Delta Dental - Simple Choice Plan

Our Fixed Out-of-Pocket Costs Plan


Person using a laptop while sitting on a sofa at home

Our SimpleChoice Plan is designed for those who want to know their exact out-of-pocket treatment costs. With set dollar amounts, you can easily plan and track how much you are investing in your oral health.

Learn why the SimpleChoice Plan is a great fit for those wanting to know their dental costs ahead of time by clicking on each profile below.*

Lina (39), Walla Walla – Single mother looking for dental benefits for her toddler and herself
Woman and young child sitting together beside a laptop

Lina wants to make sure she sets the best possible example for her 4-year-old daughter starting with taking care of her teeth.

I’ve got enough to worry about between having my first kid, my job, and my aging parents. I want to take care of my teeth but, frankly, I just need a plan that lets me know what my costs are going to be. For me, all I care about is knowing what’s covered and how much I am going to have to pay. I know that taking care of our teeth now helps me avoid costly problems later. Especially with a toddler, I want to make sure we’re covered. This plan is perfect for helping me understand how much a procedure is going to cost me.

Shawn (36), Silverdale – A self-employed construction project manager saving for his first home.
Smiling person wearing glasses and a cardigan

Shawn wants reliable dental coverage with costs he can understand while he grows his business and saves for a home.

Working for myself gives me flexibility, but it also means I have to plan carefully for every expense. I want to keep up with my dental care without wondering what a covered service might cost. With set copays, no deductible, and no plan-year dollar maximum, the SimpleChoice Plan gives me the predictability I’m looking for. I can take care of my teeth while staying focused on my business and my savings goals.

*Personas are fictional and only intended to represent possible oral health needs and situations. They are not inclusive of all needs or circumstances.

SimpleChoice Plan Dental Benefit & Procedure Highlights

Fixed out-of-pocket expenses

No deductible

No plan year maximum

Plan Features per benefit yeari

SimpleChoice Plan features per benefit year. Monthly rates are listed Western Washington first, then Eastern Washington.
The fixed rate you pay to Delta Dental of Washington monthly in exchange for coverage.Western/Eastern WA The maximum your dental plan will pay for your dental care in one plan year.per person An added shared maximum available under some plans.
Individual Starting Rateii
$50.90 / $38.50Actual rate may be higher or lower depending on age.
None None
The money you pay out of your own pocket to your dentist before your dental benefits plan kicks in. A preset amount you are required to pay before receiving a service or treatment covered by your dental insurance provider. This is the amount you pay to the dentist for certain procedures each time you visit. Regular checkups - cleanings, exams, x-rays and fluorides - that help stop problems before they start.Cleanings, exams, x-rays, and fluoride
None None $85 Copay
Replacement of lost tooth structure, typically with a silver or white restorative material. A restoration that replaces the entire visible portion of the tooth. Removal of the pulp or nerve from inside a tooth and replacement with a filling material.
$125 Copay $800 Copayv1 crown per person per 12-month policy period $600 Copay2 teeth in 12 months after purchase or renewal, once per tooth every two years after
Artificial replacement for the root or roots of a missing tooth. Tooth removal that does not require sectioning (cutting) of a tooth or removing bone. Tooth removal requiring sectioning (cutting) of a tooth or removing bone.
$2750 Copayv1 implant per person per 12-month policy period $125 Copay $240 Copay
A periodic cleaning following treatment for advanced gum disease to preserve the health of the gums and bone that support the teeth. Terms and conditions apply for 12 months from the policy effective date. The time before all of your dental benefits are payable by Delta Dental of Washington.
Included in Preventive Care Visit Yes May Applyvii

Compare to Similar Plans

Compare SimpleChoice Plan, Basic Plan, and Enhanced Plan rates and benefits.
Plan feature

