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What is a dental benefit maximum?

Most dental plans have what is called an “ annual maximum " or "annual benefit maximum.” This is the total amount of money the dental benefits provider—say Delta Dental—will pay for a member’s dental care within a 12-month period. That time period is called a benefit period. A benefit period can start at different points of the year.

What are annual maximum benefits?

Annual maximum benefits differ from out-of-pocket maximums, which limit how much you will pay over a year for healthcare services. Maximum benefits are common in adult dental insurance, vision insurance, short-term health insurance, and other types of supplemental insurance.

What is a dental insurance annual maximum?

An annual maximum is the maximum dollar amount your dental insurance will pay toward the cost of dental services and/or treatment in a benefit plan year, typically a 12-month period.

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