Dental Coverage for Families in Perry County
Perry County in southern Illinois has a small coal, agriculture, and manufacturing economy centered on Pinckneyville — many residents buy dental coverage on their own.
Families buy dental coverage for two different groups: children and adults. Health insurance and dental insurance are separate purchases for most adults, because adult dental isn’t an ACA essential health benefit. In Perry County that means choosing a health plan on Get Covered Illinois first and treating adult dental as its own purchase.
What Family Dental Plans Cover in Perry County
Under a family dental plan, each person’s claims count against their own deductible until the family cap is reached ($50 per person and $150 per family on SecureDental PLUS), and preventive care generally skips the deductible.
Braces are the most common surprise. On SecureDental PLUS they’re covered only on the Premium tier, at 70%, with a 12-month waiting period, a $500 yearly limit and a $1,500 lifetime limit, and many other plans don’t cover them at all.
Enrolling Your Family in Dental Coverage in Illinois
Get Covered Illinois, the state-run exchange in Illinois, sells dental plans alongside its health plans during enrollment periods, and its rules decide whether dental can be added on its own. A stand-alone dental plan bought outside the Marketplace can start in any month, usually on the first of the following month. Use the ZIP code form below and Daniel will send you the dental options for your address.
If you already need a crown, the waiting period matters more than the premium. HealthCare.gov notes that separate dental plans can have waiting periods for adults, and SecureDental PLUS, for example, waits 12 months for major care and 1 month for basic care.
Know where the line sits: a dental plan covers care in a dentist’s chair, while an emergency department visit for a dental abscess or a jaw injury is a health insurance claim. Medicare’s hospital directory lists 2 hospitals with emergency services in Perry County, including Marshall Browning Hospital and Pinckneyville Community Hospital. Two of the county’s hospitals are critical access hospitals, the small rural facilities Medicare designates to keep emergency care close.
Stand-alone dental plans are excepted benefits under federal law, so they don’t count as minimum essential coverage and never stand in for a health plan.
Call (713) 575-9904 and Daniel will send the dental plans sold in Perry County and check your family’s providers against each network.