Dental and Vision

Dental insurance, without the runaround.

Four carriers. About twenty plans. One page that tells you what they actually cost at your age, what they actually cover, and which one fits — then lets you enroll in a few minutes. No sales call required.

Start here — rates are set by age

I'm years old.
Coverage can startTomorrow, or the 1st of next month — depending on carrier
Agent cost$0. Premiums are identical whether you use an agent or not
No open enrollmentDental isn't like health insurance. Enroll any month
Where to callA real person in Pocatello, not a call center

Step one

Answer four questions. Get a real recommendation.

This is the same handful of questions I'd ask you on the phone. The answers narrow twenty-odd plans down to one or two that make sense — and I'll tell you why, not just what.

Plan finder

Nothing is submitted. No email required.

Question 1 of 4

What do you need coverage for right now?

Be honest here — it's the single biggest factor in which plan is right.

Have you had dental insurance in the last 60 days?

This one is worth real money. Prior coverage can erase waiting periods entirely.

Does anyone on the plan need braces?

Orthodontia is the one benefit that's genuinely hard to find on individual plans.

How attached are you to your current dentist?

Networks differ a lot. Going out of network can cost you hundreds.

Real numbers

Every plan, priced for your age.

These are the actual 2026 monthly premiums published by each carrier — not estimates. Change your age and the whole table updates. Add family members to see a household total.

CarrierPlan MonthlyHousehold Annual maximumWait for major work

How family pricing works

Blue Cross Healthy Smiles, Dental Blue Connect and Delta Dental all price per person — the household figure is everyone's individual rate added together. On the ACA-qualified Blue Cross plans (Dental Choice, Choice Plus and the new Choice Core) you pay for a maximum of three children under 21; a fourth and fifth child are free. Ameritas is different — it prices by ZIP code rather than age, so its real rate comes from the live quote tool rather than a table.

The part nobody explains

How dental insurance actually works.

Dental insurance is not really insurance the way health insurance is. Health insurance protects you from catastrophe — an unlimited downside. Dental insurance is closer to a discount program with a spending cap. Once that sentence lands, every other decision on this page gets easier.

Every procedure falls into one of three buckets

Carriers use different plan names, but they all sort dental work the same way. The bucket a procedure lands in determines what share you pay and how long you have to wait.

BUCKET 1 — PREVENTIVE

Keeping problems away

Usually 100% covered, no wait
  • Routine cleanings
  • Exams and check-ups
  • Bitewing and routine X-rays
  • Fluoride and sealants (kids)
BUCKET 2 — BASIC

Fixing small problems

You pay ~20–50% · often a 6-month wait
  • Fillings
  • Simple extractions
  • Periodontal maintenance
  • Scaling and root planing
BUCKET 3 — MAJOR

Rebuilding a tooth

You pay ~50% · often a 12-month wait
  • Crowns and bridges
  • Root canals
  • Dentures
  • Implants and oral surgery

The most common surprise

People assume a cracked tooth is an emergency the plan will handle immediately. On most plans a crown sits in Bucket 3 — which means a 12-month waiting period before the plan pays a dime toward it. If you already know you need major work, the waiting period matters more than the premium. Two ways around it: buy a plan with no waiting period (Ameritas, Delta's Clear Plan, or a Blue Cross copay plan), or use prior coverage to get the wait waived. More on that below.

Five numbers decide what a plan really costs you

NUMBER 1

Premium

What you pay every month whether you visit the dentist or not. The only number most people compare — and the least useful one on its own.

NUMBER 2

Deductible

What you pay before the plan starts sharing costs. Typically $50–$90 per person per year, and it usually does not apply to cleanings.

NUMBER 3

Coinsurance or copay

Your share afterward. Coinsurance is a percentage (you pay 50% of a crown). A copay is a flat dollar amount (you pay $500 for a crown, full stop).

NUMBER 4

Annual maximum

The most the plan will pay in a year — usually $1,000–$2,500. This is a cap on them, not on you. Anything past it is yours.

NUMBER 5

Waiting period

How long you must hold the plan before certain work is covered. Commonly 6 months for basic and 12 for major. This is the number that trips people up.

