Find a Delta Dental Traditional Plan that works best for you and your family!

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    $1,000 annual maximum benefit amount (per person/per family per benefit year)

  • checkmark

    $50.00 deductible (per person/$150.00 per family per benefit year)

  • checkmark

    No waiting period on diagnostic & preventative services!

Which Traditional Dental Plan is right for you?

Let's help you find the best plan!

Core Plan

$25

.20 per person, per month

per person, per month

Individual

$25.20

Individual + 1

$48.12

Family

$78.90

Deductible (per person/per family per benefit year)

$50/$150

Annual maximum (per person/per family per benefit year)

$1,000

Enhanced Plan

$35

.05 per person, per month

per person, per month

Individual

$35.05

Individual + 1

$67.18

Family

$111.87

Deductible (per person/per family per benefit year)

$50/$1,000

Annual maximum (per person/per family per benefit year)

$1,000

Core Plan - Delta Dental PPO™ /Delta Dental Premier®/Non-Participating Providers

Covered Dental Services³

You Pay

Delta Dental Pays

Waiting Periods

DIAGNOSTIC & PREVENTATIVE SERVICES (No Deductible)

Exams – 2 per benefit year

50%

50%

None

Cleanings – 2 per benefit year

50%

50%

None

Bitewing X-rays – 1 per benefit year

50%

50%

None

Full-mouth/panoramic X-rays – 1 per 60 months

50%

50%

None

Fluoride treatment

50%

50%

None

Space maintainers

50%

50%

None

Sealants

50%

50%

None

BASIC SERVICES (Deductible Applies)

Fillings

50%

50%

6 months

Crown repairs

50%

50%

6 months

Relines and repairs – to bridges and dentures

50%

50%

6 months

Periodontal maintenance – 2 per benefit year; interchangeable with routine cleaning

50%

50%

6 months

MAJOR SERVICES (Deductible Applies)

Gum disease treatment

50%

50%

12 months

Root canals

50%

50%

12 months

Surgical extractions

50%

50%

12 months

General anesthesia

50%

50%

12 months

Crowns – 1 per 60 months

50%

50%

12 months

Complete and partial dentures

50%

50%

12 months

Bridges

50%

50%

12 months

DIAGNOSTIC & PREVENTATIVE SERVICES (No Deductible)

Exams – 2 per benefit year

You Pay 50%
Delta Dental Pays 50%
Waiting Periods None
Cleanings – 2 per benefit year

You Pay 50%
Delta Dental Pays 50%
Waiting Periods None
Bitewing X-rays – 1 per benefit year

You Pay 50%
Delta Dental Pays 50%
Waiting Periods None
Full-mouth/panoramic X-rays – 1 per 60 months

You Pay 50%
Delta Dental Pays 50%
Waiting Periods None
Fluoride treatment

You Pay 50%
Delta Dental Pays 50%
Waiting Periods None
Space maintainers

You Pay 50%
Delta Dental Pays 50%
Waiting Periods None
Sealants

You Pay 50%
Delta Dental Pays 50%
Waiting Periods None
BASIC SERVICES (Deductible Applies)

Fillings

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 6 months
Crown repairs

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 6 months
Relines and repairs – to bridges and dentures

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 6 months
Periodontal maintenance – 2 per benefit year; interchangeable with routine cleaning

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 6 months
MAJOR SERVICES (Deductible Applies)

Gum disease treatment

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 12 months
Root canals

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 12 months
Surgical extractions

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 12 months
General anesthesia

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 12 months
Crowns – 1 per 60 months

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 12 months
Complete and partial dentures

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 12 months
Bridges

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 12 months

Enhanced Plan - Delta Dental PPO™ /Delta Dental Premier®/Non-Participating Providers

Covered Dental Services³

You Pay

Delta Dental Pays

Waiting Periods

DIAGNOSTIC & PREVENTATIVE SERVICES (No Deductible)

