ACA health plans do not include adult dental or vision coverage. A standalone dental plan covers cleanings, fillings, crowns, and major work. Vision plans cover exams, glasses, and contacts. A licensed Utah broker pairs these with your health plan.
Free, no-obligation โ a licensed Utah agent will reach out within one business day.
A licensed Utah broker will contact you within one business day. Your information is never sold. No cost, no obligation.
Why You Need It
The Affordable Care Act requires pediatric dental and vision coverage in ACA plans, but adult dental and vision are not required โ and most ACA plans do not include them. This means millions of Utahns on ACA marketplace plans have zero dental or vision coverage unless they purchase a standalone plan.
The cost of uninsured dental care is significant: a single crown can cost $1,000โ$1,800 out of pocket; a root canal $1,000โ$1,500; a full set of X-rays $200โ$300. Routine cleanings without insurance run $100โ$200 each. A dental plan costing $30โ$50/month typically covers 100% of preventive care and 50โ80% of major work after a waiting period.
Vision plans are typically $8โ$15/month and cover one annual exam plus an allowance for frames and lenses. Contact lens allowances are also standard. For Utah families where multiple people wear glasses, a family vision plan often pays for itself in the first claim.
PPO Plans: See any dentist, with better benefits for in-network providers. Most flexibility. Most popular in Utah's metro areas where multiple dental networks compete.
HMO / DHMO Plans: Lower premiums, must use network dentists. Best for Utahns with an established dentist who participates in the network.
Indemnity Plans: See any licensed dentist, insurer pays a percentage of usual fees. Most flexible but typically higher premium.
Most dental plans impose waiting periods for major services (crowns, root canals, bridges): typically 6โ12 months. Preventive and basic services often have no waiting period. If you know you need major work soon, a broker identifies plans with reduced or no waiting periods โ they exist, but require careful comparison.
A licensed Utah broker pairs dental and vision plans with your health coverage in minutes โ at no cost to you.
Find a Utah Broker โ