Pediatric Dental and Vision on ACA Plans

Why kids' dental and vision benefits differ from adult add-on plans.

Essential benefits for children

Pediatric dental and vision are part of the ACA essential health benefits package, so Marketplace coverage for children includes these categories in a way adult medical plans usually do not for adults.

Families should still read how pediatric dental is offered — embedded in the medical plan or via a standalone pediatric dental option at checkout.

Adults still need add-ons

Adult dental and vision are typically purchased separately. Do not assume a family medical plan includes adult cleanings or glasses.

Compare pediatric benefits inside the medical plan against any standalone dental or vision riders for the whole family.

Next step

Ready to see plans for your situation?

A licensed advisor can walk through the options available where you live. Free, no obligation.

Get matched
  • Free
  • Licensed advisor
  • About 2 minutes
  • No obligation

Frequently asked questions

Is adult dental an essential health benefit?
No. Adult dental is generally not required on ACA medical plans.
Do kids need a separate dental plan?
Sometimes pediatric dental is embedded; sometimes you add it at enrollment. Check the plan details.

Sources