Why Is Dental Insurance So Bad?

Do you notice why people give negative feedback on dental insurance and why it is going so badly? Keep on reading to find out more.

Not long ago, you made dental visits for your braces or your child’s. If not braces, you certainly have had toothaches, cavities, or a need to get a root canal done. Well, if not you, then someone around you must’ve developed dental problems, and this is probably the main reason you’re here, looking out for the main reason why dental insurance is so bad.

Is it scaling, wisdom tooth extraction, braces, or cavity removal? Why is dental work so expensive? With every visit to the dentist, this is something that we indeed wonder about. Remember the demand and supply phenomenon in Economics? The greater the demand for a product or service, the higher it is charged. What makes clothing brands raise their prices around festive events? They know how people will buy from them no matter what because it is a need of the time, and similarly, dental procedures are well embraced by people because of the market they develop to get rid of dental problems throughout life.

Whether these high charges are justified or not is a separate debate, but why dental work is so expensive and, consequently, why dental insurance is so bad is something we shall dive into.

Why is dental not covered by health insurance?

 Image Source: Health insurance
Image Source: Health insurance

Well, it is covered but to an almost negligible extent. Here, something is almost equal to nothing as dental work is quite expensive, and catering only to 20% of the charges has an unnoticeable impact on your savings. Would you want to pay for dental coverage as part of the health insurance plan just to make dental visits twice a year (maximum), as nobody develops dental problems every other day, and insurance only pays off when you get into trouble? So, how often do you expect your teeth to get into bad condition?

Suppose you develop a cavity and want to fill it or undergo a root canal. Would you have it every other day? It solves your cavity problems for at least two years and even longer if you’re careful about your dental hygiene. Yes, these procedures are expensive, but would you want to pay for something that might even go useless and, at maximum, cuts only 20% of your expenses? You must indeed be questioning your interest in dental insurance now.

It may be the truth about dental insurance.

We spend on something we value, and health is something that we can only do with, but it is also something we have little control over. For instance, if God forbids you to develop cancer or diabetes in your body, you wouldn’t be fully responsible for it as these illnesses are also dependent on your genetics. Yes, you can be careful and maintain a healthy lifestyle; many examples of people following healthy lifestyles get trapped in significant illnesses. It is where health insurance comes into play, but are you not responsible for having cavities or being careless about dental hygiene? You can avoid dentist visits and save quite a lot of money unless you want to look better and shape up your smile by getting cosmetic procedures like teeth whitening, which health insurance has no room for.

Let’s focus on why dental work is so expensive. Businesses charge you for what you value, and what’s going on inside your body shows on the outside talking about your dental hygiene. If not taken care of, it can distort your smile, which will rush you to the dentist, and if not that, then the toothache would. Well, this demand is the main reason for the high charges. Even if the majority can not afford it and would instead let their teeth decay in cavities, the elite or upper middle class can afford the expensive dental procedures and keep the dentists engaged in making money by targeting the niche market.

Do you need dental insurance?

Image Source: Diamond Head Dental Care
Image Source: Diamond Head Dental Care

The advantages of visiting the dentist twice a year are generally understood. After all, cavities don’t go away on their own, and if a toothache isn’t treated right away, it can develop into a severe headache. However, you’re not alone if you have doubts about dental insurance’s value and if it is worth it.

Following are some points: do you need dental insurance or not?

  • Don’t utilize it

●       Your dentist may recommend pointless procedures

  • Most dentists provide a financing option

Don’t utilize it

Dental insurance may cost more than paying for all of your appointments out of pocket if you only visit the dentist twice a year and once or twice to get the occasional cavity fixed. Even though dental insurance rates are less expensive than health insurance premiums, retaining dental insurance is not worthwhile if you rarely utilize the coverage.

If your workplace offers group dental insurance, the biweekly withdrawals that accumulate over time and snowball into a sizable sum of money might be used more.

Your dentist may recommend pointless procedures.

Image Source: Partners in Fire
Image Source: Partners in Fire

Your mouth can experience various problems, at least as many as a skilled professional eye can detect. But it’s not always easy to distinguish between minor ailments that may wait and oral problems that require immediate attention.

A significant dollar symbol appears over your head when you enter a dentist facility and present your insurance card. Insurance enables greedy dentists to suggest treatments you might not need. If you don’t have insurance, your dentist is less likely to recommend procedures that aren’t essential because most individuals won’t spend their own money unless there’s a compelling reason to.

Most dentists provide a financing option.

Image Source: Velocity
Image Source: Velocity

Dental insurance is helpful if you have poor dental health and often see the dentist. However, remember that most dentists provide payment plans for those more expensive operations if you want to do away with your dental insurance.

For instance, if you require a root canal but lack dental insurance, you can spread out the cost of the procedure rather than paying it all at once. Paying off a system’s expense differs from your monthly dental insurance payment.

