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Maryland dental insurance guide 2022

Maryland dental insurance guide 2022

Maryland Health Connection has certified individual and family dental plans from four insurers

Dental insurance in Maryland

Maryland uses a fully state-run exchange known as the Maryland Health Connection for the sale of certified individual/family dental plans.

Not all insurers that offer medical plans through the Maryland exchange include dental services with their health plans. Both pediatric and adult dental coverage may be purchased through the exchange.

How much does dental insurance cost in Maryland?

For adults who purchase their own stand-alone or family dental coverage through the exchange, premiums range from $22 to $88 per month.

IHC Specialty Benefits reports that the average monthly premium for a stand-alone family dental plan sold in Maryland over a two-year period (2020-2021) was $45.87. (Typical family size was 1.2 to 1.4 persons.)

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.

Pediatric dental benefits in Maryland

The exchange-certified pediatric stand-alone dental plans available in Maryland 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 Maryland’s benchmark plan, which does include coverage for both basic and major dental services for children.

Four insurers offer stand-alone dental plans through the Maryland exchange

In 2022, there are four insurers who offer stand-alone individual/family dental coverage through the health insurance marketplace in Maryland. These are dental plans that are not included with a medical plan and must be purchased separately:

  • Dominion National
  • Delta Dental
  • DeltaCare USA / Alpha Dental
  • CareFirst BCBS

These plans can be purchased through the Maryland exchange 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 Maryland’s exchange?

There are also a variety of dental insurers that sell stand-alone dental plans directly to consumers in Maryland off the exchange. These plans are not subject to the ACA’s essential health benefit rules for pediatric dental coverage, but they are regulated by the Maryland Insurance Administration. If you would like to purchase a non-ACA qualified dental plan, ask a dentist for recommendations or search online.

In Maryland, there are also various dental discount plans available. Dental discount plans are not dental insurance, but can offer lower prices for services 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 Maryland

In Maryland, starting in 2019, adults eligible for Medicaid could enroll in a pilot dental services program. As of April 2002, recently passed legislation in Maryland would permanently expand dental services for adult Medicaid recipients. Children can receive dental services through Medicaid and the state’s Healthy Smiles program.

MCHP, which is Maryland’s CHIP, provides coverage to uninsured children and pregnant women with income above the eligibility limits for Medicaid.

Dental resources in Maryland

Related articles

Here's what you need to know when you're shopping for adult dental coverage through a state health insurance marketplace or directly from a dental plan carrier.
There is no penalty for not having pediatric dental on your policy – and in most exchanges, you can purchase a plan without pediatric dental. But off-exchange, carriers are required ...
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, ...
For those who purchase their own insurance, the decision to purchase dental coverage is not always as clear-cut as the decision to purchase health insurance.
Pediatric dental is one of the essential health benefits, although it’s a bit more complicated than the other nine. Some medical policies have pediatric dental embedded in the plan, and ...
Dental insurance and dental discount plans can both be useful in terms of reducing your total dental costs, but they vary significantly in terms of the benefits you get and ...

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Maryland and the ACA’s Medicaid expansion

Medicaid/CHIP enrollment in Maryland has grown significantly in the last few years. From September 2013 to September 2021, enrollment grew by 81%. Much of that growth is due to the state’s decision to expand Medicaid through the Affordable Care Act, and the COVID pandemic, which drove Medicaid enrollment higher nationwide. Total Medicaid enrollment was more than 1.55 million as of the fall of 2021.

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Medicare in Maryland

For all information on Medicare in Maryland, healthinsurance.org has you covered. Get all the resources you need to make an informed decision.

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Learn about health insurance coverage options in your state.

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.