Monthly Premium
Eastern WA
Monthly Premium
Western WA
Plan Year Maximum
per person
Shared Maximum Benefit
Office Visit Copay
Fillings
Crowns
Implants
Root Canals
Non-Surgical Extractions
Surgical Extractions
Periodontal Maintenance
Orthodontics
Annual Contract
Waiting Period
Cosmetic
Preventive Care
Cleanings, exams, x-rays, and fluoride
Deductible
Optimum Plan*
NEW for 2025. Cost-sharing for cosmetic teeth whitening and veneers. Highest maximum and coverage on major procedures.
$76.10ii
$87.40ii
$5000
None
$100 Policy Lifetime
None
100%
80%viii
60%
60%v
60%
60%
60%
60%viii
Three per benefit year
Not Covered
Yes
May Apply
50%x
Premium Plan
High maximum, three periodontal maintenance cleanings, and policy lifetime deductible.
$62.75ii
$72.10ii
$2000
None
$100 Policy Lifetime
None
100%
80%
50%v
50%
50%
50%
50%
50%viii
Three per benefit year
Not Covered
Yes
May Apply
Not Covered
Plus Ortho Plan
Orthodontic benefits such as braces and aligners installed by DMD or DMS
$57.10ii
$65.60ii
$1500
$250 per person up to $1250
$50
None
100%
50%
50%v
50%
50%
50%
50%
50%
One every six months
50%ix
Yes
May Applyxi
Not Covered
*Optimum Plan effective dates as early as January 1, 2025
i. These are benefit highlights only. Monthly premiums shown are examples of monthly rates for subscriber-only in Washington, effective January 2024, except for Optimum Plan which shows monthly rates effective January 2025. Actual rates may vary (higher or lower) based on plan choice, your age, your location, number of people insured, their age, and relationship to you. For full details of plan, benefits, and pricing, please visit DeltaDentalCoversMe.com
ii. Individual 12-month contracted rate.
iii. Individual 12-month contracted rate for ages 26-50. Actual rate may be higher or lower depending on age.
iv. Excludes back teeth tooth-colored fillings.
v. A Pretreament Estimate is suggested. Clinical requirements must be met, crowns covered at 50% per tooth every seven years. Crowns covered at 60% per tooth every seven years under the Delta Dental - Optimum Plan.
vi. A Pretreament Estimate is suggested. Clinical requirements must be met, 1 crown per person per 12-month policy period. 1 implant per person per 12-month policy period.
vii. 2 teeth in 12 months after purchase or renewal, once per tooth every two years after.
viii. No waiting period.
ix. $1500 lifetime maximum with 12-month waiting period.
x. Includes teeth whitening/bleaching and veneers
xi. 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.
The time before all of your dental benefits are payable by Delta Dental of Washington.
Terms and conditions apply for 12 months from the policy effective date.
Procedures intended solely to improve the appearance of your smile. Includes teeth whitening/bleaching and veneers.
Teeth alignment and straightening using braces or aligners.
A periodic cleaning following treatment for advanced gum disease to preserve the health of the gums and bone that support the teeth.
Tooth removal requiring sectioning (cutting) of a tooth or removing bone.
Tooth removal that does not require sectioning (cutting) of a tooth or removing bone.
Artificial replacement for the root(s) of a missing tooth.
Removal of the pulp or nerve from inside a tooth and replacement with a filling material.
A restoration that replaces the entire visible portion of the tooth.
Replacement of lost tooth structure, typically with a silver or white restorative material.
Once each covered person pays the deductible, the deductible will never need to be paid again, as long as the policy is kept.
Once each covered person pays the deductible, the deductible will never need to be paid again, as long as the policy is kept.
Includes cleanings, exams, x-rays, and fluoride to decease the likelihood of future oral health issues.
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.
The dollar amount you have to pay directly to your dentist before your benefits will begin.
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.
The maximum amount Delta Dental of Washington will pay per person, per benefit period.
The fixed rate you pay to Delta Dental of Washington monthly in exchange for coverage.
The fixed rate you pay to Delta Dental of Washington monthly in exchange for coverage.
Shop Similar Plans
This Plan
Return to View All Plans
Premium Plan
High maximum, three periodontal maintenance cleanings, and policy lifetime deductible.
Monthly Premium
Eastern WA $62.75ii
Western WA $72.10ii
View Plan Details
Plus Ortho Plan
Orthodontic benefits such as braces and aligners installed by DMD or DMS.
Monthly Premium
Eastern WA $57.10ii
Western WA $65.60ii
View Plan Details