What a crown actually costs on three different plans

Assume a $1,400 crown, in network, on a plan you've held for over a year. Illustration only — your dentist's fee and your plan's allowed amount will differ.

Coinsurance plan · 50% major
Dentist's charge$1,400
Deductible you pay$50
Plan pays 50% of $1,350−$675
Your coinsurance$675
You pay$725
Copay plan · flat fee
Dentist's charge$1,400
Deductible you pay$50
Set crown copay$500
Percentage owed$0
You pay$550
No coverage
Dentist's charge$1,400
Network discount$0
Plan pays$0
Your cost$1,400
You pay$1,400

Two things this shows. A copay plan is often cheaper on a single big procedure, and it's predictable — you can know the number before you sit down. And even before the plan pays anything, being in network reduces the bill, because network dentists agree to discounted rates. That discount alone is worth something.

The waiting-period rule that saves people the most money

If you're coming off other dental coverage, say so during enrollment. Carriers will often credit that time and waive your waiting periods — the difference between paying 50% for a crown next month and paying 100% for it for a year.

CarrierWhat waives the waiting periodWhat you need to provide
Delta Dental At least 12 consecutive months of prior dental coverage with no gap longer than 30 days. Name of the prior carrier and dates of coverage during enrollment.
Ameritas At least 12 continuous months of prior fully-insured active dental coverage, with a gap of no more than 60 days. Ameritas calls this Credit for Prior Coverage. Previous policy number and carrier name, entered during enrollment.
Blue Cross Ask before you apply — credit for prior coverage is handled case by case. The copay plans have no waiting periods to begin with, and under-19 ACA plans have none either. Call me and I'll confirm before you submit anything.

Ameritas doesn't impose waiting periods in the first place — but it does start you at a lower benefit level in year one, so prior-coverage credit still matters there.

In network vs. out of network

A network dentist has signed a contract agreeing to charge less than their usual fee — often 25–50% less. That discount applies before your plan pays anything, so it lowers both your share and how fast you burn through the annual maximum. Out of network, the dentist can bill their full fee, your plan pays a smaller percentage of a smaller allowed amount, and you cover the gap. On some plans it's a modest difference. On others it doubles your bill.

Before you enroll, look up your dentist. Every carrier below has a provider search linked in its card. It takes ninety seconds, and it's the single most common reason someone ends up unhappy with a plan they otherwise chose well.

Timing moves that are completely legitimate

Split treatment across two benefit years

If you need $3,000 of work and your plan caps at $1,500, ask your dentist to schedule half in December and half in January. You get two annual maximums instead of one.

Do the preventive work first

Cleanings and X-rays are covered from day one on nearly every plan. Use the waiting period productively — get the exam done, find out what you're facing, and plan around it.

Look for plans where preventive doesn't count against the max

Ameritas calls this Preventive Plus. Your cleanings don't eat into the annual maximum, so the whole cap stays available for the expensive work.

Check whether benefits grow over time

Several plans here increase coverage and annual maximums after year one, and one Blue Cross plan improves its major-work coverage in each of the first three years. Staying put pays.

Side by side

Which carrier, and why.

Each of these is genuinely the right answer for somebody — and the wrong one for somebody else. Here's the honest version.

  Blue Cross of Idaho Delta Dental of Idaho Ameritas
Network size in Idaho Most Idaho dentists participate Largest — roughly 9 of 10 dentists nationwide Smaller network, but deeper discounts where it applies
Waiting periods 6 months basic / 12 months major — except the copay plans and under-19 ACA plans, which have none 6 months basic / 12 months major — waived with 12 months of prior coverage. The Clear Plan has none at all None. Benefits are simply lower in year one, then step up
When coverage starts The 1st of the following month The 1st of the following month (enroll any time through month end) As soon as the next day
How it's priced By age band By age band By ZIP code, not age
Braces Medically necessary orthodontia on ACA plans for under-19 only, with prior authorization GrinWell Prime covers adult and child braces — $1,000 lifetime maximum Care Boost covers child braces under 19 — $1,000 lifetime maximum
Implants Covered on several plans; the copay plan sets a flat $1,250 implant copay Covered on Prime and Plus at 50%, or a flat $1,250 on the Clear Plan Covered on Care Boost and Care Complete with its own annual sub-limit
Highest annual maximum $2,500 (Healthy Smiles Elite) $2,000 (GrinWell Prime), or unlimited on the preventive-only plan $3,500 after year one (Care Complete)
Unusual extras True copay plans where every procedure has a fixed price Health through Oral Wellness — extra benefits if a risk assessment says you need them Hearing aid coverage on Care Complete; teeth whitening on Care Boost
Best if… You want a familiar Idaho name, broad dentist access, and a plan tier for every budget Keeping your current dentist matters most, you're coming off other coverage, or you need braces You need coverage immediately, you're on Medicare, or you want hearing benefits included

