Uniform Dental Plan #3000
Uniform Dental Plan (UDP) is a preferred provider organization (PPO) plan.
You may visit any licensed dentist for your care.
You pay a percentage of treatment costs (coinsurance) while the plan pays the rest.
UDP Benefits and Coinsurance
Annual costs:
- Deductible—amount you pay before the plan pays
$50/person, $150 family - Plan maximum—amount your plan pays towards
the cost of your dental care during the plan year$1,750
You pay per service:
- Cleaning and exam every 6 months
0% - Fluoride treatment
0% - Complete x-rays every 5 years
0% - Fillings
20% - Tooth extractions
After deductible, you pay:
PPO Dentists in Washington State: 20%
Out-of-State Dentists: 20%
Non-PPO Dentists in Washington State: 30% - Crowns
50% - Root canals (endodontics)
20% - Tooth extractions
20% - Orthodontia
50% until the plan has paid $1,750; then any amount over $1,750 in the member’s lifetime (maximum lifetime benefit). - Implants
50% - Dentures
50% - Nonsurgical TMJ
30% of costs, then any amount after the plan has paid $500; then any amount after the plan has paid $500 in the member’s lifetime (maximum lifetime benefit).
Want to learn more?
You can take a closer look at the details for the coverage the plan provides, including specific limitations and exclusions.
Take a few minutes to look over the plan’s certificate of coverage below.
Access your Delta Dental account
Get the most from your dental benefits with MySmile® personal benefits center. It gives you 24/7 access to:
- Print your ID card
- View your coverage
- Check claim status
- Estimate out-of-pocket costs
- And more!
Selecting your PPO dentist
UDP covers services provided by any licensed dentist.
Visit a Delta Dental PPO℠ network dentist to receive services at discounted rates and avoid balance-billing. The Delta Dental PPO network is the largest PPO dental network in Washington State.
Use our Find a Dentist tool to search for one near you.
Have questions?
We want you to make the best decisions for your oral health. If you have any questions, give us a call at (800) 537-3406. Our dedicated plan specialists are happy to help.
