Delta Dental - Clear Retiree Plan

Our No Guessing, No Wait Plan


clear plan

Our Clear Plan is designed for those who want to know their exact out-of-pocket treatment costs and are looking to start their dental coverage the month after they enroll. With set dollar amounts, you can easily plan and track how much you are investing into your oral health.

Plan Highlights

  • No deductible
  • No waiting period – benefits start the month after you enroll instead of the year after
  • Fixed out-of-pocket expenses

Plan Features per benefit yeari
Monthly Premium
Eastern/Western WA
Plan Year Maximum
 
Shared Maximum Benefit
 
Individual Starting Ratei
for individuals ages 51+
$40.70 / $51.10
Actual rate may be lower depending on age
None None
Deductible
 
Office Visit Copay
 
Preventive Care
Cleanings, exams, x-rays and fluoride
None None $65 Copay
Fillingsi Crownsii Root Canal
$115 Copay $740 Copay $535 Copay
2 teeth in 12 months after purchase or renewal, once per tooth every two years after
Non-Surgical Extractions Periodontal Maintenance Orthodontics
$115 Copay Included in Preventive Care Visit Not Covered
Annual Contract Waiting Periods  
Yes None  
Compare to Similar Plans
  This Plan    
  Clear Plan Enhanced Plan Ascent Plan
Monthly Premium
Individual Starting Rate
Eastern WA / Western WA
$40.70 / $51.10i
Starting rate for Individuals ages 51+
Actual rate may be lower depending on age
Eastern WA / Western WA
$50.85 / $58.50i
Eastern WA / Western WA
$54.45 / $62.60i
Plan Year Maximum
per person
None $1000 1st Year, 2nd Year, 3rd Year
$1000/$1250/$1500
Shared Maximum Benefit None None None
Deductible None $50 $50
Office Visit Copay None None None
Preventive Care
Cleanings, exams, x-ays, and fluoride
$65
Copay
100% 100%
Fillings $115
Copay
50%
Excludes back teeth toothcolored fillings
1st Year, 2nd Year, 3rd Year
50%/60%/70%
Crowns $740ii
Copay
50%iii 50%iii
Root Canal $535
Copay
2 teeth in 12 months after purchase or renewal, once per tooth every two years after
50% 50%
Non-Surgical Extractions $115
Copay
50% 50%
Periodontal Maintenance Included in Preventive Care Visit 50% 1st Year, 2nd Year, 3rd Year
50%/60%/70%
Orthodontics Not Covered Not Covered Not Covered
Annual Contract Yes Yes Yes
Waiting Periods None May Apply None

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 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 A predetermination is suggested. Clinical requirements must be met, 1 crown per person per 12-month policy period.

iii Clinical requirements must be met, crowns covered at 50% per tooth every seven years.