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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.
|
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
Delta Dental Individual – Washington Kids
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 |
Click here to view a Summary of Benefits for this Plan