Washington Health Benefit Exchange Plans
We offer two Qualified Dental Plans through the Washington HealthplanfinderTM, available by special enrollment only.
Click "Shop & Enroll" below to visit the health plan finder for details.
The Washington Health Benefit Exchange (WAHBE) is a provision of the Affordable Care Act and provides a marketplace for Washington dental and health insurance for individuals and families in Washington State. We are proud to partner with WAHBE in providing dental benefit plans for qualifying families and kids.
Delta Dental Individual and Family - Washington Family
For adults ages 19+ or adults plus children.
If you choose this plan for family coverage, you don't need to enroll your children for the Washington Kids plan.
Please refer to chart below for details or view:
Summary of Benefits for this Plan PDF (English) and Benefits Booklet PDF (English)
Delta Dental Individual - Washington Kids
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Choose this plan if you're only covering children ages 0 to 18 and no adults.
Please refer to chart below for details or view:
Summary of Benefits for this Plan PDF (English) and Benefits Booklet PDF (English)
Delta Dental Individual and Family - Washington FamilyShop & Enroll |
Delta Dental Individual - Washington KidsShop & Enroll |
||
|---|---|---|---|
| Adult Coverage | Children's Coverage | Children's Coverage | |
| Description | For adults 19+ years old
|
For children 0-18 years old
|
For children 0-18 years old
|
|
Plan Year Maximum per person |
$1000 | None | None |
| Out-Of-Pocket Annual Maximum | None | $450 for 1 child $900 for 2+ children |
$450 for 1 child $900 for 2+ children |
|
Deductible benefit frequency every 12-months |
$50 | $85 | $85 |
|
Preventive Care Cleanings, exams, x-rays, and fluoride |
100% | 100% | 100% |
| Fillings | 50% | 70% | 70% |
| Crowns | Not Covered | 50% | 50% |
| Root Canals | Not Covered | 70% | 70% |
| Non-Surgical Extractions | Not Covered | 70% | 70% |
| Scaling and Root Planing | Not Covered | 70% | 70% |
| Orthodontics | Not Covered | 50% Medically Necessary Only |
50% Medically Necessary Only |
These are benefit highlights only and not a contract. Benefits shown represent percentages paid by the dental plan, after deductible (if applicable). For full details of plans, benefits, and pricing, please visit WAHealthPlanFinder.org.
Additional Resources
Contact Us
Questions about Plans:
Tel: 855-657-7873, M-F 8AM to 5PM
Questions about Claims or Service:
Tel: 888-899-3734, M-F 8AM to 5PM
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Frequently Asked Questions
What is the Washington Health Benefit Exchange?
What is the difference between the two qualified Delta Dental of Washington Plans: Delta Dental Individual and Family – Washington Family Plan and the Delta Dental Individual – Washington Kids Plan?
The Delta Dental Individual – Washington Kids Plan is for children ages 0-18. It does not cover adults and you are not required to have an adult plan to purchase a plan for your child(ren).
How do I know if I am eligible for a Washington Health Benefit Exchange Plan? How do I enroll?
When can I enroll?
Where can I use my Delta Dental of Washington Health Benefit Exchange Plan benefits?
Where do I go to check my claims, billings, Explanation of Benefits (EOBs), and other information about my plan or account?
Who administers Delta Dental of Washington Health Benefit Exchange Plans?
Who do I contact if I have a question about my Washington Health Benefit Exchange Plan or benefits?
For questions about claims or service, please call 888-899-3734, M-F 8AM to 5PM.
