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Individual and Family Dental Plansi

Our Individual and Family dental plans are designed for those who do not have coverage through their employer or who would like additional dental coverage.

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Plan features

Optimum Plan

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Premium Plan

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Plus Ortho Plan

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Enhanced Plan

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SimpleChoice Plan

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Description

NEW for 2027. Cosmetic benefits and highest cost-sharing for restorative and major services

High maximum and three periodontal maintenance cleanings per benefit year

Orthodontic benefits such as braces and aligners installed by DMD or DDS

No waiting period and coverage that increases over the first two years you renew

100% coverage on most preventive care services and 50% on most major procedures

NEW for 2027. Fixed out-of-pocket costs and no plan year maximum

Most affordable plan that covers preventive care, fillings, and non-surgical extractions

Shop plans


Eastern WA

$97.30ii

$74.40ii

$73.60ii

$63.60ii

$55.40ii

$38.50iii

$33.85ii


Western WA

$111.70ii

$85.50ii

$84.55ii

$73.15ii

$63.75ii

$50.90iii

$39.00ii


per person

1st Yr, 2nd Yr, 3rd Yr
$2000/$3000/$5000

$2000

$1500

1st Yr, 2nd Yr, 3rd Yr
$1000/$1250/$1500

$1000

None

$1,000

None

None

$250 per person up to $1250

None

None

None

None

$100

$100

$50

$50

$50

None

None

None

None

None

None

None

None

$15


Cleanings, exams, x-rays, and fluoride

100%

100%

100%

100%

100%

$85 Copay

100% cleanings and exams
50% full mouth and panoramic x-rays and fluoride

80%

80%

50%

1st Yr, 2nd Yr, 3rd Yr
50%/60%/70%

50%

$125 Copay

50%iv

60%v

50%v

50%v

50%v

50%v

vi

Not Covered

60%

50%

50%

50%

50%

vii

Not Covered

60%

50%

50%

50%

50%

vi

Not Covered

60%

50%

50%

50%

50%

$125 Copay

50%

60%

50%

50%

Not Covered

Not Covered

$240 Copay

Not Covered

60%viii
Three per benefit year

50%viii
Three per benefit year

50%
One every six months

1st Yr, 2nd Yr, 3rd Yr
50%/60%/70%

50%
One every six months

Included in Preventive Care Visit

Not Covered

Not Covered

Not Covered

50%ix

Not Covered

Not Covered

Not Covered

Not Covered

50% teeth whitening or bleaching
60% veneers

Not Covered

Not Covered

Not Covered

Not Covered

Not Covered

Not Covered

Yes

Yes

Yes

Yes

Yes

Yes

Yes

May Applyx

May Applyx

May Applyx,xi

None

May Applyx

May Applyx

May Applyxii

Coverage percentages displayed in the table above represent the percentage of the allowed amount that is covered by Delta Dental of Washington.

Looking for more?

Add a vision plan to your Individual and Family dental plan. View vision plan options here.

Why Choose Delta Dental of Washington for Your Individual and Family Dental Plan?

  • We prioritize preventive dental care for our members: Most plans have no-cost preventive care, including fluoride and sealants.
  • The nation's largest dental provider network: 9 out of 10 dentists in Washington are in our network, which means members have more providers close to their homes.
  • Effortless benefits: We make it easy to understand your benefits and offer a hassle free customer service experience.
  • Learn more about the Delta Dental of Washington Difference.
dental insurance for families

FOR EMPLOYERS

Looking for dental or vision coverage for your business?

Affordable benefits for groups with 2 or more employees available.

