Dental Options

See which dental benefits our individual plans cover and what benefits you can get by buying additional coverage.

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What You Get with Your Plan

Keeping your mouth healthy is an important part of your overall health. When you buy our individual plans, anyone 18 and under on your plan gets this great dental care as part of their pediatric essential health benefits.

Pediatric Dental Highlights for Public Marketplace Plans

If you bought your individual plan on the Public Marketplace through HealthCare.gov, we bring you these pediatric dental benefits. You can see any dentist with these benefits, but you save when you see ones in our network.

  In-Network Provider Out-of-Network Provider*
Dental Deductible $75/member $75/member
Dental Annual Out-of-Pocket $350/child
$700/family
$350/child
$700/family
Dental Exam 0% coinsurance
(Deductible does not apply)
50% coinsurance
(Deductible does not apply)
Preventive Services
including X-rays, cleanings, and fluoride treatments
0% coinsurance
(Deductible does not apply)
50% coinsurance
(Deductible does not apply)
Minor Restorative Services
including fillings, extractions, and oral surgery
Dental deductible
40% coinsurance
Dental deductible
50% coinsurance
Major Services
including crowns and dental implants
Dental deductible
50% coinsurance
Dental deductible
50% coinsurance
Medically Necessary Orthodontic Services Dental deductible
50% coinsurance
Dental deductible
50% coinsurance

*HMO is not covered.

Note: Some plans' benefits may vary, such as Catastrophic plans.

Pediatric Dental Highlights for Plans Directly From Us

If you bought your individual plan directly from us, these pediatric dental benefits are included through Delta Dental.

  In-Network Provider Out-of-Network Provider*
Dental Deductible $120/member Not covered
Dental Annual Out-of-Pocket $350/child
$700/family
Not covered
Dental Exam 0% coinsurance
(Deductible does not apply)
Not covered
Preventive Services
including X-rays, cleanings, and fluoride treatments
0% coinsurance
(Deductible does not apply)
Not covered
Minor Restorative Services
including fillings, extractions, and oral surgery
Dental deductible
50% coinsurance
Not covered
Major Services
including crowns and dental implants
Dental deductible
50% coinsurance
Not covered
Medically Necessary Orthodontic Services 50% coinsurance Not covered

*If you visit a dentist outside the Delta Dental PPO network, the pediatric essential health benefits will not be covered.

Extra Dental Coverage You Can Buy

If you bought a plan directly from us, you can also buy extra dental coverage from Delta Dental. With these plans, you get coverage for:

  • Exams
  • Cleanings
  • X-rays
  • Sealants
  • Fluoride treatments
  • Gum disease treatment
  • Root canals
  • Dentures
  • Crowns

You can also choose:

  • An Enhanced Benefits Program, which can give members with certain health conditions that might be affected by dental health, like pregnancy, diabetes, and high-risk heart conditions, even stronger coverage.
  • Individual Kids Basic plans, for those under age 19, which can be bought on their own or as part of the gold or silver dental plans. You must see a dentist from the Delta Dental PPO network to use these benefits.

Options and Rates

Delta Dental PPO Bronze Plan
Individual Only $14.47
Individual +1 $29.66
Individual & Family $61.93
Delta Dental PPO Silver Plan with the Individual Kids Basic Plan
Individual Only $28.94
Individual +1 $56.48
Individual & Family $112.22
Delta Dental PPO Gold Plan with the Individual Kids Basic Plan
Individual Only $35.54
Individual +1 $69
Individual & Family $133.74
Delta Dental PPO Individual Kids Basic Plan
Individual Under 19 $24.99 per child

Get more info about buying more dental coverage with these plans.

 

Find a Dentist

Search Dentists

In-network dentists are listed as Delta Dental PPO. Any dentists not found in the search or listed as Delta Dental Premier are not in-network.

Learn More

Get more info about buying more dental coverage with these plans.

Add Coverage

These options can be added using our direct paper applications or plan change forms:

Add to New Plan Add to Existing Plan

Or contact us to get started!


For details on specific dental services and plan year limitations, see your plan's policy (under Dental Services).