Delta Dental - Basic Plan
Our Most Affordable Dental Plan
The Basic Plan is created for those looking to save on costs while still receiving 100% coverage on most preventive care services and 50% coverage on fillingsi and non-surgical extractions. With the Basic Plan, you can keep on smiling knowing your wallet is happy and your essential oral health is covered.
Plan Highlights
- Annual plan maximum of $1000 - the maximum amount DDWA will pay per person, per benefit period
- 100% coverage on most preventive care services including cleanings and exams
- 50% coverage for fillingsi, non-surgical extractions, full mouth and panoramic x-rays, and fluoride
Plan Features per benefit yearii
| Monthly Premium Eastern/Western WA |
Plan year maximum |
Shared Maximum Benefit |
|---|---|---|
| Family Rate (2 adults + 1 or more children)ii $96.80 / $110.50 |
$1000 per person | None |
| Deductible |
Office Visit Copay |
Preventive Care Cleanings, exams, x-rays and fluoride |
| None | $15 | 100% cleanings and exams 50% panoramic/full mouth x-rays and fluoride |
| Fillingsi | Crowns | Root Canal Surgical & Non-Surgical |
| 50% | Not covered | Not covered |
| Non-Surgical Extractions | Periodontal Maintenance | Orthodontics |
| 50% | Not Covered | Not Covered |
| Annual Contract | Waiting Periods | |
| Yes | May Apply |
Compare to Similar Plans
| This Plan | |||
|---|---|---|---|
| Basic Plan | Clear Plan | Enhanced Plan | |
| Monthly Premium Family Rate (2 adults + 1 or more children) |
Eastern WA / Western WA $96.80 / $110.50ii |
Eastern WA / Western WA $123.50 / $168.10ii for adults (ages 26-50) +2 chilren Actual rate may be higher or lower depending on age |
Eastern WA / Western WA $157.70 / $181.25ii |
| Plan Year Maximum per person |
$1000 | None | $1000 |
| Shared Maximum Benefit | None | None | None |
| Deductible | None | None | $50 |
| Office Visit Copay | $15 | None | None |
| Preventive Care Cleanings, exams, x-rays, and fluoride |
100% cleanings and exams 50% full mouth and panoramic x-rays and fluoride | $65 Copay |
100% |
| Fillings | 50%i | $115 Copay |
50%i |
| Crowns | Not Covered | $740iii Copay 1 crown per person |
50%iii |
| Root Canal | Not Covered | $535 Copay 2 teeth in 12 months after purchase or renewal, once |
50% |
| Non-Surgical Extractions | 50% | $115 Copay |
50% |
| Periodontal Maintenance | Not Covered | Included in Preventive Care Visit | 50% |
| Orthodontics | Not Covered | Not Covered | Not Covered |
| Annual Contract | Yes | Yes | Yes |
| Waiting Periods | May Apply | None | May Apply |
i Tooth-colored fillings on back teeth not included.
ii 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 insure
iii Clinical requirements must be met, crowns covered at 50% per tooth every seven years.
