Getting Dental Coverage Without an Employer in Pike County
Pike County in western Illinois along the Illinois River is a small agricultural community centered on Pittsfield — many residents buy dental coverage on their own.
Working for yourself means no group dental plan to join. Health insurance and dental insurance are separate purchases for most adults, because adult dental isn’t an ACA essential health benefit. Pike County residents shop for health plans on Get Covered Illinois, and adult dental still has to be bought separately.
What to Look for in a Self-Employed Dental Plan in Pike 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 Pike County move in and out of networks, so do it before you enroll rather than after.
Dental Insurance as a Business Expense in Illinois
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.
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.
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 Pike County and check your provider against each network.