SimpleChoice Plan

Basic Plan

View Plan Details

Enhanced Plan

View Plan Details
Description
NEW for 2027. Fixed out-of-pocket costs, no deductible, no copays, and no plan year maximum
Most affordable plan that covers preventive care, fillings, and non-surgical extractions
100% coverage on most preventive care services and 50% on most major procedures
The fixed rate you pay to Delta Dental of Washington monthly in exchange for coverage.Eastern WA $38.50ii $33.85iii $55.40iii
The fixed rate you pay to Delta Dental of Washington monthly in exchange for coverage.Western WA $50.90ii $39.00iii $63.75iii
The maximum your dental plan will pay for your dental care in one plan year.per person None $1,000 $1,000
An added shared maximum available under some plans. None None None
The money you pay out of your own pocket to your dentist before your dental benefits plan kicks in. None None $50
A preset amount you are required to pay before receiving a service or treatment covered by your dental insurance provider. This is the amount you pay to the dentist for certain procedures each time you visit. None $15 None
Regular checkups - cleanings, exams, x-rays and fluorides - that help stop problems before they start.Cleanings, exams, x-rays, and fluoride $85 Copay 100% cleanings and exams
50% full mouth and panoramic x-rays and fluoride
100%
Replacement of lost tooth structure, typically with a silver or white restorative material. $125 Copay 50%iv 50%
A restoration that replaces the entire visible portion of the tooth. $800 Copayv1 crown per person per 12-month policy period Not Covered 50%vi
Removal of the pulp or nerve from inside a tooth and replacement with a filling material. $600 Copay2 teeth in 12 months after purchase or renewal, once per tooth every two years after Not Covered 50%
Artificial replacement for the root or roots of a missing tooth. $2750 Copayv1 implant per person per 12-month policy period Not Covered 50%
Tooth removal that does not require sectioning (cutting) of a tooth or removing bone. $125 Copay 50% 50%
Tooth removal requiring sectioning (cutting) of a tooth or removing bone. $240 Copay Not Covered Not Covered
A periodic cleaning following treatment for advanced gum disease to preserve the health of the gums and bone that support the teeth. Included in Preventive Care Visit Not Covered 50%
Teeth alignment and straightening using braces or aligners. Not Covered Not Covered Not Covered
Cosmetic Not Covered Not Covered Not Covered
Terms and conditions apply for 12 months from the policy effective date. Yes Yes Yes
The time before all of your dental benefits are payable by Delta Dental of Washington. May Applyvii May Applyvii May Applyvii

Coverage percentages displayed in the tables above represent the percentage of the allowed amount that is covered by Delta Dental of Washington.

Frequently Asked Questions

Can I see the cost of treatment before receiving care?

Yes. The SimpleChoice Plan includes set copays for listed covered services, which can make costs easier to anticipate. For planned treatment, especially crowns, root canals, implants, or extractions, members should request a pretreatment estimate from their dentist to confirm coverage and expected out-of-pocket costs.

What is a copay?

A copay, or copayment, is a preset amount you are required to pay before receiving a service or treatment covered by your dental insurance provider. Learn more about copays here.

Under the SimpleChoice Plan, there is no office visit copay and so you do not owe any money before seeing your dentist. However, there are set copays for receiving procedures as outlined in the Plan Features table.

What is a deductible?

A deductible is the money you pay out of your own pocket to your dentist before your dental benefits plan kicks in. Learn more about deductibles here.

Under the SimpleChoice Plan, there is no deductible and so your dental benefits plan starts as soon as you have met the waiting period requirements.

What does an annual maximum for dental mean?

An annual maximum (also known as a plan year maximum) is the maximum your dental plan will pay for your dental care in one plan year. After you hit that amount, you’ll need to pay for any other dental services yourself until your benefits reset. Learn more about annual maximums here.

Under the SimpleChoice Plan, there is no annual maximum and so your dental plan will continue to pay for your dental care as long as you stay enrolled in the plan.

Does the SimpleChoice Plan cover extractions?

Yes. The SimpleChoice Plan is a recommended dental plan for extractions. There is a $125 copay for non-surgical extractions and a $240 copay for surgical extractions. Note that the type of extraction and applicable clinical requirements should be confirmed with the treating dentist and plan documents before treatment.

Does the SimpleChoice Plan cover wisdom teeth removal?

Yes. The SimpleChoice Plan is a great dental plan for wisdom teeth removal, covering both non-surgical and surgical extractions. There is a $125 copay for a non-surgical extraction and a $240 copay for a surgical extraction. We highly recommend getting a pretreatment estimate from your dentist prior to getting your wisdom teeth removed so that there are no unexpected costs or surprises.

Is the SimpleChoice Plan a good dental plan for root canal coverage?

Yes, according to Kirkland Dental Excellence, the average root canal costs between $900 and $1600 per tooth in Washington State. Under the SimpleChoice Plan there is a $600 copay for a covered root canal with a limit of two teeth after purchase or renewal and coverage for the same tooth limited to once every two years afterward. A pretreatment estimate is therefore recommended.

I'm an employer looking for group dental plan options, what choices do I have?

i These are benefit highlights only. Monthly premiums shown are examples of monthly rates for subscriber only in Washington, effective January 2027. 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.

ii Individual 12-month contracted rate for ages 26-50. Actual rate may be higher or lower depending on age.

iii Individual 12-month contracted rate.

iv Excludes back teeth tooth-colored fillings.

v A pretreament estimate is suggested. Clinical requirements must be met; 1 crown and 1 implant per person per 12-month policy period.

vi A pretreament estimate is suggested. Clinical requirements must be met, crowns covered at 50% per tooth every seven years for persons ages 12 years and older.

vii This Policy has a 12-month Waiting Period that applies to certain covered procedures. This means that Delta Dental of Washington will not pay for any of these procedures until you have been enrolled in this Policy for 12 continuous months. If you were covered under a comparable full-coverage dental plan that included Major services, for at least 12 continuous months before enrolling in this Plan, any Waiting Periods will be waived—provided there was no more than a 63-day gap between your previous coverage and this Policy. To request that the waiting period be waived, you must provide details about your previous coverage.