Dental Benefits & Procedures Guide
A quick reference guide to common dental benefits and procedures
Benefits
Procedures
Annual Contract
Terms and conditions apply for 12 months from the policy effective date.
Crown
A restoration that replaces the entire visible portion of the tooth.
Deductible
The dollar amount you have to pay directly to your dentist before your benefits will begin.
Filling
Replacement of lost tooth structure, typically with a silver or white restorative material.
Monthly Premium
The fixed rate you pay to Delta Dental of Washington monthly in exchange for coverage.
Implant
Artificial replacement for the root(s) of a missing tooth.
Office Visit Copay
A preset amount you are required to pay before receiving a service or treatment covered by your dental insurance provider. This is the amount you pay to the dentist for certain procedures each time you visit.
Orthodontics
Teeth alignment and straightening using braces or aligners.
Plan Year Maximum
The maximum amount Delta Dental of Washington will pay per person, per benefit period.
Periodontal Maintenance
A periodic cleaning following treatment for advanced gum disease to preserve the health of the gums and bone that support the teeth.
Policy Lifetime
Once each covered person pays the deductible, the deductible will never need to be paid again, as long as the policy is kept.
Preventive Care
Includes cleanings, exams, x-rays, and fluoride to decrease the likelihood of future oral health issues.
Shared Maximum Benefit
An additional maximum benefit for each person on the same plan, up to five individuals. This additional money is pooled together and any individual who uses up their personal maximum can utilize the money in the shared maximum bank.
Root Canal
Removal of the pulp or nerve from inside a tooth and replacement with a filling material.
Waiting Period
The time before all of your dental benefits are payable by Delta Dental of Washington.
Surgical Extraction
Tooth removal requiring sectioning (cutting) of a tooth or removing bone.