Delta Dental - Basic Plan

Our Most Affordable Dental Plan

ascent 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 per person – the amount DDWA pays 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
 
Individual Starting Rate
$29.65 / $34.15
$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
Individual Starting Rate
Eastern WA / Western WA
$29.65 / $34.15ii
Eastern WA / Western WA
$34.45 / $45.55ii
Starting Rate for Individuals ages 26-50
Actual rate may be higher or lower depending on age
Eastern WA / Western WA
$48.60 / $55.90ii
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

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.