The Premium Plan is made for individuals and families looking for a plan with our highest per person dental coverage. It includes a high annual maximum, where we pay up to $2000 per person each year of dental benefits, decreasing the amount of additional money you have to pull out of your wallet for dental procedures.
It also offers a $100 policy lifetime deductible, per person covered on the plan, which means once each covered person pays $100 out-of-pocket for treatment, the lifetime deductible will never need to be paid again as long as you keep your policy.
With three periodontal maintenance cleanings per year and our highest available plan coverage, you will have access to great dental care all year long!
Which plan is right for you? Click on each person below to find out why they chose the Premium 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
- 100% coverage on most preventive services such as cleanings, exams, x-rays, and fluoridei
- Annual plan maximum of $2000 - the maximum amount DDWA will pay per person, per benefit period
- 80% coverage for fillings and 50% coverage for crownsii, root canals, surgical and non-surgical extractions, and periodontal maintenancei
- $100 policy lifetime deductible
Plan Features per benefit yeariii
Monthly Premium
Eastern/Western WA |
Plan Year Maximum
|
Shared Maximum Benefit
|
Individual Starting Rateiii
$60.90 / $69.95 |
$2000 per person |
None |
Deductible
|
Office Visit Copay
|
Preventive Care
Cleanings (3x), exams (3x), bitewing x-rays (2x) and fluoride (1x) |
$100 Policy Lifetime |
None |
100% |
Fillings |
Crownsii |
Root Canal |
80% |
50% |
50% |
Non-Surgical and Surgical Extractions |
Periodontal Maintenance (3x) |
Orthodontics |
50% |
50% |
Not Covered |
Annual Contract |
Waiting Periods |
|
Yes |
May Apply |
|
Compare to Similar Plans
|
This Plan |
|
|
|
Premium Plan |
Enhanced Plan |
Family Plus Plan** |
Monthly Premium
Individual Starting Rate |
Eastern WA / Western WA
$60.90 / $69.95iii |
Eastern WA / Western WA
$48.60 / $55.90iii |
Eastern WA / Western WA
$55.40 / $63.65iii |
Plan Year Maximum
per person |
$2000 |
$1000 |
$1500 |
Shared Maximum Benefit |
None |
None |
Shared Maximum Benefit $250 per person
up to $1250 |
Deductible |
$100
Policy Lifetime |
$50 |
$50 |
Office Visit Copay |
None |
None |
None |
Preventive Care
Cleanings, exams, x-rays, and fluoride |
100% |
100% |
100% |
Fillings |
80% |
50%iv |
50% |
Crowns |
50%ii |
50%ii |
50%ii |
Root Canal |
50% |
50% |
50% |
Non-Surgical Extractions |
50%
Includes surgical and nonsurgical |
50%
|
50%
Includes surgical and nonsurgical |
Periodontal Maintenance |
50%
Three per benefit year |
50%
|
50%
One per six months |
Orthodontics |
Not Covered |
Not Covered |
50%
$1500 lifetime maximum with 12 month waiting periodv |
Annual Contract |
Yes |
Yes |
Yes |
Waiting Periods |
May Apply |
May Apply |
May Apply |
** Family Plus Plan to be renamed Plus Ortho Plan, effective January 2024.
i Frequency limits per service apply as outlined in the Plan Features per benefit year table
ii Clinical requirements must be met, crowns covered at 50% per tooth every seven years.
iii 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 insured, their age, and relationship to you. For full details of plan, benefits, and pricing, please visit DeltaDentalCoversMe.com.
iv Tooth-colored fillings on back teeth not included.
v Waiting period may be waived if you have had prior ortho coverage.