Not just for families, the Plus Ortho 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!
Which plan is right for you? Click on each person below to find out why they chose the Plus Ortho Plan*
*Personas are fictional and only intended to represent possible oral health needs and situations. They are not inclusive of all needs or circumstances.
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
$57.10 / $65.60 |
$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% |
| & and Implants |
Periodontal Maintenance
One per six months |
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 |
|
|
| |
Plus Ortho Plan** |
Ascent Plan |
Premium Plan |
Monthly Premium
Individual Starting Rate |
Eastern WA / Western WA
$57.10 / $65.60ii |
Eastern WA / Western WA
$54.45 / $62.60ii |
Eastern WA / Western WA
$62.75 / $72.10ii
|
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% |
1st Year, 2nd Year, 3rd Year
50%/60%/70% |
80% |
| Crowns |
50%iii |
50%iii |
50%iii |
| Root Canal |
50% |
50% |
50% |
|
50%
Includes surgical and nonsurgical |
50% |
50%
Includes surgical and nonsurgical |
| Periodontal Maintenance |
50%
One per six months |
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 |
** Family Plus Plan to be renamed Plus Ortho Plan, effective January 2024.
i 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 2024. 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