VSP is vision-only and isn't compared here — it's a separate purchase, covered further down. Ameritas also sells vision plans built on the EyeMed and VSP networks if you'd rather have dental and vision on one bill.

Enroll

Pick a carrier and apply online.

Each enrollment link below is coded to my agency, so I'm listed as your agent and can help with claims, ID cards and questions later — at no additional cost to you. Look up your dentist first.

Ten plans, from bare-bones preventive to a $2,500 maximum

Trusted Idaho name · Broad network · Coverage starts the 1st of next month

Blue Cross gives you the widest spread of price points on this page. At the low end, Healthy Smiles Preventive covers cleanings and exams for under $25 a month for most adults. At the top, Healthy Smiles Elite carries a $2,500 annual maximum and improves its major-work coverage in each of the first three years you stay on it.

The ones to know about are the copay plans. Instead of paying a percentage and guessing, every procedure has a fixed price: $75 for a filling, $500 for a crown, $150 for an extraction, $1,250 for an implant. There are no waiting periods, and the annual maximum disappears entirely after year one.

Waiting periods6 months basic, 12 months major. None on the copay plans or under-19 ACA plans.
Coverage beginsThe first of the following month.
Deductibles$0 to $90 per person depending on plan.
AvailabilityIdaho residents only.
Best for: people who want a recognizable Idaho carrier with a wide dentist network, and anyone who'd rather know the exact price of a crown up front than calculate a percentage.

The biggest network in the state — and the only adult braces benefit

9 of 10 dentists nationwide · Waits waived with prior coverage · Enroll any time

If keeping your dentist is the priority, start here. Delta is Idaho's largest dental carrier and its network reaches nearly every practice in the state, plus more than 152,000 dentists nationwide — useful if you travel or have a kid away at college.

Five plans, and they're meaningfully different from one another. GrinWell Prime is the closest thing here to employer-grade coverage: a $2,000 annual maximum, implants, and orthodontia for adults as well as children, which almost no individual plan offers. The Clear Plan takes a different approach — no waiting periods at all, and set dollar amounts instead of percentages, so a filling is $90, a crown $500, a root canal $400, an implant $1,250. At the other end, GrinWell Prevent covers preventive care with no copays and no annual maximum for around $22 a month.

Waiting periods6 months basic, 12 months major — waived with 12 months of prior coverage and no gap over 30 days. None on the Clear Plan.
Coverage beginsThe 1st of the following month; enroll any time through month end.
OrthodontiaGrinWell Prime — adult and child, 50%, $1,000 lifetime max, 6-month wait.
Medicare-friendlyYes. Medicare enrollment periods don't apply to dental.
Best for: anyone leaving a job with dental coverage (your waits get waived), anyone who won't switch dentists, and families needing orthodontia.

Coverage that can start tomorrow, with no waiting periods at all

Next-day coverage · Priced by ZIP, not age · Dental, vision and hearing

Ameritas solves one specific problem better than anyone else: you need work done and you can't wait. There are no waiting periods on the PrimeStar plans, and coverage can begin as soon as the next day. The trade-off is that benefits start lower in year one and step up after twelve months — so a crown covered at 20% now might be covered at 50% a year from now.

Three dental plans. Care Lite is the value option, with a $750 maximum that doubles to $1,500 after year one. Care Boost adds child orthodontia, implants and teeth whitening, and lifts the maximum to $2,500 in year two. Care Complete is the most generous plan on this entire page — $3,500 after year one, 80% coverage on basic work from day one, plus hearing aid benefits, which makes it a strong companion to a Medicare plan.