Exams – 2 per benefit year

50%

50%

None

Cleanings – 2 per benefit year

50%

50%

None

Bitewing X-rays – 1 per benefit year

50%

50%

None

Full-mouth/panoramic X-rays – 1 per 60 months

50%

50%

None

Fluoride treatment

50%

50%

None

Space maintainers

50%

50%

None

Sealants

50%

50%

None

BASIC SERVICES (No Deductible)

Fillings

50%

50%

6 months

Crown repairs

50%

50%

6 months

Relines and repairs – to bridges and dentures

50%

50%

6 months

Periodontal maintenance – 2 per benefit year; interchangeable with routine cleaning

50%

50%

6 months

MAJOR SERVICES (No Deductible)

Gum disease treatment

50%

50%

12 months

Root canals

50%

50%

12 months

Surgical extractions

50%

50%

12 months

General anesthesia

50%

50%

12 months

Crowns – 1 per 60 months

50%

50%

12 months

Complete and partial dentures

50%

50%

12 months

Bridges

50%

50%

12 months

DIAGNOSTIC & PREVENTATIVE SERVICES (No Deductible)

Exams – 2 per benefit year

You Pay 50%
Delta Dental Pays 50%
Waiting Periods None
Cleanings – 2 per benefit year

You Pay 50%
Delta Dental Pays 50%
Waiting Periods None
Bitewing X-rays – 1 per benefit year

You Pay 50%
Delta Dental Pays 50%
Waiting Periods None
Full-mouth/panoramic X-rays – 1 per 60 months

You Pay 50%
Delta Dental Pays 50%
Waiting Periods None
Fluoride treatment

You Pay 50%
Delta Dental Pays 50%
Waiting Periods None
Space maintainers

You Pay 50%
Delta Dental Pays 50%
Waiting Periods None
Sealants

You Pay 50%
Delta Dental Pays 50%
Waiting Periods None
BASIC SERVICES (No Deductible)

Fillings

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 6 months
Crown repairs

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 6 months
Relines and repairs – to bridges and dentures

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 6 months
Periodontal maintenance – 2 per benefit year; interchangeable with routine cleaning

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 6 months
MAJOR SERVICES (No Deductible)

Gum disease treatment

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 12 months
Root canals

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 12 months
Surgical extractions

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 12 months
General anesthesia

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 12 months
Crowns – 1 per 60 months

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 12 months
Complete and partial dentures

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 12 months
Bridges

You Pay 50%
Delta Dental Pays 50%
Waiting Periods 12 months
3. For full coverage specifics, including frequencies, limitations and age restrictions, refer to the appropriate plan booklet.

 

You will be redirected to our individual plan enrollment website to complete your enrollment. If you have questions, please call (800) 971-4108 to speak to an enrollment specialist. 

Find a Delta Dental Graduated Dental Plan that fits your needs!

  • checkmark

    $1,000 annual maximum benefit amount (per person/per family per benefit year)

  • checkmark

    $50.00 deductible (per person/$150.00 per family per benefit year)

  • checkmark

    No waiting period on diagnostic & preventative services!

Which Graduated Dental Plan is right for you?

Let's help you find the best plan!

Coral Plan

$28

.28 per person, per month

per person, per month

Individual

$28.28

Individual + 1

$54.29

Family

$93.03

Turquoise Plan

$39

.40 per person, per month

per person, per month

Individual

$39.40

Individual +1

$75.64

Family

$129.62

Coral Plan - Delta Dental PPO™ /Delta Dental Premier®/Non-Participating Providers

Covered Dental Services

In Year 1, You Pay

In Year 2, You Pay

In Year 3, You Pay

Deductible³

Per person, per family, per benefit year

$50/$150

$50/$150

$50/$150

Annual Maximum Benefits²

Contract Year

$1,000

$1,250

$1,500

Delta Dental networks

Delta Dental PPO™/ Delta Dental Premier®/ Non-Participating Providers

DIAGNOSTIC & PREVENTATIVE SERVICES (No Deductible)