Frequently Asked Questions

What are Individual and Family plans and who are they for?
Individual and Family plans are for any resident of WA State. Individual plans are designed for anybody who does not have dental coverage through their current employer or would like additional dental coverage for themselves or for their family.
How much can I save by enrolling in a dental benefits plan?
All our Individual and Family plans include Delta Dental of Washington’s largest network of providers. As a plan member you have access to discounted charges on common dental treatments like crowns, root canals, exams & cleanings, fillings, implants and more (except Basic Plan is limited to exams, cleanings, & fillings). Check out our Dental Care Cost Estimator Tool to get an approximate cost for a procedure in your area without insurance.
What providers can I see?
Delta Dental PPO plus Premier is the provider network for our Individual and Family Plans. You may choose any Dentist to provide services under the Delta Dental - Premium, Plus Ortho, Ascent, Enhanced, and Basic plans; however, if you choose a Delta Dental PPO plus Premier Dentist, your costs may be lower than if you were to choose a Dentist who is not participating with Delta Dental. You can find a listing of Delta Dental PPO plus Premier Dentists using our Find a Dentist Tool or by calling customer service at 888-899-3734
When can my plan start?
Plans are available to start the first day of the following month or the first day of the second month after purchase. Plans do not start mid-month.
Are my dental benefits covered through Medicare?
Original Medicare does NOT cover dental care. Medicare Advantage may offer some extra benefits like vision, hearing, and dental services, but may only offer limited coverage for certain benefits. Refer to the Medicare site to view your Medicare plan information or learn more about Medicare and our plans recommended for retirees here.
I recently moved to Washington state and had Delta Dental in another state. Do the benefits transfer over when I move to Washington?
Check your current Delta Dental policy. Note that Delta Dental plan benefits are accepted by all participating Delta Dental providers. If your primary residence is in Washington state, you can enroll in a Delta Dental of Washington plan according to your current plan contract.
Who administers Individual and Family plans?
Individual and Family plans are administered by Wyssta Services, Inc., a health care benefit manager acting on behalf of Delta Dental of Washington. As our Health Care Benefit Manager, Wyssta Services, Inc. performs certain tasks on Delta Dental of Washington’s behalf, such as enrollment, claims processing, and customer service. For more information regarding the role of a health care benefit manager, click here.
How can I learn more about enrolling in a new Individual and Family plan?
Please call 844-764-5301 to speak with a representative about enrolling in a new Individual and Family plan, Monday - Friday from 8am – 5pm PT.
I'm an employer looking for group dental plan options, what choices do I have?
Don't see your question listed above? Check out the Individual and Family Plan FAQ page.
 

i. These are benefit highlights only. Monthly premiums shown are examples of monthly rates for subscriber only in Washington, effective January 2027. Actual rates may vary (higher or lower) based on plan effective date, plan choice, your age, your location, number of people insured, their age, and relationship to you. For full details of plan, benefits, and pricing, please visit DeltaDentalCoversMe.com.

ii. Individual 12-month contracted rate.

iii. Individual 12-month contracted rate for ages 26-50. Actual rate may be higher or lower depending on age.

iv. Excludes back teeth tooth-colored fillings.

v. A pretreament estimate is suggested. Clinical requirements must be met, crowns covered at 50% per tooth every seven years for persons ages 12 years and older. Crowns covered at 60% per tooth every seven years for persons ages 12 years and older under the Delta Dental - Optimum Plan.

vi. A pretreament estimate is suggested. Clinical requirements must be met; 1 crown and 1 implant per person per 12-month policy period.

vii. 2 teeth in 12 months after purchase or renewal, once per tooth every two years after.

viii. No waiting period.

ix. $1500 lifetime maximum with 12-month waiting period.

x. This Policy has a 12-month Waiting Period that applies to certain covered procedures. This means that Delta Dental of Washington will not pay for any of these procedures until you have been enrolled in this Policy for 12 continuous months. If you were covered under a comparable full-coverage dental plan that included Major services, for at least 12 continuous months before enrolling in this Plan, any Waiting Periods will be waived—provided there was no more than a 63-day gap between your previous coverage and this Policy. To request that the waiting period be waived, you must provide details about your previous coverage.

xi. For Orthodontia covered procedures, a 12-month waiting period applies. This means that DDWA will not pay towards any of these procedures until the covered members have been enrolled in this policy for 12 continuous months. The waiting period for Orthodontia treatment will be waived for your family if all family members were covered under another insured dental plan with orthodontic coverage for at least 12 continuous months before you enrolled in this plan, but only if there was no more than a 63-day gap between the previous plan and this plan. Documentation is required to waive the 12-month waiting period.

xii. This Policy has a 6-month Waiting Period that applies to certain covered procedures. This means that DDWA will not pay for any of these procedures until you have been enrolled in this Policy for 6 continuous months. If you were covered under a comparable coverage dental plan for at least 6 continuous months before enrolling in this Plan, any Waiting Periods will be waived—provided there was no more than a 63-day gap between your previous coverage and this Policy. To request that the waiting period be waived, you must provide details about your previous coverage.