Delta Dental - Premium Plan

Our Best-Selling Individual and Family Plan

premium

The Premium Plan is made for individuals and families looking for a plan with our highest per person coverage. It includes a high annual maximum, where we pay up to $2000 per person each benefit year, 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 care all year long!

Plan Highlights

  • 100% coverage on most preventive care services such as cleanings, exams, x-rays, and fluoridei
  • Annual plan maximum (the amount DDWA pays) per benefit period of $2000 per person
  • 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
 
Family Rate
(2 adults + 1 or more children)iii
$197.60 / $227.10
$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
Family Rate
(2 adults + 1 or more children)
Eastern WA / Western WA
$197.60 / $227.10iii
Eastern WA / Western WA
$157.70 / $181.25iii
Eastern WA / Western WA
$179.80 / $206.65iii
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%
Includes surgical and nonsurgical
50%
Includes surgical and nonsurgical
Periodontal Maintenance 50%
Three per benefit year
50%
Three per benefit year
50%
Three per benefit year
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

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.

Waiting period may be waived if you have had prior ortho coverage.