Receive a discount on paying with cash.

It’s a frequent misperception that dental insurance is necessary to pay for the astronomical expense of dental procedures. Most typical dental procedures, such as regular cleanings, are less expensive than you would think. Additionally, most dentists discount clients who pay rather than utilizing insurance.

Let’s examine some figures to demonstrate this idea. Depending on where you reside, the average cost of a thorough dental checkup ranges from $84 to $127, according to Dental Economics 2017 annual fee study. Your cleaning can be less expensive than the yearly premium of your dental insurance if your dentist gives a 5% discount for opening cash.

The truth about dental insurance.

Dental check-ups are not expensive. Dental procedures have made people believe that routine dental checkups are as costly and not a thing to go for when the truth is that dental checkups are pretty affordable and, if taken seriously, can save people from lengthy and expensive dental procedures. You do not need insurance for these check-ups. On the other hand, what you need the insurance for will not help you cut the charges as health insurance only covers 20% of the dental accounts portraying the truth about dental insurance.

Dental insurance just pretends to cover your dental charges when it does not offer more than a discount of only 17-20%.

Dental insurance may change the attitude of your dentist toward you. The dentist might care more about making money and convincing you to undergo procedures you do not need to make the best out of the discount offered by dental insurance, while the truth is that you will be the one emptying your pocket.

Your dentist will find ways to make you visit him as much as possible by prescribing procedures you don’t need. In return, you might just lose the natural enamel of a couple of your teeth and settle for the manufactured one, which will bind you to more dentist visits in the future.

People often exploit dental insurance and sign up for procedures they do not need. Why dental insurance is so bad can also be gauged from the bad things it makes people do.

Best dental insurance is too expensive.

Image Source: Canva
Image Source: Canva

Despite everything discussed above explaining why dental insurance is so bad, there are ways you can look out for the best dental insurance and make good use of something labeled so bad.

Check if the dental insurance policy you’re going for or already availing of has just one or more of the following features:

  1. You pay nothing extra per month for your dental plan.
  2. You can go to any dentist you want.
  3. You have no maximum dollar limit.
  4. Primary services are paid for at 80%.

Breaking the bad news to you, If none of these apply, your insurance costs you more than you receive. The best option is to opt out of your dental plan and let yourself get paid a little more per month instead. Alternatively, if you want to be on a schedule, many dentists offer in-house insurance, where you prepay for preventive care annually. In return, you get a specific percentage discount for any other services you’ll need.


Are health and dental insurance considered the same?

Not completely. It may include some dental benefits in a standard health insurance plan, but not all do. When selecting a health insurance plan, reading the small print about this coverage component is crucial.  If you already have coverage, you may get a complete breakdown by calling your provider. Additionally, your HR department can assist with any inquiries if you have insurance through your job.

What if I have many plans?

It occurs, People frequently have coverage from two or more dental plans at the same time. You have a preliminary plan and a secondary plan in certain circumstances. To determine which plan pays out when businesses use a procedure known as coordination of benefits(COB) to determine which plan pays out when.

When do people have several dental insurance plans?

It may occur when two spouses have separate employer-sponsored dental insurance plans. Still, both techniques also cover their spouse, when their parent’s dental insurance plans cover dependents, or when someone is enrolled in a government program like Medicaid (for active military personnel) or TRICARE(which usually only includes coverage for children).

Which plan pays first?

The primary plan is the one that pays off initially. COB makes this decision, often governed by state and federal rules. The preliminary program is usually one where the patient is the principal policyholder. The patient is covered under the secondary plan as a dependent.


All we wish for is for somebody else to pay for our teeth maintenance, but that is impossible. Even when the dental insurance is paying for a percentage of your charges, it is you who has to pay for most of it, so if you have decided against signing up for a dental insurance policy, you should know if it’s benefitting you or dragging you in at a loss instead.

Perhaps, you already knew why dental work is so expensive, but you must’ve never encountered the truth about dental insurance.

Moreover, this article has discussed all the essential facts you need to keep in view while evaluating the dental insurance you already have or the one you’re thinking of opting for and ultimately have a detailed response to your query of why dental insurance is so bad.

Tony Bennett

Tony Bennett

Tony Benett makes his living in the insurance industry by teaching and consulting. He is also recognized by the legal profession as an expert on insurance coverages. His insurance experience includes having worked at the company level, owned an independent general agency and having worked for an insurance association. He has received various certificates over the past few years and helps his clients and readers by giving them a realistic outlook on what they can expect to achieve within their set targets. At Insurance Noon, he is known for his in-depth analysis and attention to details with accuracy. He has been published as one of the most referred agents by his peers in the insurance community. Tony loves the outdoors and most sport events. His passion other than providing excellent advice is playing golf.