Dental HMO vs PPO: Which Is Better for Self-Employed Professionals?

Understanding the differences between HMO and PPO dental plans can help self-employed individuals choose coverage that fits their needs and budget.

What Is the Difference Between Dental HMO and PPO Plans?

Dental HMO plans typically offer lower monthly costs but require using in-network dentists, while PPO plans provide greater flexibility and access to a larger provider network at a higher cost.

What Is a Dental HMO Plan?

Dental HMO (Health Maintenance Organization) plans require members to choose a primary dentist within a defined network. Care must be received from in-network providers, and referrals may be required for specialists.

  • Lower monthly premiums

  • No coverage outside the network

  • Predictable costs

Woman Smiling 1
Woman Smiling 1

What Is a Dental PPO Plan?

Dental PPO (Preferred Provider Organization) plans allow members to visit both in-network and out-of-network dentists. These plans offer more flexibility but usually come with higher monthly premiums.

  • Larger provider networks

  • Partial coverage for out-of-network care

  • Higher premiums

HMO vs PPO Comparison Table

Feature Dental HMO Dental PPO
Monthly Premium Lower Higher
Provider Choice Limited to network Flexible
Referrals Often required Not required
Out-of-Network Care Not covered Partially covered
Ideal For Ideal For Flexibility-focused users

Pros and Cons of HMO vs PPO Dental Plans

HMO – Pros

  • Lower monthly costs

  • Predictable pricing

  • No claim forms

HMO – Cons

  • Limited provider choice

  • No out-of-network coverage

PPO – Pros

  • Greater flexibility

  • Larger dentist network

PPO – Cons

  • Higher premiums

  • More complex cost-sharing

Which Dental Plan Is Better for Self-Employed Individuals?

For self-employed professionals, the better option depends on priorities. HMO plans may work well for those seeking lower monthly costs, while PPO plans are often preferred by individuals who value flexibility and access to a broader network of dentists.

Cost Comparison

HMO dental plans typically cost between $20–$35 per month, while PPO plans often range from $35–$60 per month. Actual costs depend on coverage level, provider, and location.

FAQs About Dental Insurance Costs

PPO plans often provide more flexibility for major procedures.

Yes, but plan changes depend on provider terms.

Some do, but terms vary by plan.

Not sure which dental plan is right for you?

Compare coverage options designed for self-employed professionals.