Effective January 1, 2022, the day-to-day administration of your Washington Health Benefit Exchange Policy will be administered by Delta Dental of Wisconsin (Wyssta Services). Your policy is underwritten by Delta Dental of Washington and administered by Delta Dental of Wisconsin and/or its subsidiary, Wyssta Services. You will need to setup reoccurring payments with Delta Dental of Wisconsin for your 2022 plan year.
If you have any questions, please visit our FAQ, or reach out to our customer service at 888-899-3734.
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.
Adult Coverage | Children’s Coverage | |
Plan year maximum benefit | $1,000 | None |
Out-of-pocket annual limit | None | $ 350 for 1 child $ 700 for 2+ children |
Deductible | $50 | $85 |
Preventive CareCleanings, exam, x-rays and fluoride | 100% | 100% |
Fillings | 50% | 70% |
Crowns | Not covered | 50% |
Root Canal | Not covered | 70% |
Non-Surgical Extractions | Not covered | 70% |
Treatment of gums | 50% | 70% |
Orthodontics | Not covered | 50%Medically Necessary Only |
Click here to view a Summary of Benefits for this Plan | Benefits Booklet
Choose this plan if you're only covering children ages 0 to 18 and no adults.
Children’s Coverage | |
Plan year maximum benefit | None |
Out-of-pocket annual limit | $ 350 for 1 child $ 700 for 2+ children |
Deductible | $85 |
Preventive CareCleanings, exam, x-rays and fluoride | 100% |
Fillings | 70% |
Crowns | 50% |
Root Canal | 70% |
Non-Surgical Extractions | 70% |
Treatment of gums | 70% |
Orthodontics | 50%Medically Necessary Only |