No one has a smile like you, and no one can keep it healthy like us!
All plans include our Health through Oral Wellness and Prevention Pays features that maximize preventive care benefits to keep your smile healthy.
$42
.00 per month/single
per month/single
One-time deductible:
$50
Preventive care:
100%
Fillings:
50%
Annual maximum benefit:
$1,000
$62
.00 per month/single
per month/single
One-time deductible:
$50
Preventive care:
100%
Fillings:
50%
Root canals & gum disease:
50%*
Extractions, crowns, oral surgery, bridges, dentures, implants:
50%*
Annual maximum benefit:
$1,250
* 1 year wait for coverage
$67
.00 per month/single
per month/single
One-time deductible:
$50
Preventive care:
100%
Fillings:
80%
Root canals & gum disease:
50%*
Extractions, crowns, oral surgery, bridges, dentures, implants:
50%*
Annual maximum benefit:
$1,500
* 1 year wait for coverage
Individual & family plans (2024)
Prevent [1031]
Restore [1041]
Renew [1051]
Monthly rate: Single
$42.00
$62.00
$67.00
Monthly rate: Two people
$84.00
$124.00
$134.00
Monthly rate: Three or more people
$124.00
$184.00
$197.00
Preventive care
Routine exams, cleanings, x-rays, and more!
100%
100%
100%
Fillings
Cavity repair, temporary stainless steel crowns
50%
50%
80%
Root canals & gum disease
Root canals, gum disease treatment, periodontal maintenance cleanings (one year wait for coverage)
N/A
50%
50%
Extractions, oral surgery, crowns, and prosthetics
Extractions and other oral surgery, crowns, bridges, dentures, and implants (one year wait for coverage)
N/A
50%
50%
Braces & teeth alignment
N/A
N/A
N/A
Health through Oral Wellness
Added benefits if you're at high risk of tooth decay or gum disease
Yes
Yes
Yes
Prevention Pays
Preventive care doesn't count against annual maximum benefit
Yes
Yes
Yes
Deductible
One time per person
$50
$50
$50
Annual maximum benefit
Per person per plan year
$1,000
$1,250
$1,500
Dependents
Dependent children covered to age 19. Unmarried dependent children who are full-time students are covered to age 26.
Network: PPO Plus Premier
Includes 96% of dentists in South Dakota!
| Prevent [1031] | $42.00 |
| Restore [1041] | $62.00 |
| Renew [1051] | $67.00 |
| Prevent [1031] | $84.00 |
| Restore [1041] | $124.00 |
| Renew [1051] | $134.00 |
| Prevent [1031] | $124.00 |
| Restore [1041] | $184.00 |
| Renew [1051] | $197.00 |
Routine exams, cleanings, x-rays, and more!
| Prevent [1031] | 100% |
| Restore [1041] | 100% |
| Renew [1051] | 100% |
Cavity repair, temporary stainless steel crowns
| Prevent [1031] | 50% |
| Restore [1041] | 50% |
| Renew [1051] | 80% |
Root canals, gum disease treatment, periodontal maintenance cleanings (one year wait for coverage)
| Prevent [1031] | N/A |
| Restore [1041] | 50% |
| Renew [1051] | 50% |
Extractions and other oral surgery, crowns, bridges, dentures, and implants (one year wait for coverage)
| Prevent [1031] | N/A |
| Restore [1041] | 50% |
| Renew [1051] | 50% |
| Prevent [1031] | N/A |
| Restore [1041] | N/A |
| Renew [1051] | N/A |
Added benefits if you're at high risk of tooth decay or gum disease
| Prevent [1031] | Yes |
| Restore [1041] | Yes |
| Renew [1051] | Yes |
Preventive care doesn't count against annual maximum benefit
| Prevent [1031] | Yes |
| Restore [1041] | Yes |
| Renew [1051] | Yes |
One time per person
| Prevent [1031] | $50 |
| Restore [1041] | $50 |
| Renew [1051] | $50 |
Per person per plan year
| Prevent [1031] | $1,000 |
| Restore [1041] | $1,250 |
| Renew [1051] | $1,500 |
Individual & family plans (2024)
Prevent [1031]
Restore [1041]
Renew [1051]
Monthly rate: Single
$42.00
$62.00
$67.00
Monthly rate: Two people
$84.00
$124.00
$134.00
Monthly rate: Three or more people
$124.00
$184.00
$197.00
Preventive care
Routine exams, cleanings, x-rays, and more!
