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Which individual and family plan is right for you?

No one has a smile like you. And no one can keep it healthy like us.

Traditional

$51

.00 Per Month / Single

Per Month / Single

Our most popular plan to keep smiles healthy has a low one-time deductible.

Diagnostic & Preventive Servcies

100%

Other Services

50%

Orthodontics

No

One Time Deductible

$50 per person

Annual Maximum

$1,200

Health through Oral Wellness

Yes

ACA Standard

$37

.50 Per Month / Single

Per Month / Single

Our lowest cost plan is ACA certified and includes a child-only option.

Diagnostic & Preventive Services

100%

Other Servcies

40% - 60%

Orthodontics

Medical Necessity

Annual Deductible

$100 per person

Annual Maximum

$1,000

Health through Oral Wellness

Yes

ACA Enhanced

$51

.70 Per Month / Single

Per Month / Single

No deductible and a higher annual maximum benefit ACA certified plan.

Diagnostic & Preventive Servcies

100%

Other Services

40% - 60%

Orthodontics

Medical Necessity

Deductible

None

Annual Maximum

$1,500

Health through Oral Wellness

Yes

Traditional Plan [1040]

Traditional Plan

Network: PPO Plus Premier

Traditional Plan

Monthly Rate: Single

$51.00

Monthly Rate: Couple/Two Person

$102.00

Monthly Rate: Family

$150.90

Diagnostic & Preventive Services

Check-Ups & Routine Teeth Cleaning

100%

Routine & Restorative Services

Cavity Repair, Fillings

50%

Extractions & Oral Surgery

Including wisdom teeth

50%

Endodontics & Periodontics

Root Canals, Gum & Bone Diseases - 1 year wait for coverage

50%

Major Services

Crowns, Bridges, Dentures, Implants - 1 year wait for coverage

50%

Orthodontics

Braces

None

Health through Oral Wellness

Yes

Deductible

One Time Per Person

$50

Annual Maximum Benefit

Per Person Per Calendar Year

$1,200

Dependents

Covered to age 19 or full-time unmarried student

Monthly Rate: Single

Traditional Plan $51.00
Monthly Rate: Couple/Two Person

Traditional Plan $102.00
Monthly Rate: Family

Traditional Plan $150.90
Diagnostic & Preventive Services

Check-Ups & Routine Teeth Cleaning

Traditional Plan 100%
Routine & Restorative Services

Cavity Repair, Fillings

Traditional Plan 50%
Extractions & Oral Surgery

Including wisdom teeth

Traditional Plan 50%
Endodontics & Periodontics

Root Canals, Gum & Bone Diseases - 1 year wait for coverage

Traditional Plan 50%
Major Services

Crowns, Bridges, Dentures, Implants - 1 year wait for coverage

Traditional Plan 50%
Orthodontics

Braces

Health through Oral Wellness

Deductible

One Time Per Person

Traditional Plan $50
Annual Maximum Benefit

Per Person Per Calendar Year

Traditional Plan $1,200
Dependents

ACA Standard [502]

ACA Standard Plan

Network: PPO Plus Premier

Standard Plan

Monthly Rate: Single Adult or Child Only

$37.50

Monthly Rate: Couple/Two Person

Can be Member + 1 dependent

$75.00

Monthly Rate: Member + 2 dependents

$112.50

Monthly Rate: Member + 3 or more dependents

$150.00

Monthly Rate: Couple + 1 dependent

$112.50

Monthly Rate: Couple + 2 dependents

$150.00

Monthly Rate: Couple + 3 or more dependents

$187.50

Diagnostic & Preventive Services

Check-Ups & Routine Teeth Cleaning

100%

Routine & Restorative Services

Cavity Repair, Fillings

60%

Extractions & Oral Surgery

1 year wait for coverage for age 19 or older

40%

Wisdom Teeth Extraction

Medical Necessity Only

40% - only in rare circumstance as determined by a third party dental consultant, and requires preauthorization

Endodontics & Periodontics

Root Canals, Gum & Bone Diseases - 1 year wait for coverage for age 19 and older

40%

Major Services

Crowns, Bridges, Dentures, Implants - 1 year wait for coverage for age 19 and older

40%

Orthodontics

Braces

40% - only for children under age 19 and only in rare circumstance as determined by a third party dental consultant, and requires preauthorization

