dental coverage with their health plans, but stand-alone dental plans are available for purchase that cover both adults and children.

How much does dental insurance cost in Connecticut?

For adults who purchase their own or family stand-alone dental coverage through the exchange, premiums range from $20 to $65 per month.

IHC Specialty Benefits reports that the average monthly premium for a stand-alone family dental plan sold in Connecticut over a two-year period (2020-2021) was $56.02. (Typical family size was 1.2 to 1.4 persons.)

If a family is purchasing coverage through Access Health CT, 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.

Pediatric dental benefits in Connecticut

The stand-alone pediatric dental plans available in Connecticut 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 2022 (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.

You can see details here for Connecticut’s benchmark plan, which does include coverage for both basic and major dental services for children.

One insurer offers stand-alone dental plans through the Connecticut exchange

In 2022, there is only one insurer that offers stand-alone individual/family dental coverage through the health insurance marketplace in Connecticut. These are dental plans that are not included with a medical plan and must be purchased separately:

  • Anthem BCBS

These plans can be purchased through Access Health CT 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.

Can I buy dental insurance outside of Connecticut’s exchange?

There are also a variety of dental insurers that sell stand-alone dental plans directly to consumers in the Constitution State. These plans are not subject to the ACA’s essential health benefit rules for pediatric dental coverage, but they are regulated by the Connecticut Insurance Department. 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.

Medicaid/CHIP dental coverage in Connecticut

Adults enrolled in Medicaid in Connecticut (Husky Health) are eligible to receive medically necessary dental services up to $1,000 annually, although some procedures may require prior authorization. Eligible children (up to age 21) are able to receive comprehensive dental services.

CTCHIP (which is Connecticut’s CHIP) provides dental coverage to children and pregnant women with income above the eligibility limits for Medicaid.

Dental resources in Connecticut

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If you're an adult who bought a dental insurance plan, your out-of-pocket costs will depend entirely on the amount of dental care you need during the year. But for children, ...
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Our state guides offer up-to-date information about ACA-compliant individual and family plans and marketplace enrollment; Medicaid expansion status and Medicaid eligibility; short-term health insurance regulations and short-term plan availability; and Medicare plan options.