Not just for families, the Plus Ortho Plan is built for individuals seeking orthodontic care for themselves or for their household.i This plan offers 100% coverage for most preventive care services and 50% coverage for braces or aligners installed by a licensed
dentist. If you have been wanting to improve your smile, this plan is for you!
Which plan is right for you? Click on each person below to find out why they chose the Plus Ortho 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 Features per benefit yearii
Monthly Premium
Eastern/Western WA
|
Plan Year Maximum
|
Shared Maximum Benefit
|
Individual Starting Rateii
$58.80 / $67.55
|
$1500 per person |
Additional $250 maximum benefit per person up to $1250 |
Deductible
|
Office Visit Copay
|
Preventive Care
Cleanings, exams, x-rays, and fluoride
|
| $50 |
None |
100% |
| Fillings |
Crownsiii |
Root Canal |
| 50% |
50% |
50% |
|
& and Implants
|
Periodontal Maintenance
One per six months
|
Orthodontics |
| 50% |
50% |
50%
($1,500 lifetime maximum w/ 12-month waiting period)i
|
| Annual Contract |
Waiting Periods |
|
| Yes |
May Applyi |
|
Compare to Similar Plans
| |
This Plan |
|
|
| |
Plus Ortho Plan
|
Ascent Plan
|
Premium Plan
|
| Description |
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. |
High maximum, three periodontal maintenance cleanings, and policy lifetime deductible. |
Monthly Premium
Eastern WA
|
$58.80ii |
$56.10ii |
$64.65ii |
Monthly Premium
Western WA
|
$67.55ii |
$64.50ii |
$74.25ii |
Plan Year Maximum
per person
|
$1500 |
1st Year, 2nd Year, 3rd Year
$1000 / $1250 / $1500
|
$2000 |
|
Shared Maximum Benefit
|
$250 per person up to $1250 |
None |
None |
|
Deductible
|
$50 |
$50 |
$100
Policy Lifetime
|
|
Office Visit Copay
|
None |
None |
None |
Preventive Care
Cleanings, exams, x-rays, and fluoride
|
100% |
100% |
100% |
|
Fillings
|
50% |
1st Year, 2nd Year, 3rd Year
50%/60%/70%
|
80% |
|
Crowns
|
50%iii |
50%iii |
50%iii |
|
Root Canal
|
50% |
50% |
50% |
|
Implants
|
50% |
50% |
50% |
|
|
50% |
50% |
50% |
|
|
50% |
Not Covered |
50% |
|
Periodontal Maintenance
|
50%
One per six months
|
1st Year, 2nd Year, 3rd Year
50%/60%/70%
|
50%
Three per benefit year
|
|
Orthodontics
|
50%
$1500 lifetime maximum with 12-month waiting periodi
|
Not Covered |
Not Covered |
|
Cosmetics
|
Not Covered |
Not Covered |
Not Covered |
|
Annual Contract
|
Yes |
Yes |
Yes |
|
Waiting Periods
|
May Applyi |
None |
May Apply |
i 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.
ii These are benefit highlights only. Monthly premiums shown are examples of monthly rates for subscriber-only in Washington, effective January 2025. 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.
iii A Pretreatment Estimate is suggested. Clinical requirements must be met, crowns covered at 50% per tooth every seven years
