Delta Dental - Plus Ortho

The First Individual Delta Dental of Washington Plan with Orthodontic Benefits


clear plan

Not just for families, the Plus Ortho Plan is built for individuals seeking orthodontic care for themselves or for their household.i This plan offers 100% coverage for most preventive care services and 50% coverage for braces or aligners installed by a licensed dentist. If you have been wanting to improve your smile, this plan is for you!

Which plan is right for you? Click on each person below to find out why they chose the Plus Ortho Plan*


antonne 

Antonne is a filmmaker. His previous employer provided orthodontia coverage, but his new job through the union does not.

I am looking forward to my new job through the union. The pay is better, but my benefits through work don’t cover braces for my kids. I am fine purchasing a separate plan as long as the plan includes braces coverage. This saves me money from paying out-of-pocket for braces over the next several years. I was happy to find a plan that will allow me to cover my kids for braces and their growing needs.



 

Adrienne is an in-demand political consultant who just learned she may need some orthodontia work.

I thought I was done with orthodontia when I got my braces off as a kid. It turns out that when you don’t continue to wear your retainer, at some point, your teeth might move again. I might need additional work done to avoid serious problems that could come up later down the road. I’m glad I found a plan that covers those needs because I’d rather save for a vacation than for braces!

*Personas are fictional and only intended to represent possible oral health needs and situations. They are not inclusive of all needs or circumstances.

Plan Features per benefit yearii
   
Monthly Premium
Eastern/Western WA
Plan Year Maximum
 
Shared Maximum Benefit
 
Individual Starting Rateii
$57.10 / $65.60
$1500 per person Additional $250 maximum benefit per person up to $1250
Deductible
 
Office Visit Copay
 
Preventive Care
Cleanings, exams, x-rays, and fluoride
$50 None 100%
Fillings Crownsiii Root Canal
50% 50% 50%
Non-Surgical &  Surgical Extractions and Implants Periodontal Maintenance
One per six months
Orthodontics
50% 50% 50%
($1,500 lifetime maximum w/ 12-month waiting period)i
Annual Contract Waiting Periods  
Yes May Applyi  
Compare to Similar Plans
  This Plan    
  Plus Ortho Plan Ascent Plan Premium Plan
Description Orthodontic benefits such as braces and aligners installed by DMD or DDS. No waiting period and coverage that increases over the first two years you renew. High maximum, three periodontal maintenance cleanings, and policy lifetime deductible.
Monthly Premium
Eastern WA
$57.10ii $54.45ii $62.75ii
Monthly Premium
Western WA
$65.60ii $62.60ii $72.10ii
Plan Year Maximum
per person
$1500 1st Year, 2nd Year, 3rd Year
$1000/$1250/$1500
$2000
Shared Maximum Benefit $250 per person up to $1250 None None
Deductible $50 $50 $100
Policy Lifetime
Office Visit Copay None None None
Preventive Care
Cleanings, exams, x-rays, and fluoride
100% 100% 100%
Fillings 50% 1st Year, 2nd Year, 3rd Year
50%/60%/70%
80%
Crowns 50%iii 50%iii 50%iii
Root Canal 50% 50% 50%
Implants 50% 50% 50%
Non-Surgical Extractions 50%
Includes surgical and nonsurgical
50% 50%
Includes surgical and nonsurgical
Surgical Extractions 50% Not Covered 50%
Periodontal Maintenance 50%
One per six months
1st Year, 2nd Year, 3rd Year
50%/60%/70%
50%
Three per benefit year
Orthodontics 50%
$1500 lifetime maximum with 12-month waiting periodi
Not Covered Not Covered
Cosmetics Not Covered Not Covered Not Covered
Annual Contract Yes Yes Yes
Waiting Periods May Applyi None May Apply

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.

ii These are benefit highlights only. Monthly premiums shown are examples only of our lowest monthly rates for subscriber-only or family, (subscriber, spouse, plus two children) in Washington, effective January 2024. Actual rates vary based on plan choice, your age, your location, number of people insured, their age, and relationship to you. Waiting periods may be waived if you had qualifying dental coverage for 12-continuous months prior to enrolling. For full details of plan, benefits and pricing, please visit DeltaDentalCoversMe.com.

iii A Pretreatment Estimate is suggested. Clinical requirements must be met, crowns covered at 50% per tooth every seven years