Kansas dental insurance guide

For adults who purchase their own stand-alone dental coverage through the exchange in Kansas, premiums in May 2024 ranged from about $13 to $38 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 pediatric stand-alone dental plans available on the Kansas exchange (Marketplace) will comply with the ACA’s pediatric dental coverage rules.

This means out-of-pocket costs for pediatric dental care on these plans won’t be more than $400 per child in 2024 (or $800 for all the children on a family’s plan).² And there is no cap on how much the plan will pay for medically necessary pediatric dental benefits.

If a medical plan has embedded pediatric dental benefits, the maximum out-of-pocket limits described above do not apply. But there will be no limit on how much the plan will pay for pediatric dental care, since it’s considered an essential health benefit.

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 Kansas’s benchmark plan, which does include coverage for both basic and major dental services for children.

In 2024, five insurers offer stand-alone individual/family dental coverage through the health insurance Marketplace in Kansas. 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 many dental insurers that will sell stand-alone dental plans directly to consumers in the Sunflower State. These plans will not be subject to the ACA’s essential health benefit rules for pediatric dental coverage, but they are regulated by the Kansas Insurance Department. 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 Kansas. It’s important to recognize that dental discount plans are not insurance, but they 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 locate the plans available in your area, search online for dental discount plans and the state of Kansas.

Recent legislation has extended dental benefits for adults enrolled in Medicaid in Kansas. Beginning in 2023, adults are now eligible for preventive and restorative treatments. Children continue to receive a full range of dental benefits.

KanCare, which is Kansas’s CHIP, provides coverage to uninsured children and pregnant women with income above the eligibility limits for Medicaid.

• Kansas Dental Association
• Kansas Mission of Mercy (KMOM)
• Kansas free or low cost dental clinics
• Kansas Medicaid (KanCare)
• HealthCare.gov