Exams - 2 per benefit year

20%

10%

0%

Cleanings - 2 per benefit year

20%

10%

0%

Bitewing X-rays – 1 per benefit year

20%

10%

0%

Full-mouth/panoramic X-rays – 1 per 60 months

20%

10%

0%

Fluoride Treatment

20%

10%

0%

Space Maintainers

20%

10%

0%

Sealants

20%

10%

0%

BASIC SERVICES (Deductible Applies)

Periodontal Maintenance - 2 per benefit year; interchangeable with routine cleaning

70%

60%

50%

Simple Extractions

70%

60%

50%

Fillings

70%

60%

50%

MAJOR SERVICES (Deductible Applies)

Gum Disease Treatment

70%

60%

50%

Root Canals

70%

60%

50%

Surgical Extractions

70%

60%

50%

General Anesthesia

70%

60%

50%

Denture Relines, Rebases, & Adjustments

70%

60%

50%

Repairs to Crowns, Dentures, & Bridges

70%

60%

50%

Implants

70%

60%

50%

Crowns - 1 per 60 months

70%

60%

50%

Complete & Partial Dentures

70%

60%

50%

Bridges

70%

60%

50%

Deductible³

Per person, per family, per benefit year

In Year 1, You Pay $50/$150
In Year 2, You Pay $50/$150
In Year 3, You Pay $50/$150
Annual Maximum Benefits²

Contract Year

In Year 1, You Pay $1,000
In Year 2, You Pay $1,250
In Year 3, You Pay $1,500
Delta Dental networks

In Year 1, You Pay Delta Dental PPO™/ Delta Dental Premier®/ Non-Participating Providers
In Year 2, You Pay
In Year 3, You Pay
DIAGNOSTIC & PREVENTATIVE SERVICES (No Deductible)

Exams - 2 per benefit year

In Year 1, You Pay 20%
In Year 2, You Pay 10%
In Year 3, You Pay 0%
Cleanings - 2 per benefit year

In Year 1, You Pay 20%
In Year 2, You Pay 10%
In Year 3, You Pay 0%
Bitewing X-rays – 1 per benefit year

In Year 1, You Pay 20%
In Year 2, You Pay 10%
In Year 3, You Pay 0%
Full-mouth/panoramic X-rays – 1 per 60 months

In Year 1, You Pay 20%
In Year 2, You Pay 10%
In Year 3, You Pay 0%
Fluoride Treatment

In Year 1, You Pay 20%
In Year 2, You Pay 10%
In Year 3, You Pay 0%
Space Maintainers

In Year 1, You Pay 20%
In Year 2, You Pay 10%
In Year 3, You Pay 0%
Sealants

In Year 1, You Pay 20%
In Year 2, You Pay 10%
In Year 3, You Pay 0%
BASIC SERVICES (Deductible Applies)

Periodontal Maintenance - 2 per benefit year; interchangeable with routine cleaning

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%
Simple Extractions

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%
Fillings

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%
MAJOR SERVICES (Deductible Applies)

Gum Disease Treatment

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%
Root Canals

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%
Surgical Extractions

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%
General Anesthesia

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%
Denture Relines, Rebases, & Adjustments

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%
Repairs to Crowns, Dentures, & Bridges

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%
Implants

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%
Crowns - 1 per 60 months

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%
Complete & Partial Dentures

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%
Bridges

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%

Turquoise Plan - Delta Dental PPO™ /Delta Dental Premier®/Non-Participating Providers

Covered Dental Services³

In Year 1, You Pay

In Year 2, You Pay

In Year 3, You Pay

Deductible

Per person, per family, per benefit year

$50/$150

$50/$150

$50/$150

Annual Maximum Benefits

Contract Year

$1,500

$1,750

$2,000

Delta Dental networks

Delta Dental PPO™/Delta Dental Premier®/Non-Participating Providers

Diagnostic & Preventive Services (NO DEDUCTIBLE)

