Dental Plans for Retirees
Protect your smile for years to come with coverage designed just for you.
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Interactive Plan Finder
|
High maximum, three periodontal maintenance cleanings, and policy lifetime deductible. |
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. |
No guessing, fixed-out-of-pocket costs, no waiting periods or dollar maximums. |
|
|---|---|---|---|---|
Monthly Premium |
$62.75ii |
$54.45ii |
$50.85ii |
$40.70iii |
Monthly Premium |
$72.10ii |
$62.60ii |
$58.50ii |
$51.10iii |
|
Plan Year Maximum |
$2000 |
1st Yr, 2nd Yr, 3rd Yr |
$1000 |
None |
|
|
None |
None |
None |
None |
|
Deductible |
$100 Policy Lifetime |
$50 |
$50 |
None |
|
Office Visit Copay |
None |
None |
None |
None |
Preventive Care |
100% |
100% |
100% |
$65 Copay |
Fillings |
80% |
1st Yr, 2nd Yr, 3rd Yr |
50%iv |
$115 Copay |
Crowns |
50%v |
50%v |
50%v |
$740 Copayvi |
Root Canal |
50% |
50% |
50% |
$535 Copayvii |
Implants |
50% |
50% |
50% |
$2600 Copay |
Non-Surgical Extractions |
50% |
50% |
50% |
$115 Copay |
Surgical Extractions |
50% |
Not Covered |
Not Covered |
$230 Copay |
Periodontal Maintenance |
50%viii |
1st Yr, 2nd Yr, 3rd Yr |
50% |
Included in Preventive Care Visit |
Orthodontics |
Not Covered |
Not Covered |
Not Covered |
Not Covered |
|
Annual Contract |
Yes |
Yes |
Yes |
Yes |
|
Waiting Period |
May Apply |
None |
May Apply |
None |
Premium PlanHigh maximum, three periodontal maintenance cleanings, and lifetime policy deductible. Monthly Premium |
|---|
Ascent PlanNo waiting period and coverage that increases over the first two years you renew. Monthly Premium |
|---|
Enhanced Plan100% coverage on most preventive care services and 50% on most major procedures. Monthly Premium |
|---|
Clear PlanNo guessing, fixed-out-of-pocket costs, no waiting periods or dollar maximums. Monthly Premium |
|---|
Delta Dental Coverage is Available For Seniors – Don’t miss out on critical dental benefits
Many older Americans are missing out on dental coverage because not all Medicare and Medigap programs cover dental. To ensure you have access to the dental coverage you need, a supplemental dental insurance plan can provide those critical dental benefits that your Medicare or health insurance plans may not cover. If you find yourself without dental coverage, consider one of our Delta Dental plans that may be appropriate for seniors .
Waiting Periods
Waiting periods refer to a period of time before your full dental benefits kick in. During this time, your dental plan may not cover certain procedures. Depending on the plan you choose, the waiting period could range from a month to a full year. If you're switching dental insurance providers, your new provider may waive the waiting period with proof that you didn’t previously have a break in coverage, usually no more than 63 days.
Understanding the Definitions and Differences Among Original Medicare, Medicare Advantage, and Medicare Supplemental Insurance (Medigap)
Medicare is a federal program run by a branch of the U.S. Department of Health & Human Services. It is available to most people aged 65 or older, younger people with disabilities, and people with End Stage Renal Disease. There are several variations of Medicare coverage including Original Medicare, Medicare Advantage, and Medicare Supplemental Insurance (Medigap).
Original Medicare "Pays providers the Medicare-approved rates for covered services per Medicare rules and regulations and covers medically-necessary and outpatient health care." ix It does NOT cover services like routine vision, hearing or dental care.
Medicare Advantage consists of hospital insurance and medical insurance plus usually a Medicare Drug plan. Note that Medicare Advantage may offer some extra benefits like vision, hearing, and dental services. x However, these plans may still only offer limited coverage for certain benefits.
Medigap is Medicare Supplement Insurance that helps fill ‘gaps’ in Original Medicare and is sold by private companies. xi They typically do NOT cover vision or dental services.
Wondering if you qualify for Medicare? Check your eligibility using Medicare’s Online Eligibility and Premium Calculator.
Learn More
Medicare Basics: https://www.medicare.gov/basics/get-started-with-medicare/medicare-basics/how-does-medicare-work
Medicare and Oral Health (Kaiser Family Foundation): https://www.kff.org/medicare/issue-brief/drilling-down-on-dental-coverage-and-costs-for-medicare-beneficiaries/
Oral Health Resources for Seniors: SeniorsOralHealth.org.
Additional content from Delta Dental of Washington:
How much does dental insurance cost?
Is dental insurance worth it?
Dental Terms Demystified: annual maximum, deductible, copays, coinsurance
i. These are benefit highlights only. Monthly premiums shown are examples of monthly rates for subscriber-only in Washington, effective January 2024. Actual rates may vary (higher or lower) based on 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 51+. Actual rate may be lower depending on age.
iv. Excludes back teeth tooth-colored fillings.
v. A predetermination is suggested. Clinical requirements must be met, crowns covered at 50% per tooth every seven years.
vi. A predetermination is suggested. Clinical requirements must be met, 1 crown 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. https://www.insurance.wa.gov/what-difference-between-original-medicare-and-medicare-advantage
x. https://www.medicare.gov/coverage/dental-services
xi. https://www.medicare.gov/supplements-other-insurance/whats-medicare-supplement-insurance-medigap
