Getting Dental Coverage Without an Employer in Park County
Fairplay anchors Park County west of Colorado Springs — a mountain ranching and outdoor recreation community where many residents commute to the Springs or Denver for work and buy dental coverage on their own from their employer, while locally employed and self-employed residents buy independently.
Without an employer plan, dental coverage is something you arrange yourself. Adult dental care isn’t an essential health benefit under the ACA, so a health plan in Colorado doesn’t have to include it. Park County residents shop for health plans on Connect for Health Colorado, and adult dental still has to be bought separately.
What to Look for in a Self-Employed Dental Plan in Park 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 Park 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 Colorado
For the self-employed, dental premiums usually qualify for the self-employed health insurance deduction. It lowers income tax, not self-employment tax, is capped at the business’s net profit, and is lost for any month you could have joined an employer-subsidized plan.
More-than-2% S corporation shareholders follow a different route: the company pays or reimburses the premiums and reports them in W-2 wages, and the deduction is then taken personally. Ask your CPA to set it up.
Marketplace dental in Colorado runs through Connect for Health Colorado rather than HealthCare.gov, and it is tied to the exchange’s enrollment periods. Outside the Marketplace there is no enrollment window for stand-alone dental, and coverage usually starts the first of the next month. Enter your ZIP code in the form below and Daniel will send you the dental plans available where you live.
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 price the dental plans available at your Park County ZIP code and check the network for you.