100%
100%
100%
Fillings
Cavity repair, temporary stainless steel crowns
50%
50%
80%
Root canals & gum disease
Root canals, gum disease treatment, periodontal maintenance cleanings (one year wait for coverage)
N/A
50%
50%
Extractions, oral surgery, crowns, and prosthetics
Extractions and other oral surgery, crowns, bridges, dentures, and implants (one year wait for coverage)
N/A
50%
50%
Braces & teeth alignment
N/A
N/A
N/A
Health through Oral Wellness
Added benefits if you're at high risk of tooth decay or gum disease
Yes
Yes
Yes
Prevention Pays
Preventive care doesn't count against annual maximum benefit
Yes
Yes
Yes
Deductible
One time per person
$50
$50
$50
Annual maximum benefit
Per person per plan year
$1,000
$1,250
$1,500
Dependents
Dependent children covered to age 19. Unmarried dependent children who are full-time students are covered to age 26.
Network: PPO Plus Premier
Includes 96% of dentists in South Dakota!
| Prevent [1031] | $42.00 |
| Restore [1041] | $62.00 |
| Renew [1051] | $67.00 |
| Prevent [1031] | $84.00 |
| Restore [1041] | $124.00 |
| Renew [1051] | $134.00 |
| Prevent [1031] | $124.00 |
| Restore [1041] | $184.00 |
| Renew [1051] | $197.00 |
Routine exams, cleanings, x-rays, and more!
| Prevent [1031] | 100% |
| Restore [1041] | 100% |
| Renew [1051] | 100% |
Cavity repair, temporary stainless steel crowns
| Prevent [1031] | 50% |
| Restore [1041] | 50% |
| Renew [1051] | 80% |
Root canals, gum disease treatment, periodontal maintenance cleanings (one year wait for coverage)
| Prevent [1031] | N/A |
| Restore [1041] | 50% |
| Renew [1051] | 50% |
Extractions and other oral surgery, crowns, bridges, dentures, and implants (one year wait for coverage)
| Prevent [1031] | N/A |
| Restore [1041] | 50% |
| Renew [1051] | 50% |
| Prevent [1031] | N/A |
| Restore [1041] | N/A |
| Renew [1051] | N/A |
Added benefits if you're at high risk of tooth decay or gum disease
| Prevent [1031] | Yes |
| Restore [1041] | Yes |
| Renew [1051] | Yes |
Preventive care doesn't count against annual maximum benefit
| Prevent [1031] | Yes |
| Restore [1041] | Yes |
| Renew [1051] | Yes |
One time per person
| Prevent [1031] | $50 |
| Restore [1041] | $50 |
| Renew [1051] | $50 |
Per person per plan year
| Prevent [1031] | $1,000 |
| Restore [1041] | $1,250 |
| Renew [1051] | $1,500 |
Individual & family plans (2024)
Prevent [1031]
Restore [1041]
Renew [1051]
Monthly rate: Single
$42.00
$62.00
$67.00
Monthly rate: Two people
$84.00
$124.00
$134.00
Monthly rate: Three or more people
$124.00
$184.00
$197.00
Preventive care
Routine exams, cleanings, x-rays, and more!
