As an established director at a nonprofit, Halima has some dental needs she wants to address.
A few years ago, I went to a dentist to address a tooth infection. Managing this has definitely been more involved and expensive than I first anticipated. I am lucky to have a consistent income, but I never expected to pay so much out of pocket. What I thought was originally a simple solution, has evolved into several issues (and a crown) that I’ve had to fix over the years - I’d rather focus on building up my savings! I need a plan that’ll cover the work I may need to have done over the next few years and whatever else may come up.
Delta Dental - Enhanced Plan
Our Mid-Tier Coverage Plan with 100% Coverage for Cleanings, Exams, X-rays, and Fluoride
The Enhanced Plan is designed for those seeking 100% coverage on most preventive care services and 50% on most major procedures. This plan is all about getting the most value for your money with zero out-of-pocket copays for two annual cleanings per person. Our goal is to keep your costs low while covering 50% of the cost of all fillings each year.
Now that Jackie has two kids, she’s extra focused on finding good family dental coverage that keeps everyone in her busy house smiling.
I’ve got a full house these days. Between work and limited childcare, I’ve just been too busy to take time off and go see the dentist. I know I’m way overdue for my cleanings and I’m pretty sure my youngest kid (the one with the sweet tooth) might have a cavity or two. I want a plan with good overall coverage for whatever we might need that also fits within my monthly budget.
*Personas are fictional and only intended to represent possible oral health needs and situations. They are not inclusive of all needs or circumstances.
Monthly Premium Eastern/Western WA |
Plan Year Maximum |
Shared Maximum Benefit |
---|---|---|
Individual Starting Rateiv $52.35 / $60.25 |
$1000 per person | None |
Deductible |
Office Visit Copay |
Preventive Care Cleanings, exams, x-rays and fluoride |
$50 | None | 100% |
Fillings | Crownsii | Root Canal |
50% | 50% | 50% |
Non-Surgical Extractions | Periodontal Maintenance | Orthodontics |
50% | 50% | Not Covered |
Annual Contract | Waiting Periods | |
Yes | May Apply |
This Plan | |||
---|---|---|---|
Enhanced Plan | Clear Plan | Ascent Plan | |
Description | 100% coverage on most preventive care services and 50% on most major procedures. | No guessing, fixed-out-of-pocket costs, no waiting periods or dollar maximums. | No waiting period and coverage that increases over the first two years you renew. |
Monthly Premium Eastern WA |
$52.35iv | $36.55iv Individual Starting Rate ages 26-50 Actual rate may be higher or lower depending on age |
$56.10iv |
Monthly Premium Western WA |
$60.25iv | $48.35iv Individual Starting Rate ages 26-50 Actual rate may be higher or lower depending on age |
$64.50iv |
Plan Year Maximum per person |
$1000 | None | 1st Year, 2nd Year, 3rd Year $1000/$1250/$1500 |
Shared Maximum Benefit | None | None | None |
Deductible | $50 | None | $50 |
Office Visit Copay | None | None | None |
Preventive Care Cleanings, exams, x-rays, and fluoride |
100% | $65 Copay |
100% |
Fillings | 50% | $115 Copay |
1st Year, 2nd Year, 3rd Year 50%/60%/70% |
Crowns | 50%ii | $740v Copay 1 crown per person per 12-month policy period |
50%ii |
Root Canal | 50% | $535 Copayvi 2 teeth in 12 months after purchase or renewal, once per tooth every two years after |
50% |
Implants | 50% | $2600 Copayv 1 implant per person person per 12-month policy period |
50% |
Non-Surgical Extractions | 50% | $115 Copay |
50% |
Surgical Extractions | Not Covered | $230 Copay | Not Covered |
Periodontal Maintenance | 50% | Covered in Preventive Care Visit | 1st Year, 2nd Year, 3rd Year 50%/60%/70% |
Orthodontics | Not Covered | Not Covered | Not Covered |
Cosmetics | Not Covered | Not Covered | Not Covered |
Annual Contract | Yes | Yes | Yes |
Waiting Periods | May Apply | None | None |
ii A Pretreatment Estimate is suggested. Clinical requirements must be met, crowns covered at 50% per tooth every seven years.
iii Frequency limits per service apply as outlined in the Plan Features per benefit year table.
iv These are benefit highlights only. Monthly premiums shown are examples of monthly rates for subscriber-only in Washington, effective January 2025. Actual rates may vary (higher or lower) based on plan effective date, 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.
v Pretreatment 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.
vi 2 teeth in 12 months after purchase or renewal, once per tooth every two years after.