Health through Oral Wellness

Yes

Deductible

Per Person Per Year

$100

Annual Maximum Benefit

For age 19 and older

$1,000

Annual Out-of-Pocket Maximum

For children under age 19

$350 per child / $700 for two or more children

Dependents

Covered to age 26

Monthly Rate: Single Adult or Child Only

Standard Plan $37.50
Monthly Rate: Couple/Two Person

Can be Member + 1 dependent

Standard Plan $75.00
Monthly Rate: Member + 2 dependents

Standard Plan $112.50
Monthly Rate: Member + 3 or more dependents

Standard Plan $150.00
Monthly Rate: Couple + 1 dependent

Standard Plan $112.50
Monthly Rate: Couple + 2 dependents

Standard Plan $150.00
Monthly Rate: Couple + 3 or more dependents

Standard Plan $187.50
Diagnostic & Preventive Services

Check-Ups & Routine Teeth Cleaning

Standard Plan 100%
Routine & Restorative Services

Cavity Repair, Fillings

Standard Plan 60%
Extractions & Oral Surgery

1 year wait for coverage for age 19 or older

Standard Plan 40%
Wisdom Teeth Extraction

Medical Necessity Only

Endodontics & Periodontics

Root Canals, Gum & Bone Diseases - 1 year wait for coverage for age 19 and older

Standard Plan 40%
Major Services

Crowns, Bridges, Dentures, Implants - 1 year wait for coverage for age 19 and older

Standard Plan 40%
Orthodontics

Braces

Health through Oral Wellness

Deductible

Per Person Per Year

Standard Plan $100
Annual Maximum Benefit

For age 19 and older

Standard Plan $1,000
Annual Out-of-Pocket Maximum

For children under age 19

Dependents

ACA Enhanced [503]

ACA Enhanced Plan

Network: PPO Plus Premier

Enhanced Plan

Monthly Rate: Single Adult or Child Only

$51.70

Monthly Rate: Couple/Two Person

Can be Member + 1 dependent

$103.40

Monthly Rate: Member + 2 dependents

$155.10

Monthly Rate: Member + 3 or more dependents

$206.80

Monthly Rate: Couple + 1 dependent

$155.10

Monthly Rate: Couple + 2 dependents

$206.80

Monthly Rate: Couple + 3 or more dependents

$258.50

Diagnostic & Preventive Services

Check-Ups & Routine Teeth Cleaning

100%

Routine & Restorative Services

Cavity Repair, Fillings

60%

Extractions & Oral Surgery

1 year wait for coverage for age 19 or older

40%

Wisdom Teeth Extraction

Medical Necessity Only

40% - only in rare circumstance as determined by a third party dental consultant, and requires preauthorization

Endodontics & Periodontics

Root Canals, Gum & Bone Diseases - 1 year wait for coverage for age 19 and older

40%

Major Services

Crowns, Bridges, Dentures, Implants - 1 year wait for coverage for age 19 and older

40%

Orthodontics

Braces

40% - only for children under age 19 and only in rare circumstance as determined by a third party dental consultant, and requires preauthorization

Health through Oral Wellness

Yes

Deductible

None

Annual Maximum Benefit

For age 19 and older

$1,500

Annual Out-of-Pocket Maximum

For children under age 19

$350 per child / $700 for two or more children

Dependents

Covered to age 26

Monthly Rate: Single Adult or Child Only

Enhanced Plan $51.70
Monthly Rate: Couple/Two Person

Can be Member + 1 dependent

Enhanced Plan $103.40
Monthly Rate: Member + 2 dependents

Enhanced Plan $155.10
Monthly Rate: Member + 3 or more dependents

Enhanced Plan $206.80
Monthly Rate: Couple + 1 dependent

Enhanced Plan $155.10
Monthly Rate: Couple + 2 dependents

Enhanced Plan $206.80
Monthly Rate: Couple + 3 or more dependents

Enhanced Plan $258.50
Diagnostic & Preventive Services

Check-Ups & Routine Teeth Cleaning

Enhanced Plan 100%
Routine & Restorative Services

Cavity Repair, Fillings

Enhanced Plan 60%
Extractions & Oral Surgery

1 year wait for coverage for age 19 or older

Enhanced Plan 40%
Wisdom Teeth Extraction

Medical Necessity Only

Endodontics & Periodontics

Root Canals, Gum & Bone Diseases - 1 year wait for coverage for age 19 and older

Enhanced Plan 40%
Major Services

Crowns, Bridges, Dentures, Implants - 1 year wait for coverage for age 19 and older

Enhanced Plan 40%
Orthodontics

Braces

Health through Oral Wellness

Deductible

Annual Maximum Benefit

For age 19 and older

Enhanced Plan $1,500
Annual Out-of-Pocket Maximum

For children under age 19

Dependents

Health through Oral Wellness

All voluntary group plans include our innovative benefit program at no additional cost. It's designed to promote better health and lower plan cost.

PPO Plus Premier

All voluntary group plans are Delta Dental PPO Plus Premier plans. Enrolled members get a broad choice of dentists in two networks and lower out-of-pocket costs.

Paper enrollment form

Prefer a paper form instead? Use this .PDF file of our Individual/Family Plan enrollment form.

Frequent questions

Learn more about our Individual & Family Plans with our Frequently Asked Questions page.

Plan exclusions

Some things aren't covered by our Individual & Family Plans. See what they are on our Plan Exclusions page.