One feature worth calling out: Preventive Plus. Your cleanings and exams don't count against the annual maximum, so the entire cap stays available for expensive work.

Waiting periodsNone on any PrimeStar dental plan.
Coverage beginsAs soon as tomorrow, or up to three months out.
Deductible$0 preventive, $50 basic and major, per person.
Network noteSmaller network, larger discounts. Check your dentist first.
Best for: people who need coverage immediately, Medicare beneficiaries wanting dental, vision and hearing in one place, and families needing child orthodontia.

PrimeStar dental plans

  • Care Lite
    Max $750 → $1,500 in year 2
    Quote
  • Care Boost
    Max $1,000 → $2,500 · child braces
    Quote
  • Care Complete
    Max $2,000 → $3,500 · hearing
    Quote

Ameritas rates depend on your ZIP code rather than your age, so there's no table to publish — the shopping link returns your exact price in about a minute.

Take action

Vision coverage, because eyes and teeth are separate purchases

Largest vision network in the U.S. · No waiting periods · Benefits start the month you enroll

Dental plans don't cover glasses. If you want vision coverage, it's a separate policy — and VSP is the largest vision carrier in the country, with the biggest network of independent eye doctors plus retail locations.

All three plans share the same core: a $15 exam copay, a $25 copay on prescription glasses, and a $150 frame allowance ($170 on featured brands) with 20% off anything over that. What differs is the contact lens handling and the upgrades. The EasyOptions plan lets you pick one upgrade each year — fully covered premium progressive lenses, fully covered light-reactive lenses, an extra $80 for frames, or an extra $80 for contacts.

Waiting periodsNone. Benefits start the month you enroll.
FrequencyExam, lenses and frames every 12 months.
Out of networkReimbursed up to $45 exam / $70 frame / $105 contacts.
Association feeBase and EasyOptions carry an $18 annual enrollment fee.
Best for: anyone who buys glasses or contacts every year. If you only need an exam, compare the annual premium against what your optometrist charges for a self-pay exam before you buy.

Monthly rates in Idaho

  • Standard — one person$13.93
  • Standard — two people$26.54
  • Standard — family$36.24
  • Base — one person$17.70
  • Base — family$45.15
  • EasyOptions — one person$27.51
  • EasyOptions — family$69.15

Take action

What happens next

Enrolling takes about ten minutes.

Most people are done in one sitting. Here's the order I'd do it in.

Look up your dentist before anything else

Use the provider search on the carrier's card above. If your dentist isn't in that network, stop and check a different carrier — this is the most common regret and it's completely avoidable.

Gather what the application asks for

Names, dates of birth and Social Security numbers for everyone being covered. A home address and email. Bank account or card details for the first premium. If you've had dental coverage in the last year, bring the carrier name, policy number and dates — that's what waives your waiting periods.

Apply through the link on this page

The links are coded to my agency, which costs you nothing and means you have someone to call later. Your premium is exactly the same either way.

Choose your effective date carefully

Ameritas can start as soon as tomorrow. Blue Cross and Delta start the 1st of the following month. If you're timing around a treatment plan or the end of other coverage, this field matters — pick deliberately.

Watch for your ID card, then book the cleaning

Most carriers give you digital access to your card quickly and mail the physical card within about ten days. Preventive care is covered from day one on nearly every plan — get in early and find out what you're working with.

Call me if anything looks wrong

Claim denied, dentist says you're not covered, ID card never showed up, premium came out twice. That's what I'm here for, and there's no charge for it. 208-238-1171.

Learn from other people

The mistakes I see most often.

Buying on premium alone

The cheapest plan is the right answer if you only want cleanings. If you need a crown, a $22 plan that doesn't cover major work costs you $1,400 more than a $45 plan that does.

Not checking the network

Ninety seconds of looking up your dentist prevents the single most common complaint. Ameritas in particular trades network size for bigger discounts — great value, but verify.

Not mentioning prior coverage

People leave a job, buy a plan, and never mention the dental they just had. That silence can cost a year of waiting on major work that would have been waived.

Expecting dental to work like health insurance

There's no out-of-pocket maximum protecting you on the top end. The annual maximum caps what the plan pays, not what you pay. Budget accordingly.

