The Basic Plan is created for those looking to save on costs while still receiving 100% coverage on most preventive care services and 50% coverage on fillingsi and non-surgical extractions. With the Basic Plan, you can keep on smiling knowing your wallet is happy and your essential oral health is covered.
Which plan is right for you? Click on each person below to find out why they chose the Basic Plan*
*Personas are fictional and only intended to represent possible oral health needs and situations. They are not inclusive of all needs or circumstances.
Plan Highlights
- Annual plan maximum of $1000 - the maximum amount DDWA will pay per person, per benefit period
- 100% coverage on most preventive care services including cleanings and exams
- 50% coverage for fillingsi, non-surgical extractions, full mouth and panoramic x-rays, and fluoride
Plan Features per benefit yearii
Monthly Premium
Eastern/Western WA |
Plan Year Maximum
|
Shared Maximum Benefit
|
Individual Starting Rate
$29.65 / $34.15 |
$1000 per person |
None |
Deductible
|
Office Visit Copay
|
Preventive Care
Cleanings, exams, x-rays and fluoride |
| None |
$15 |
100% cleanings and exams
50% panoramic/full mouth x-rays and fluoride |
| Fillingsi |
Crowns |
Root Canal
Surgical & Non-Surgical |
| 50% |
Not Covered |
Not Covered |
| Non-Surgical Extractions |
Periodontal Maintenance |
Orthodontics |
| 50% |
Not Covered |
Not Covered |
| Annual Contract |
Waiting Periods |
|
| Yes |
May Apply |
|
Compare to Similar Plans
| |
This Plan |
|
|
| |
Basic Plan |
Clear Plan |
Enhanced Plan |
Monthly Premium
Individual Starting Rate |
Eastern WA / Western WA
$29.65 / $34.15ii |
Eastern WA / Western WA
$34.45 / $45.55ii
Starting Rate for Individuals ages 26-50
Actual rate may be higher or lower depending on age |
Eastern WA / Western WA
$48.60 / $55.90ii |
Plan Year Maximum
per person |
$1000 |
None |
$1000 |
| Shared Maximum Benefit |
None |
None |
None |
| Deductible |
None |
None |
$50 |
| Office Visit Copay |
$15 |
None |
None |
Preventive Care
Cleanings, exams, x-rays, and fluoride |
100% cleanings and exams
50% full mouth and panoramic x-rays and fluoride |
$65
Copay |
100% |
| Fillings |
50%i |
$115
Copay |
50%i |
| Crowns |
Not Covered |
$740iii
Copay |
50%iv |
| Root Canal |
Not Covered |
$535
Copay
2 teeth in 12 months after purchase or renewal, once per tooth every two years after |
50% |
| Non-Surgical Extractions |
50% |
$115
Copay |
50% |
| Periodontal Maintenance |
Not Covered |
Included in Preventive Care Visit |
50% |
| Orthodontics |
Not Covered |
Not Covered |
Not Covered |
| Annual Contract |
Yes |
Yes |
Yes |
| Waiting Periods |
May Apply |
None |
May Apply |
i Tooth-colored fillings on back teeth not included.
ii These are benefit highlights only. Monthly premiums shown are examples of monthly rates for subscriber-only in
Washington, effective January 2023. Actual rates may vary (higher or lower) based on plan choice, your age, your
location, number of people insure
iii A predetermination is suggested. Clinical requirements must be met, 1 crown per person per 12-month policy period.
iv Clinical requirements must be met, crowns covered at 50% per tooth every seven years.
