Washington Health Benefit Exchange Plans
For children 0-18 years old
For adults 19+ years old
None
$1000
Plan Year Maximum
$350 for 1 child
$700 for 2+ children
None
Out-Of-Pocket Annual Maximum
$85
$50
Deductible
benefit frequency every 12-months
100%
100%
Preventive Care
Cleanings, exams, x-rays, and fluoride
70%
50%
Fillings
50%
Not Covered
Crowns
Not Covered
70%
Not Covered
Root Canals
Scaling and Root Planing
Orthodontics
Non-Surgical Extractions
Learn more about the dental plans available on the Health Plan Finder
50%
Not Covered
50%
Medically Necessary Only
70%
70%
50%
Medically Necessary Only
These are benefit highlights only and not a contract. Benefits shown represent percentages paid by the dental plan, after deductible (if applicable). For full details of plans, benefits, and pricing, please visit WAHealthPlanFinder.org.
Delta Dental Individual - Washington Kids
Choose this plan if you're only covering children ages 0 to 18 and no adults.
Please refer to chart below for details or view:
Summary of Benefits for this Plan PDF and Benefits Booklet PDF
Delta Dental Individual and Family
- Washington Family
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.
Please refer to chart below for details or view:
Summary of Benefits for this Plan PDF and Benefits Booklet PDF
Chooses this plan if you're only covering children ages 0 to 18 and no adults.
Please refer to chart below for details or view:
Summary of Benefits for this Plan PDF
Benefits Booklet PDF
Delta Dental Individual - Washington Kids
Children's Coverage
Children's Coverage
Adult Coverage
Children's Coverage
For children 0-18 years old
None
$350 for 1 child
$700 for 2+ children
$85
100%
70%
50%
Medically Necessary Only
70%
50%
70%
70%
Delta Dental Individual - Washington Kids
Shop & Enroll
Shop & Enroll
Children's Coverage
For children 0-18 years old
None
$350 for 1 child
$700 for 2+ children
$85
100%
70%
50%
Medically Necessary Only
70%
50%
70%
70%
Root Canals
Scaling and Root Planing
Non-Surgical Extractions
Orthodontics
Crowns
Fillings
Preventive Care
Cleanings, exams, x-rays, and fluoride
Deductible
benefit frequency every 12-months
Out-Of-Pocket Annual Maximum
Plan Year Maximum
Delta Dental Individual -
Washington Kids
For adults 19+ years old
$1000
None
$50
100%
50%
Not Covered
50%
Not Covered
Not Covered
Not Covered
Adult Coverage
The maximum amount Delta Dental of Washington will pay per person, per benefit period.
The dollar amount you have to pay directly to your dentist before your benefits will begin.
Includes cleanings, exams, x-rays, and fluoride to decease the likelihood of future oral health issues.
A restoration that replaces the entire visible portion of the tooth.
Removal of the pulp or nerve from inside a tooth and replacement with a filling material.
Tooth removal that does not require sectioning (cutting) of a tooth or removing bone.
Teeth alignment and straightening using braces or aligners.
Removal of plaque and tartar from around the gums and tooth roots to treat gum disease.
The maximum cost per enrolled child that you will be responsible for paying if you see a Delta Dental PPO plus Premier Dentist
Replacement of lost tooth structure, typically with a silver or white restorative material.
Tooth removal that does not require sectioning (cutting) of a tooth or removing bone.
