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What is Dental Insurance?

Dental insurance is a type of health insurance that specifically covers costs related to teeth care, including routine check-ups, cleanings, fillings, root canals, and sometimes cosmetic procedures. A good dental insurance plan helps reduce out-of-pocket expenses and supports preventive dental care. It works on either a reimbursement basis or through a network of affiliated dentists. People opt for dental insurance cover to maintain oral health while avoiding large expenses for treatments. It can be purchased as a standalone policy or added to a pocket insurance bundle.

● Covers routine dental check-ups and major procedures

● Supports timely and preventive oral healthcare

● Can be availed as an individual or bundled plan

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Check your Eligibility and Document Required for Dental Insurance

Check your Eligibility for Eye Insurance

Before applying for dental coverage, you must meet the following requirements:

  • Indian Residency : You must be a resident of India to apply for a dental insurance plan.
  • Age Between 18 and 65 : Most insurers accept individuals aged 18 to 65. Children may be covered under family floater plans.
  • No Major Ongoing Dental Treatment : Applicants should not have any major dental treatments in progress at the time of applying.
  • Valid Identity and Address Proof : Government-approved ID and address proof are required as part of the eligibility process.
  • Additional Requirements for High-Value Plans : Some insurers may ask for income proof or health declarations for premium plans.

Documents Required for Dental Insurance

Here are the documents you require for a dental health insurance:

  • Identity Proof : Accepted documents include Aadhaar Card, PAN Card, or Passport.
  • Address Proof : Submit any valid proof such as utility bills, Aadhaar, or driving licence.
  • Age Proof : Birth certificate, school leaving certificate, or Aadhaar Card may be accepted.
  • Passport-Size Photograph : A recent passport-size photograph is required for the proposal form.
  • Medical History : If the insurer requests, you may need to provide past dental or medical records.
  • Filled Application Form : A duly completed and signed proposal form is essential for policy issuance.

Get Insured in 5 Easy Steps for Dental Insurance

1step

Choose the Right Plan

Compare different dental insurance policies and pick one that suits your specific oral health requirements.

2step

Check Eligibility

Make sure you meet the insurer’s eligibility criteria, including age limits and waiting period conditions.

3step

Fill the Proposal Form

Complete the application form online or offline with accurate personal and medical details.

4step

Submit Documents

Provide necessary KYC documents like ID proof, address proof, and medical history if required.

5step

Make Payment

Pay your premium online through a secure payment gateway and receive your policy instantly.

Customer Satisfaction Stories

Hear from our happy customers what they have to say about their experience with us.

Hear What The Experts Have To Say
Hear What The Experts Have To Say
Arun Sharma

Aditya Birla Health Insurance

1 Jan 1
Hear What The Experts Have To Say

Aditya Birla Health Insurance has been my companion in my weight loss journey of losing 17 Kgs and helping me stay disease-free. Health Returnsᵀᴹ keeps my whole family motivated to be active and stay fit and each person can do the exercise of their choice

Hear What The Experts Have To Say
Mr. Rajinder Balhara

Aditya Birla Health Insurance Customer

Delhi, India

Hear What The Experts Have To Say
Hear What The Experts Have To Say
Mrs. Mangal Prathamesh Mithari

Aditya Birla Health Insurance Customer

1 Jan 1
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Staying healthy has become a way of life. I really enjoy using the Activ Health app that gives all my health solutions at one place.

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Mr. Himanshu Chaturvedi

Aditya Birla Health Insurance Customer

Noida, India

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Hear What The Experts Have To Say
Shruti Davda

Aditya Birla Health Insurance

1 Jan 1

Understanding Dental Insurance

  • How does dental insurance work?
  • What does dental insurance typically cover?
  • How much does dental insurance cost?
  • What is a dental waiting period?
  • What is a dental deductible?
  • Can I use my dental insurance at any dentist?
  • How often can I get a dental cleaning with insurance?
  • Is dental insurance worth it?
  • Need Help with Dental Health? Find a Dentist & Submit a Claim Online

How does dental insurance work?

Dental health insurance helps reduce the financial burden of oral healthcare by covering a part of your treatment costs.
Premiums and CoverageYou pay a monthly or annual premium to stay insured.
Percentage-Based Benefits Insurer covers a portion of each procedure—typically between 50% and 100% depending on treatment type.
Deductibles and Co-Pays You may need to pay a certain amount before the insurance kicks in.
Preventive vs Major Services Preventive treatments like cleanings are often covered fully; major services might have waiting periods.
Cashless or Reimbursement Use a network dentist for cashless service or opt for reimbursement claims if using an outside provider.

What does dental insurance typically cover?

Most dental policies cover basic, preventive, and some advanced procedures, depending on the plan.
Routine Check-ups and Cleanings Covered under most dental plans at 100%.
Fillings and Extractions Basic treatments are typically covered partially or fully.
Root Canals Usually covered after waiting period or deductible.
X-rays and Diagnostics Often included to assist in diagnosis and treatment planning.
Gum Treatments Covered by comprehensive dental policies.
Orthodontic Treatments Included in select premium plans or child-specific policies.
Crowns, Bridges and Dentures Coverage may vary; check individual plan details.

