Getting Dental Coverage Without an Employer in Hamilton County
Hamilton County in southern Illinois has a small oil and agriculture economy centered on McLeansboro — many residents buy dental coverage on their own.
No employer means no one else picks your dental plan. Under the ACA, dental care is an essential health benefit for children but not for adults. In Hamilton County that means choosing a health plan on Get Covered Illinois first and treating adult dental as its own purchase.
What to Look for in a Self-Employed Dental Plan in Hamilton County
When you compare stand-alone dental plans on your own, look at five things: the premium, whether your dentist is in the network, the deductible, the annual maximum and the waiting periods for basic and major care.
Waiting periods are the catch. On SecureDental PLUS, cleanings are covered right away, fillings after 1 month, and crowns, bridges and orthodontia after 12 months, and HealthCare.gov warns that separate dental plans in general can have waiting periods for adults.
The only reliable network check is the plan’s own provider directory, followed by a call to the office. Dental practices in Hamilton County move in and out of networks, so do it before you enroll rather than after.
Dental Insurance as a Business Expense in Illinois
Self-employed? Dental premiums generally go into the self-employed health insurance deduction on Schedule 1, with the same limits as health premiums: no more than the business’s net profit, no months you were eligible for an employer-subsidized plan, and no reduction in self-employment tax.
S corporation owners with more than 2% of the company can still take the deduction, but only after the corporation pays or reimburses the premiums and includes them in the owner’s W-2 wages.
In Illinois the Marketplace is Get Covered Illinois, which offers dental plans next to its health plans during Open Enrollment and special enrollment periods. A stand-alone dental plan bought outside the Marketplace can start in any month, usually on the first of the following month. Put your ZIP code in the form below and Daniel will pull the dental plans sold at that address.
A stand-alone dental plan is an excepted benefit: it isn’t minimum essential coverage and doesn’t replace health insurance.
Call (713) 575-9904 and Daniel will send the dental plans sold in Hamilton County and check your provider against each network.