How Inflation is Affecting Dental Benefit Costs
7 min read
Recent inflation headlines often focus on groceries, gas and housing. For employers managing benefits budgets, other cost trends deserve attention, including dental care. Even as broader inflation shifts, dental costs may follow a different path. Rising costs can affect renewal conversations, employee out-of-pocket expenses and the overall value employees receive from their dental benefits. Here is what employers should understand about the current trends and what to consider when evaluating their own plan.
Dental costs can follow a different path
Medical costs often receive more attention when employers discuss health care spending. However, dental inflation has outpaced medical inflation in recent years. Employers cannot assume that easing inflation elsewhere will automatically reduce pressure on dental costs. Dental care is influenced by its own market conditions, including the cost of operating a dental practice, the types of services members receive and how benefits are designed and used. For employers, dental benefits should be part of the broader conversation about managing health care costs and maintaining the long-term value of the benefits package.
What contributes to higher dental costs?
Dental cost pressure rarely comes from one source. Several factors tend to work together, including:
- The cost of providing dental care. Dental practices must account for expenses such as staffing, equipment, supplies and technology. As those operating costs rise, they may eventually affect provider fees and the cost of covered services.
- The types of care members receive. Routine exams and cleanings generally cost less than restorative and major services. When more members need fillings, crowns, root canals, periodontal treatment or other extensive care, the overall claims experience may increase.
- Delayed preventive care. Employees who postpone routine visits may miss opportunities to identify concerns earlier. In some cases, a condition that could have been addressed with simpler treatment may progress and require more complex care.
- Plan design and network use. Deductibles, coinsurance, annual maximums, procedure placement and network participation can all affect what the plan and its members pay. These decisions may also influence how employees use their benefits.
Premium is only one part of the cost
A modest renewal increase may appear favorable, but the premium alone does not provide a complete picture of a dental plan’s value. Employers should also consider the total program cost, including what employees pay when they receive care. A plan with a lower premium may include trade-offs that lead to higher deductibles, greater coinsurance, more balance billing or increased out-of-pocket exposure for certain services.
Network use also matters. Employees who visit network dentists generally receive discounted fees and protection from balance billing. Employers should consider the size of the network and availability of providers in the locations where employees live and work. When employees receive care outside the network, both their costs and the amount applied toward their annual maximum may be higher. Looking beyond the premium can help employers determine whether a plan balances organizational costs with affordability and predictability for employees.
What rising costs mean for employees
Increasing dental costs might also influence whether employees seek care. Data shows that cost remains an important barrier to dental care. When employees are uncertain about what their plan covers or are concerned about how much they may owe, they may postpone treatment. Delayed care can allow smaller problems to progress and potentially require more extensive treatment later.
This makes rising dental costs an employee experience issue as well as a financial one. A dental plan may offer meaningful coverage, but employees may not recognize its value if benefits are difficult to understand, expensive to use or unpredictable. Clear communication can help employees understand preventive coverage, find in-network providers and make more informed decisions about their care. Cost-estimator tools, pretreatment estimates and clear explanations of covered services can also help employees understand their potential costs before receiving care.
Importantly, managing cost pressure does not mean shifting more of the expense to employees. Higher deductibles, coinsurance or other out-of-pocket costs may reduce premiums, but can make employees less likely to use benefits and weaken perceived value.
The opportunity for employers
Employers cannot control inflation across the dental market. However, they can evaluate whether their dental plan is designed to manage cost pressure while continuing to meet employee needs.
Consider working with your trusted benefits advisor to review:
- Claims and utilization patterns
- Preventive care use
- Network access and participation
- Annual maximums and cost-sharing
- How procedures are covered within the plan
- Employee education and benefit understanding opportunities
- The total cost to both the employer and employees
The goal is to build a dental plan that supports appropriate care, manages costs responsibly and provides sustainable value over time. Learn more about group dental benefits from Ameritas.
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