Exams - 2 per benefit year

0%

0%

0%

Cleanings - 2 per benefit year

0%

0%

0%

Bitewing X-rays – 1 per benefit year

0%

0%

0%

Full-mouth/panoramic X-rays – 1 per 60 months

0%

0%

0%

Fluoride Treatment

0%

0%

0%

Space Maintainers

0%

0%

0%

Sealants

0%

0%

0%

BASIC SERVICES (Deductible Applies)

Periodontal Maintenance - 2 per benefit year; interchangeable with routine cleaning

60%

40%

20%

Simple Extractions

60%

40%

20%

Fillings

60%

40%

20%

MAJOR SERVICES (Deductible Applies)

Gum Disease Treatment

70%

60%

50%

Root Canals

70%

60%

50%

Surgical Extractions

70%

60%

50%

General Anesthesia

70%

60%

50%

Denture Relines, Rebases, & Adjustments

70%

60%

50%

Repairs to Crowns, Dentures, & Bridges

70%

60%

50%

Implants

70%

60%

50%

Crowns - 1 per 60 months

70%

60%

50%

Complete & Partial Dentures

70%

60%

50%

Bridges

70%

60%

50%

Deductible

Per person, per family, per benefit year

In Year 1, You Pay $50/$150
In Year 2, You Pay $50/$150
In Year 3, You Pay $50/$150
Annual Maximum Benefits

Contract Year

In Year 1, You Pay $1,500
In Year 2, You Pay $1,750
In Year 3, You Pay $2,000
Delta Dental networks

In Year 1, You Pay Delta Dental PPO™/Delta Dental Premier®/Non-Participating Providers
In Year 2, You Pay
In Year 3, You Pay
Diagnostic & Preventive Services (NO DEDUCTIBLE)

Exams - 2 per benefit year

In Year 1, You Pay 0%
In Year 2, You Pay 0%
In Year 3, You Pay 0%
Cleanings - 2 per benefit year

In Year 1, You Pay 0%
In Year 2, You Pay 0%
In Year 3, You Pay 0%
Bitewing X-rays – 1 per benefit year

In Year 1, You Pay 0%
In Year 2, You Pay 0%
In Year 3, You Pay 0%
Full-mouth/panoramic X-rays – 1 per 60 months

In Year 1, You Pay 0%
In Year 2, You Pay 0%
In Year 3, You Pay 0%
Fluoride Treatment

In Year 1, You Pay 0%
In Year 2, You Pay 0%
In Year 3, You Pay 0%
Space Maintainers

In Year 1, You Pay 0%
In Year 2, You Pay 0%
In Year 3, You Pay 0%
Sealants

In Year 1, You Pay 0%
In Year 2, You Pay 0%
In Year 3, You Pay 0%
BASIC SERVICES (Deductible Applies)

Periodontal Maintenance - 2 per benefit year; interchangeable with routine cleaning

In Year 1, You Pay 60%
In Year 2, You Pay 40%
In Year 3, You Pay 20%
Simple Extractions

In Year 1, You Pay 60%
In Year 2, You Pay 40%
In Year 3, You Pay 20%
Fillings

In Year 1, You Pay 60%
In Year 2, You Pay 40%
In Year 3, You Pay 20%
MAJOR SERVICES (Deductible Applies)

Gum Disease Treatment

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%
Root Canals

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%
Surgical Extractions

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%
General Anesthesia

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%
Denture Relines, Rebases, & Adjustments

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%
Repairs to Crowns, Dentures, & Bridges

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%
Implants

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%
Crowns - 1 per 60 months

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%
Complete & Partial Dentures

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%
Bridges

In Year 1, You Pay 70%
In Year 2, You Pay 60%
In Year 3, You Pay 50%

3. For full coverage specifics, including frequencies, limitations and age restrictions, refer to the appropriate plan booklet.

You will be redirected to our individual plan enrollment website to complete your enrollment. If you have questions, please call 800.971.4108 to speak to an enrollment specialist.