Getting Dental Coverage Without an Employer in Jersey County
Jersey County along the Illinois River is a small agricultural and manufacturing community near Jerseyville — many residents commute to the St. Louis metro while others work locally and 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 Jersey 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 Jersey County
Compare dental plans on what they pay, not just what they cost: the annual maximum, the deductible, the waiting periods for basic and major work, and whether your dentist is in the network.
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.
Before you choose a plan in Jersey County, look up your dentist in the plan’s own provider directory and call the office to confirm it is in the specific network the plan uses. Networks change, and a practice can be in one insurer’s network but not another’s.
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. Outside the Marketplace there is no enrollment window for stand-alone dental, and coverage usually starts the first of the next month. Put your ZIP code in the form below and Daniel will pull the dental plans sold at that address.
Keep the category straight: dental insurance is an excepted benefit, not minimum essential coverage, so it sits alongside a health plan rather than replacing one.
Call (713) 575-9904 and Daniel will price the dental plans available at your Jersey County ZIP code and check the network for you.