How Does Dental Insurance Work?
  • Explore Dental Insurance
  • What Are The Inclusions?
  • Best Dental Insurance Plans
How Does Dental Insurance Work?
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What Is Dental Insurance? An Introduction

Dental treatments have always been expensive. The average cost of teeth alignment in India can vary anywhere between INR 10,000 to 3 Lakhs depending on the kind of braces applied. There are multiple times when you may need dental medical care but always pay the bills out of pocket. To tackle these expenses many reputed health insurance companies have introduced dental insurance in India.

Investing in dental insurance coverage in India is uncommon as there is not much information about it. Do not worry! You have landed at the right place, as we help you solve all your queries about dental insurance coverage in this article.

Key Takeaways

  • Dental insurance coverage is not available with all health insurance plans in India as they are considered to be cosmetic procedures
  • You can avail of dental treatments as an add-on with minimal additional premium cost
  • Invest in dental insurance coverage and avail of benefits such as root canals, regular dental check-ups, X-rays, and more

How Does Dental Health Insurance Work?

Dental insurance coverage works just like every other health insurance in India. Depending on the coverage terms and conditions of a health plan, you are eligible to avail of dental treatments in exchange for additional premiums. There are certain factors you must be aware of to understand how a dental health plan works.

  • You must know that before availing of dental treatments you are required to serve a waiting period which can vary anywhere between 1 and 3 years depending on the insurer.
  • There is an upper limit attached to your OPD expenses. For example, if your health coverage upper limit is INR 5,000 and your dental treatment costs you INR 15,000. The health insurance cover will only cover INR 5,000 for your dental coverage. You will have to pay the remaining INR 10,000 out-of-pocket.

Your dental insurance coverage will reimburse you for all the dental treatments as per your policy wordings, so read the same carefully.

Why Is Dental Treatment Not Covered Under Conventional Health Plans?

If we are completely honest about it, not covering dental procedures by all health plans is a much-debated topic. Often health insurance companies do not provide dental coverage in India as they are considered to be cosmetic procedures. However, not all is grim, there are multiple health insurance plans in India covering dental treatments as in-built treatments, or as an add-on.

Health Insurance Plans With Dental Cover

Health Plan Sum Insured (In Rs.) Key Features
Niva Bupa Aspire Up to 1 Crore Covers maternity, IVF, and legal adoption, Pay premiums as per your entry age till you claim, Avail cashback after every claim-free year
Star Health Assure Up to 2 Crores Emergency road ambulance, Organ donor expense cover, Star wellness programs
Care Supreme Up to 1 Crore Unlimited automatic recharge, Unlimited e-consultations, Optional benefits
Aditya Birla Activ One Up to 2 Crores Protection against medical inflation, There is no capping on expenses like room rent, ICU charges, etc., Refills your cover up to 100%
Care Critical Mediclaim Up to 2 Crores Covers 32 defined critical illnesses, Surgical procedures covered, Lifelong coverage

Eligibility Criteria For Dental Insurance Plan

Health insurance eligibility for dental plans depends from insurer to insurer. However, the generic health insurance eligibility for dental coverage in India starts from 18 years and goes up to 65 years. You can also cover family members as young as 90 days under dental coverage in India. Other family members can be included as per the terms and conditions of the health plan.

Benefits Of Dental Insurance Coverage

Investing in dental insurance in India offers you with a plethora of benefits:

  • Your Financial Safety Net
    Dental treatments have the potential to put a dent in your savings if paid out of pocket, this is why it is advised to invest in dental insurance plans.
  • Achieve Optimal Dental Health
    Your dental health depends on regular visits to the dentist, this is a known fact to all. If your goal is to maintain all-round dental hygiene and be free from oral diseases throughout your life, a dental insurance plan is a must.
  • Dental Treatments From The Best
    Dental health insurance plans offer cashless treatments from the best doctors in your city. Probe the best dental health insurance plans in the market with the help of PolicyX insurance experts.

Dental Insurance Plans Inclusions and Exclusions

Inclusions Exclusions
Diagnostics like X-rays Dentures as they come under cosmetic procedures
Regular oral health check-ups Prosthesis
Surgery and treatments for dental injury caused by accidents Dental Implants
Root canal procedure Orthodontics
Fillings, extractions, and others. Jaw alignment surgeries

Things To Consider When Buying Dental Insurance In India

Consider the following when buying dental insurance plans:

  • The sum insured limit for your dental coverage plans is the most important factor to consider
  • Compare all dental insurance coverage plans to make a smart purchase. Find out if the treatments and procedures required by you are covered by your health plan or not.
  • Cross-check all the inclusions and exclusions mentioned in your dental insurance coverage
  • Check the network hospitals available to you
  • Check out the claim process and claim support

Final words

It is important to note that not all health insurance plans offer dental health coverage. However, you can avail of the same as an add-on by paying a minimal additional premium. If you wish to know more about dental coverage plans connect with PolicyX health insurance experts.

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What Is Dental Insurance : Faq

1. How much does a dental health insurance plan cost in India?

Dental insurance plan premiums depend from insurer to insurer as there is no fixed premium rate for dental insurance. It depends entirely on factors like the sum insured, dental cover add-on, policy term, and more.

2. What comes under dental insurance coverage?

Dental insurance plans provide coverage against medical expenses like regular checkups, diagnostic procedures like X-rays, fillings, root canal procedures, and more.

3. Who is eligible to purchase dental coverage plans in India?

Eligibility for health insurance plans covering dental treatments can be availed by individuals between 18 to 65 years with coverage available for dependent children at an early age of 90 days.

4. Why is dental coverage not covered by most health insurance plans?

It is due to the reason that dental procedures are considered to be cosmetic treatments. However, some health plans provide in-built dental coverage.

5. Can I buy dental insurance plans online?

Yes, you can purchase dental insurance plans online by visiting PolicyX.com.

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Simran Kaur Vij

Written By: Simran Kaur Vij

Simran is an insurance expert with more than 3 years of experience in the industry. She may have all the answers to your insurance queries. With a background in Banking, she proactively helps her readers to stay on par with all the latest Insurance industry developments.