The Plus Ortho Plan is built for individuals seeking orthodontic care for themselves or for their household i. This dental plan offers 100% coverage for most preventive care services and 50% coverage for braces, aligners or clear aligners installed by a licensed dentist. If you have been wanting to improve your smile, this plan is for you!
Learn how our Plus Ortho Plan fits varying needs for orthodontia coverage by clicking on each profile below
Antonne is a filmmaker. His previous employer provided orthodontia coverage, but his new job through the union does not.
I am looking forward to my new job through the union. The pay is better, but my benefits through work don’t cover braces for my kids. I am fine purchasing a separate plan as long as the plan includes braces coverage. This saves me money from paying out-of-pocket for braces over the next several years. I was happy to find the Dental Dental- Plus Ortho plan that covers braces for my kids.
Adrienne is an in-demand political consultant who just learned she may need some orthodontia work.
I thought I was done with orthodontia when I got my braces off as a kid. It turns out that when you don’t continue to wear your retainer, at some point, your teeth might move again. I might need additional work done to avoid serious problems that could come up later down the road. I’m glad I found a dental plan that includes orthodontic coverage for adults because I’d rather save for a vacation than for braces!
*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%
Non-Surgical & Surgical Extractions and Implants
Periodontal Maintenance One per six months
Orthodontics
50%
50%
50% ($1,500 lifetime maximum w/ 12-month waiting period)i
Orthodontia coverage helps pay for certain orthodontic treatments that straighten or align the teeth and jaws. This can include procedures or long-term corrective appliances like aligners, braces, retainers, and more.
An orthodontic treatment is a dental procedure meant to align, straighten, or otherwise adjust your teeth or jaw to improve the function of your mouth and improve overall oral health.
Should I get orthodontia coverage for braces?
Out-of-pocket costs associated with braces can be several thousand dollars. If you or a family member need teeth-straightening treatment, coverage would lower those costs, providing you with significant savings.
Yes, the Delta Dental - Plus Ortho plan covers orthodontic care for adults including braces, aligners, or clear aligners installed by a DMD or DDS and is available to anyone in Washington State aged 18 and up. Dependent family members can stay on the plan as an adult through the age of 25, or longer if they have a physical or developmental disability.
Does Delta Dental cover orthodontics for kids?
Yes, the Delta Dental - Plus Ortho plan covers orthodontic care for kids including braces, aligners, or clear aligners installed by a DMD or DDS and is a family-friendly plan designed to extend orthodontia coverage to dependent children through the age of 25. This plan additionally covers athletic mouthguards once every three years, for children ages 6 through 18.
Interested in orthodontia for children? Learn about common orthodontic issues in children and coverage options here.
Does Delta Dental cover clear aligners?
Yes, the Delta Dental - Plus Ortho Plan covers any fixed or removable appliance therapy meant to straighten or adjust teeth or jaws. This includes clear aligners and braces installed by a DMD or DDS.
How much does Delta Dental cover for braces?
The Delta Dental – Plus Ortho Plan covers 50% of the out-of-pocket costs of the total braces treatment with a $1500 lifetime maximumi. Note that only initial retainers (post-ortho treatment) are covered; replacement retainers are not covered.
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
ivAthletic mouthguards covered once every three years, for children ages 6 through 18 only. Occlusal guards covered once every three years for patients who have pocket depth readings of 5mm or greater or for the treatment of bruxism, clenching or grinding