100%
100%
100%
Fillings
Cavity repair, temporary stainless steel crowns
50%
50%
80%
Root canals & gum disease
Root canals, gum disease treatment, periodontal maintenance cleanings (one year wait for coverage)
N/A
50%
50%
Extractions, oral surgery, crowns, and prosthetics
Extractions and other oral surgery, crowns, bridges, dentures, and implants (one year wait for coverage)
N/A
50%
50%
Braces & teeth alignment
N/A
N/A
N/A
Health through Oral Wellness
Added benefits if you're at high risk of tooth decay or gum disease
Yes
Yes
Yes
Prevention Pays
Preventive care doesn't count against annual maximum benefit
Yes
Yes
Yes
Deductible
One time per person
$50
$50
$50
Annual maximum benefit
Per person per plan year
$1,000
$1,250
$1,500
Dependents
Dependent children covered to age 19. Unmarried dependent children who are full-time students are covered to age 26.
Network: PPO Plus Premier
Includes 96% of dentists in South Dakota!
| Prevent [1031] | $42.00 |
| Restore [1041] | $62.00 |
| Renew [1051] | $67.00 |
| Prevent [1031] | $84.00 |
| Restore [1041] | $124.00 |
| Renew [1051] | $134.00 |
| Prevent [1031] | $124.00 |
| Restore [1041] | $184.00 |
| Renew [1051] | $197.00 |
Routine exams, cleanings, x-rays, and more!
| Prevent [1031] | 100% |
| Restore [1041] | 100% |
| Renew [1051] | 100% |
Cavity repair, temporary stainless steel crowns
| Prevent [1031] | 50% |
| Restore [1041] | 50% |
| Renew [1051] | 80% |
Root canals, gum disease treatment, periodontal maintenance cleanings (one year wait for coverage)
| Prevent [1031] | N/A |
| Restore [1041] | 50% |
| Renew [1051] | 50% |
Extractions and other oral surgery, crowns, bridges, dentures, and implants (one year wait for coverage)
| Prevent [1031] | N/A |
| Restore [1041] | 50% |
| Renew [1051] | 50% |
| Prevent [1031] | N/A |
| Restore [1041] | N/A |
| Renew [1051] | N/A |
Added benefits if you're at high risk of tooth decay or gum disease
| Prevent [1031] | Yes |
| Restore [1041] | Yes |
| Renew [1051] | Yes |
Preventive care doesn't count against annual maximum benefit
| Prevent [1031] | Yes |
| Restore [1041] | Yes |
| Renew [1051] | Yes |
One time per person
| Prevent [1031] | $50 |
| Restore [1041] | $50 |
| Renew [1051] | $50 |
Per person per plan year
| Prevent [1031] | $1,000 |
| Restore [1041] | $1,250 |
| Renew [1051] | $1,500 |
*Delta Dental of South Dakota's individual and family policies are available only to permanent residents of South Dakota. Learn more in the Frequently Asked Questions.
Our individual and family plans include our innovative program that adds benefits based on each person's oral health needs.
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Covering preventive care beyond the annual maximum benefit encourages regular dental visits to protect your smile and keep it healthy.
With the Delta Dental PPO Plus Premier network, members get a broad choice of dentists in two networks and lower out-of-pocket costs.
Prefer a paper form instead? Use this .PDF form to enroll in our individual & family plans.
Learn more about our individual & family plans with our Frequently Asked Questions page.
Some things aren't covered by our individual & family plans. See what they are on our Plan Exclusions page.
Download plan summaries, enrollment forms, and other files at our Document Library.
Copyright © 2023 Delta Dental of South Dakota. All Rights Reserved.
720 North Euclid Avenue, Pierre, SD 57501 | 605-224-7345
Delta Dental of South Dakota is a part of the Delta Dental Plans Association. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories.
The information provided on this site is for general education purposes only and is not intended as a diagnosis, treatment, or a substitute for professional medical or dental advice, diagnosis, or treatment. Consult your dentist or physician for information or treatment specific to you and your health.
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