How much does dental insurance cost?

Premiums vary based on the level of dental coverage, insurer, and whether you choose individual or family plans.
Monthly Premiums Start as low as ₹150 and go up to ₹800 depending on benefits.
Affordable Pocket Insurance Low-cost plans cover preventive treatments and basic oral care.
Custom Plans More expensive plans offer broader coverage and higher sum insured.

What is a dental waiting period?

This is the initial period during which certain dental treatments are not covered under the dental health insurance plan.
Immediate Cover Preventive care like cleanings may be covered from day one.
6–12 Month Delay Major procedures like crowns, root canals, or braces may require a waiting period.
Check Policy Terms Waiting periods differ by insurer and treatment type.
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What is a dental deductible?

A deductible is a fixed amount you must pay before your insurer shares the cost of dental care.
Out-of-Pocket Start You pay the deductible first—insurance kicks in after.
Example Calculation If deductible = ₹500 and bill = ₹2,000, insurer pays for ₹1,500 as per policy.
Annual Deductibles Some policies reset the deductible annually.

Can I use my dental insurance at any dentist?

The flexibility of your dental coverage depends on whether the dentist is within the insurer’s network.
Network Dentists Enable cashless claim processing.
Out-of-Network Dentists A reimbursement claim can be filed with the required documents.
Verify Before Visit Check the insurer portal to confirm whether your dentist is covered.

How often can I get a dental cleaning with insurance?


Most dental coverage policies offer periodic cleanings to encourage preventive care and oral hygiene. • Twice a Year Generally, two cleanings per year are allowed.
Additional Cleanings Premium plans may allow more, depending on the oral health rider.
Check Frequency Limits Some policies may have per-visit or annual caps.

Is dental insurance worth it?

Dental health insurance offers cost protection and promotes preventive dental care for individuals and families. • Cost Savings Reduces out-of-pocket costs for regular and emergency dental needs.
Preventive Focus Encourages routine care, reducing the chances of severe dental issues.
Best for Families Ideal for kids, seniors, or individuals with recurring dental needs.

Need Help with Dental Health? Find a Dentist & Submit a Claim Online

Get access to qualified dental care and manage claims easily through your insurer’s digital services.
Locate Network Dentists Use your insurer’s online tool to find nearby approved clinics.
Submit Claims Online Upload bills and reports digitally for quick processing.
Faster Approvals Digital submissions are processed more efficiently than paper-based claims.

Things To Keep in Mind

Comprehensive Coverage

Ensure it covers routine check-ups, eyeglasses, contact lenses, and surgeries.

Network Providers

Choose a plan with your preferred eye doctors and clinic.

Coverage Limits

Understand annual and lifetime coverage limits.

Exclusions and Waiting Periods

Be aware of limitations and waiting times.

Affordability

Select a plan that fits your budget.

Claims Process

Opt for a hassle-free claims process with quick reimbursements.

Additional Benefits

Look for discounts, telehealth consultations, and other perks.

Our Dental Insurance Plan At A Glance.

Prioritise your dental well-being with our pocket insurance and avail:

Most Popular

Dental Insurance Plan

Our Term Insurance Plans KEY FEATURES Our Term Insurance Plans
  • In-person dental consultation
  • Up to 30% discount on diagnostics
  • Up to 15% discount on dental procedures and pharmacy

Cover

Up to 5 Sessions

Premium Starting From

Rs. 415/ Year

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FAQs on Dental Insurance

Most dental health insurance plans come with a waiting period, especially for major procedures. Preventive services like cleanings and check-ups may be available immediately or within 30 days. It's best to check your policy document to understand specific waiting periods for different treatments.

This depends on the type of dental insurance plan you have. Plans that operate on a network basis require you to visit affiliated dentists to enjoy cashless benefits. However, some plans may offer partial reimbursements even if you visit out-of-network dentists.

Generally, cosmetic dental treatments such as teeth whitening, veneers, or smile design are not a part of dental cover plans. These are considered elective and not medically necessary. Coverage may vary by insurer, so always verify before purchasing.

The annual maximum limit is the maximum amount your dental insurance will pay for covered dental services in a policy year. Once this limit is reached, you will need to bear any additional expenses out of pocket until the policy renews.

Yes, many dental coverage plans include co-payments or deductibles. A co-payment is a fixed percentage you must pay for each treatment, while a deductible is the amount you need to pay annually before your insurance coverage begins.

Dental insurance offers financial coverage for a wide range of treatments, including preventive and restorative care, based on policy terms. A dental discount plan, on the other hand, provides reduced rates at participating dentists but doesn’t reimburse treatment costs.

Some dental insurance plans offer partial coverage for orthodontic treatments like braces and aligners, especially for children. However, this often involves higher premiums and longer waiting periods. Always confirm the extent of orthodontic coverage before buying.

Yes, your dental cover remains valid across India as long as the provider’s network is accessible in your new location. If you move, you should notify your insurer to ensure seamless access to cashless services or claim support in your new city.

To upgrade or downgrade your dental insurance plan, you need to contact your insurer or distributor—such as Aditya Birla Capital—before your policy renewal date. Changes are subject to underwriting approval and may affect premiums, benefits, and waiting periods.

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