Delta Dental - Family Plus Plan

The First Individual Delta Dental of Washington Plan with Orthodontic Benefits

clear plan

Not just for families, the Family Plus Plan is built for individuals seeking orthodontic care for themselves or for their household.i This plan offers 100% coverage for most preventive care services and 50% coverage for braces or aligners installed by a licensed dentist. If you have been wanting to improve your smile, this plan is for you!

Plan Highlights

  • Coverage for mouthguards, root canals, fillings, implants, and other major proceduresii
  • 100% coverage on most preventive care services (cleanings, exams, x-rays, and fluoride)ii
  • 80% coverage on sealants (for biting surfaces of permanent molars only)
  • 50% coverage on orthodontics, up to $1500 per person
  • 50% coverage on crownsiii, root canals, surgical and non-surgical extractions, and implantsii

Plan Features per benefit yearii
Monthly Premium
Eastern/Western WA
Plan year maximum
 
Shared Maximum Benefit
 
Individual Starting Rateii
$55.40 / $63.65
$1500 per person Additional $250 maximum benefit per person up to $1250
Deductible
 
Office Visit Copay
 
Preventive Care
Cleanings, exams, x-rays, and fluoride
$50 None 100%
Fillings Crownsiii Root Canal
50% 50% 50%
Non-Surgical & Extractions and Implants Periodontal Maintenance Orthodontics
50% 50% 50%
($1,500 lifetime maximum w/ 12-month waiting period)i
Annual Contract Waiting Periods  
Yes May Applyi  
Compare to Similar Plans
  This Plan    
  Family Plus Plan Ascent Plan Premium Plan
Monthly Premium
Individual Starting Rate
Eastern WA / Western WA
$55.40 / $63.65ii
Eastern WA / Western WA
$52.85 / $60.75ii
Eastern WA / Western WA
$60.90 / $69.95ii
Starting rate for Individuals ages 26-50
Actual rate may be higher or lower depending on age
Plan Year Maximum
per person
$1500 1st Year, 2nd Year, 3rd Year
$1000/$1250/$1500
$2000
Shared Maximum Benefit $250 per person up to $1250 None None
Deductible $50 $50 $100
Policy Lifetime
Office Visit Copay None None None
Preventive Care
Cleanings, exams, x-rays, and fluoride
100% 100% 100%
Fillings 50%i 1st Year, 2nd Year, 3rd Year
50%/60%/70%
80%
Crowns 50%iii 50%iii 50%iii
Root Canal 50% 50% 50%
Non-Surgical Extractions 50%
Includes surgical and nonsurgical
50% 50%
Includes surgical and nonsurgical
Periodontal Maintenance 50%
Two per benefit year
1st Year, 2nd Year, 3rd Year
50%/60%/70%
50%
Three per benefit year
Orthodontics 50%
$1500 lifetime maximum with 12-month waiting periodi
Not Covered Not Covered
Annual Contract Yes Yes Yes
Waiting Periods May Applyi None May Apply

For Orthodontia covered procedures a 12-month waiting period applies. This means that DDWA will not pay towards any of these procedures until the covered members have been enrolled in this policy for 12 continuous months. The waiting period for Orthodontia treatment will be waived for your family if all family members were covered under another insured dental plan with orthodontic coverage for at least 12 continuous months before you enrolled in this plan, but only if there was no more than a 63-day gap between the previous plan and this plan. Documentation is required to waive the 12-month waiting period.

ii These are benefit highlights only. Monthly premiums shown are examples only of our lowest monthly rates for subscriber-only or family, (subscriber, spouse, plus two children) in Washington, effective January 2022. Actual rates vary based on plan choice, your age, your location, number of people insured, their age, and relationship to you. Waiting periods may be waived if you had qualifying dental coverage for 12-continuous months prior to enrolling. For full details of plan, benefits and pricing, please visit DeltaDentalCoversMe.com.

iii  A predetermination is suggested. Clinical requirements must be met, crowns covered at 50% per tooth every seven years