Waiting for open enrollment

Individual dental has no open enrollment window. You can buy it in March, in August, or the week after you crack a molar. Don't wait for November.

Assuming a Medicare plan already covers it

Medicare Parts A and B exclude routine dental. Medicare Advantage dental varies enormously and is often capped low. A standalone dental plan can be bought any time of year.

Questions

Things people ask me every week.

Does it cost more to enroll through you than to go direct?

No. Premiums are filed with the state and are the same whether you buy through an agent, over the phone, or on the carrier's own website. My compensation comes from the carrier. What you get for free is somebody who knows the plans and will pick up the phone when there's a problem.

Can I enroll any time of year?

Yes. Individual dental and vision have no open enrollment period — that's a health insurance rule that doesn't apply here. Blue Cross and Delta start you on the 1st of the following month; Ameritas can start as soon as tomorrow.

I need a crown next month. What should I buy?

Most plans make you wait twelve months for major work, so this comes down to three real options: Ameritas PrimeStar (no waiting periods, but year-one coverage on major work is lower), Delta's Clear Plan (no waiting periods, flat $500 crown copay), or a Blue Cross copay plan (no waiting periods, flat $500 crown copay).

If you had dental coverage in the last 30–60 days, a fourth option opens up: a standard Delta or Ameritas plan with the waiting period waived, which usually beats all three. Call me and I'll do that math with you before you buy.

What's the difference between a copay plan and a regular plan?

A regular plan pays a percentage — you owe 50% of whatever the crown costs, which you can't know until the dentist quotes it. A copay plan sets a fixed dollar price for each procedure: a crown is $500 whether the dentist charges $1,200 or $1,600. Copay plans are typically better for people who know they need work and want a predictable number. Percentage plans often work out better if you need a lot of small things.

My dentist isn't in the network. How bad is that?

It depends on the plan, but it's usually the difference between paying 20% and paying 50%, on top of losing the network discount that would have lowered the bill in the first place. On some plans out-of-network care isn't covered at all. Before you enroll, run your dentist through the provider search — and if they're not there, ask them which plans they do take. Most offices will tell you straight out.

Is orthodontia covered?

Rarely, and never generously — this is the hardest benefit to find on individual dental. Two real options here: Delta's GrinWell Prime covers braces for adults and children at 50% with a $1,000 lifetime maximum after a six-month wait, and Ameritas Care Boost covers child orthodontia under age 19 with a $1,000 lifetime maximum. Blue Cross covers medically necessary orthodontia on its ACA plans for under-19s with prior authorization. Delta also offers a discount program that isn't insurance but reduces the cash price.

What's an annual maximum, and is it a cap on me?

It's a cap on them. If your plan has a $1,500 annual maximum, that's the most the insurance company will pay toward your care in a benefit year. Once they've paid it, everything after that is your responsibility at full price. This is why splitting a big treatment plan across two benefit years is such a useful move — ask your dentist to schedule half in December and half in January.

I'm on Medicare. Can I still buy this?

Yes, and many people should. Medicare Parts A and B don't cover routine dental at all, and Medicare Advantage dental benefits vary widely and are often capped at a low amount. Medicare's enrollment periods don't apply to dental — you can buy a standalone plan in any month. Ameritas Care Complete is worth a look specifically because it adds hearing aid coverage.

Can I cover just my kids?

Yes. The Blue Cross ACA-qualified plans (Dental Choice, Choice Plus and Choice Core) are built around pediatric dental and include an out-of-pocket maximum for children — $450 per child, $900 for two or more — which the adult plans don't have. There are also no waiting periods on the under-19 ACA plans. If you're only insuring children, start there.

Do these plans cover cosmetic work like veneers or whitening?

Generally no. Cosmetic dentistry is excluded from nearly every dental plan. The exception on this page is Ameritas Care Boost, which includes a benefit toward professional teeth bleaching. Veneers, cosmetic bonding and elective smile work are self-pay almost everywhere.

What if I need to cancel?

Terms differ by carrier and some plans have an annual contract commitment, so ask before you enroll if you think you might only want coverage briefly. Ameritas offers a 30-day satisfaction guarantee on its dental and vision plans. Call me and I'll tell you what your specific plan allows.

Do I need vision coverage too?

