Preparing Boomers For Their Oral Exams

CIGNA Corp., Philadelphia, recently added coverage for extra dental care for pregnant health plan members because of research findings suggesting that gum disease might be responsible for as many as 18% of all premature births in the United States.

Columbia University public health researchers working with dental and medical claims data from Aetna Inc., Hartford, recently reported that treating gum disease can help hold down or even lower the cost of treating conditions such as diabetes and heart disease–even for patients who have both health coverage and dental coverage.

Dental health should be of special concern to financial advisors working with moderately affluent boomers, because boomers who neglect their teeth fail to maintain dental coverage in their later years, may end up needing major restorative work and could have to decide between paying for tens of thousands of dollars for dental work–or parking their teeth in a jar at night.

Boomers who still are working for employers that provide group dental coverage can, of course, use the coverage.

Boomer advisors working with self-employed boomers and early retirees may want to form referral relationships with brokers who are familiar with those advisors’ individual dental options.

Dental insurance experts say the picture could get more complicated in 2011, when the boomers start turning 65.

Although some insurers offer dental coverage options along with Medicare managed care plans and Medicare supplement insurance plans, most of the stand-alone products available to individuals over age 65 are discount-only programs, not insured dental plans, Williams says.

Aetna, for example, charges about $5 to $15 per month for the dental plans that come with its Medicare managed care plans. The plans cover procedures such as oral exams and setting of crowns. But Aetna does not include insured dental coverage with its Medicare supplement insurance plans, and it does not ordinarily sell insured dental coverage to individuals outside the Medicare program, a spokeswoman says.

Another company, Health Services Group Inc., Portland, Ore., offers little coverage for dental services with its Medicare managed care plans, but it is selling dental coverage with its Medicare supplement policies for $42 per month.

Security Life is an example of a company that sells insured individual dental coverage to adults of all ages in a given area code for a similar price, Williams says.

Individual coverage for adults over age 65 costs just 10% more than coverage for younger adults, Williams says.

Years ago, Security Life used a steeper price curve for dental insurance, but it discovered that actual claims rates were similar enough for older and younger insureds to justify a flatter rate structure, Williams says.