Arizona dental insurance guide

For adults who purchase their own stand-alone dental coverage through the exchange in Arizona, premiums in May 2024 ranged from about $10 to $56 per month.¹

If a family is purchasing coverage through the health insurance exchange, the premiums associated with pediatric dental coverage may or may not be offset by premium tax credits (premium subsidies). Here’s more about how that works, depending on whether the health plan has integrated pediatric dental benefits.

The stand-alone pediatric dental plans available through the Marketplace/exchange in Arizona will comply with the ACA’s pediatric dental coverage rules. This means out-of-pocket costs for pediatric dental care will not exceed $400 per child in 2024 (or $800 for all the children on a family’s plan),² and there is no cap on medically necessary pediatric dental benefits.

As is the case for all essential health benefits, the specific coverage requirements for pediatric dental care are guided by the state’s essential health benefits benchmark plan.

You can see details here for Arizona’s benchmark plan, which does include coverage for both basic and major dental services for children.

In 2024, there are seven insurers that offer stand-alone individual/family dental coverage through the health insurance marketplace in Arizona. These are dental plans that are not included with a medical plan and must be purchased separately.

These plans can be purchased through HealthCare.gov during open enrollment (November 1 to January 15) or during a special enrollment period triggered by a qualifying life event. Exchange-certified stand-alone dental plans are compliant with the ACA’s rules for pediatric dental coverage.

There are also a variety of dental insurers that sell stand-alone dental plans directly to consumers in Arizona. These plans are not subject to the ACA’s essential health benefit rules for pediatric dental coverage, but they are regulated by the Arizona Department of Insurance. If you would like to purchase a non-ACA qualified dental plan, ask a dentist for recommendations or search online.

There are also various dental discount plans available in every state. Dental discount plans are not insurance, but can offer discounted rates at participating dentists. Here’s what you need to know about the differences between dental insurance and dental discount plans.

To find plans in your area, search online for dental discount plans and the state you are looking to buy a plan in.

Adults enrolled in Medicaid in Arizona are eligible to receive up to $2,000 in total dental services, divided between diagnostic/preventive and emergency dental care. Eligible children (up to age 21) are also able to access emergency or medically necessary dental services.

KidsCare (which is Arizona’s CHIP) provides coverage to children and pregnant women with income above the eligibility limits for Medicaid.

• Arizona Dental Association
• Arizona free dental clinics
• Arizona community dental clinic list
• Arizona Medicaid
• HealthCare.gov