Only if you buy glasses or contacts. Do the arithmetic: VSP's Standard plan is about $167 a year for one person and returns a $150 frame allowance plus a covered exam, so if you replace your glasses annually it pays for itself. If you wear the same frames for five years and just need an exam, paying cash for the exam is often cheaper.

Plain English

Every term you'll hit on an application.

Premium
Your monthly payment for the policy, due whether or not you use it.
Deductible
What you pay out of pocket each year before the plan starts sharing costs. Usually waived for preventive care.
Coinsurance
Your share expressed as a percentage. "50% coinsurance on major" means you pay half.
Copay
A fixed dollar amount for a specific service — $75 for a filling, regardless of the dentist's fee.
Annual maximum
The most the plan will pay in a benefit year. Costs beyond it are entirely yours.
Benefit period
The twelve-month window your maximum and deductible reset on. Often the calendar year, but not always.
Waiting period
Time you must hold the policy before a category of service is covered. Typically 6 months basic, 12 months major.
Preventive services
Cleanings, exams, X-rays, fluoride. Nearly always covered at 100% with no waiting period.
Basic services
Fillings, simple extractions, periodontal maintenance, scaling and root planing.
Major services
Crowns, bridges, dentures, root canals, oral surgery, implants.
In network
A dentist under contract to charge discounted rates — often 25–50% below their usual fee.
Out of network
Any other dentist. The plan pays less, on a smaller allowed amount, and you cover the gap.
DPPO
Dental Preferred Provider Organization. You may see any dentist, but you save more in network.
Maximum allowed charge
The most a plan recognizes for a procedure. Your percentage is calculated on this, not the dentist's bill.
Credit for prior coverage
Applying your previous dental policy toward a new plan's waiting periods, usually erasing them.
Out-of-pocket maximum
A ceiling on your own spending. Rare in dental — mainly found on ACA pediatric plans.
ACA-qualified dental
A plan meeting Affordable Care Act pediatric dental standards, with an out-of-pocket cap for children.
Prior authorization
Advance approval from the carrier before a procedure is covered. Common on orthodontia and implants.
Frequency limitation
A cap on how often a service is covered — two cleanings a year, one crown per tooth every few years.
Effective date
The day your coverage actually begins. Choose it deliberately during enrollment.
Frame allowance
A vision-plan dollar amount toward frames. Anything over it is yours, usually with a 20% discount.
Schedule of benefits
The contract page listing exactly what's covered, at what level, with what limits. The document that actually governs.

Your agent

Matthew Semons

Independent insurance agent in Pocatello. I represent all four carriers on this page, which means I have no reason to steer you toward one over another — only toward the one that fits.

When it's worth calling instead of clicking

Most people can enroll from this page without talking to anyone, and that's the point. But call me if any of these apply:

  • You've got a treatment plan from your dentist and want to know which policy pays the most against it
  • You're coming off other coverage and want the waiting periods waived correctly
  • You're insuring a family and the math on ACA vs. per-person pricing isn't obvious
  • You're on Medicare and want dental, vision and hearing sorted at once
  • A claim was denied, or your dentist says you're not covered when you should be

There's no charge for any of it, and there's no charge later either.

Important. This page is a summary prepared by Real Benefit Solutions to help you compare options. It is not a contract, a certificate of insurance, or a guarantee of coverage. The policy, certificate and schedule of benefits issued by the insurance carrier control in all cases, and they contain the complete description of benefits, limitations, exclusions and conditions of coverage. Where this page and a carrier document disagree, the carrier document governs.

Rates shown are 2026 individual monthly premiums as published by each carrier and are subject to change. Blue Cross of Idaho and Delta Dental of Idaho rates are age-banded and apply to Idaho residents. Ameritas premiums are determined by ZIP code and must be quoted through the carrier's shopping tool. VSP rates shown are those published in the plan comparison document linked on this page; confirm current pricing during enrollment. Plan availability, benefit levels, waiting periods and networks vary and may change.

Blue Cross of Idaho is an independent licensee of the Blue Cross and Blue Shield Association. Delta Dental of Idaho, Ameritas Life Insurance Corp. and Vision Service Plan are independent companies. All product names, logos and brands are the property of their respective owners and are used here for identification only.