Susan just recently retired and wants to stay healthy to enjoy her free time but doesn’t want to spend her hard-earned life’s savings to do it.
After ending my career, I want the best. I’m still healthy but that’s because I take care of myself. One of the things that’s important to me is my oral health. I’m an empty-nester and all about maximizing my coverage as I get older to prepare for anything I might need.
Damien and Gabby were high school sweethearts. Now they just want to enjoy each other’s company and live a healthy life.
My partner and I are lucky. We’ve done well and are lucky enough to have finally paid off our house. Now that our careers are on solid footing, we are focused on what we need to do to be healthy for life. We've always focused on healthy eating and an active life, but we had no idea that periodontal disease could be genetic. We're lucky that Gabby's dentist caught it early and has a plan for long-term management with scaling and deep root planning. We want our healthy smiles to stay; we're glad we can prioritize our dental needs without having to sacrifice value.
*Personas are fictional and only intended to represent possible oral health needs and situations. They are not inclusive of all needs or circumstances.
| Monthly Premium Eastern/Western WA |
Plan Year Maximum |
Shared Maximum Benefit |
|---|---|---|
| Individual Starting Rateiii $62.75 / $72.10 |
$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 |
| This Plan | |||
|---|---|---|---|
| Premium Plan | Enhanced Plan | Plus Ortho Plan** | |
| Monthly Premium Individual Starting Rate |
Eastern WA / Western WA $62.75 / $72.10iii |
Eastern WA / Western WA $50.85 / $58.50iii |
Eastern WA / Western WA $57.10 / $65.60iii |
| 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% |
50% Includes surgical and nonsurgical |
| Periodontal Maintenance | 50% Three per benefit year |
50% |
50% One per six months |
| 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 |
** Family Plus Plan to be renamed Plus Ortho Plan, effective January 2024.
i 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 2024. 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.
v Waiting period may be waived if you have had prior ortho coverage.
