Which pooled group plan is right for you?
If you're looking to attract and retain employees, our pooled group plans will keep you ahead in the labor market and promote employee health.
5 Plus Plan
44
.70 Per Month / Single
Per Month / Single
Take the next step to being a leading employer in the market.
Preventive Care
80%
Fillings & Extractions
80%
Other Services
50% - 80%
Orthodontics
No
Minimum Employees Enrolled
5
Annual Deductible
$25
Annual Maximum
$1,200
Waiting Periods
None
10 Plus Plans
47
.45 Per Month / Single
Per Month / Single
Complete benefits for 10 or more employees and an Orthodontic option.
Preventive Care
100%
Fillings & Extractions
80%
Other Services
50% - 80%
Orthodontics
Option
Minimum Employees Enrolled
10
Annual Deductible
$25
Annual Maximum
$1,200
Waiting Periods
Only Ortho
25 Plus Plans
46
.70 Per Month / Single
Per Month / Single
A full range of benefits for 25 or more employees and an Orthodontic option
Preventive Care
100%
Fillings & Extractions
80%
Other Services
50% - 80%
Orthodontics
Option
Minimum Employees Enrolled
25
Annual Deductible
$25
Annual Maximum
$1,200
Waiting Periods
None
5 Plus Plan (2023)
5 Plus Plan [9000]
Network: PPO Plus Premier
Single
Family
Monthly Rate
$44.70
$113.60
Preventive Care
Routine exams, cleanings, x-rays
80%
80%
Fillings & Extractions
Cavity repair, oral surgery, emergency pain relief
80%
80%
Root Canals & Gum Disease Treatment
Including periodontal maintenance cleaning
80%
80%
Crowns & Prosthetics
Crowns, bridges, dentures, implants
50%
50%
Braces & Teeth Alignment
Orthodontic treatments
None
None
Health through Oral Wellness
Added benefits for those at high risk of tooth decay or gum disease
Yes
Yes
Prevention Pays
Covers preventive care beyond annual maximum benefit
Yes
Yes
Dependents
Covered to age 26. No age restriction if unmarried full-time student.
Deductible
Per person per calendar year
$25
$25, not to exceed $75 per family
Deductible Note
Does not apply to Preventive Care
Annual Maximum Benefit
Per person per calendar year
$1,200
$1,200
Minimum Employees Enrolled
5
5
Employer Contribution
For single premium
100%
100%
| Single | $44.70 |
| Family | $113.60 |
Routine exams, cleanings, x-rays
| Single | 80% |
| Family | 80% |
Cavity repair, oral surgery, emergency pain relief
| Single | 80% |
| Family | 80% |
Including periodontal maintenance cleaning
| Single | 80% |
| Family | 80% |
Crowns, bridges, dentures, implants
| Single | 50% |
| Family | 50% |
Orthodontic treatments
| Single | None |
| Family | None |
Added benefits for those at high risk of tooth decay or gum disease
| Single | Yes |
| Family | Yes |
Covers preventive care beyond annual maximum benefit
| Single | Yes |
| Family | Yes |
Per person per calendar year
| Single | $25 |
| Family | $25, not to exceed $75 per family |
Per person per calendar year
| Single | $1,200 |
| Family | $1,200 |
| Single | 5 |
| Family | 5 |
For single premium
| Single | 100% |
| Family | 100% |
10 Plus Plans (2023)
10 Plus Plan
Network: PPO Plus Premier
Standard [9010]
With Orthodontics [9020]
Monthly Rate: Single
$47.45
$49.70
Monthly Rate: Family
$121.50
$131.70
Preventive Care
Routine exams, cleanings, x-rays
100%
100%
Fillings & Extractions
Cavity repair, oral surgery, emergency pain relief
80%
80%
Root Canals & Gum Disease Treatment
Including periodontal maintenance cleaning
80%
80%
Crowns & Prosthetics
Crowns, bridges, dentures, implants
50%
50%
Braces & Teeth Alignment
Orthodontics | 1 year wait for coverage
None
50%
Health through Oral Wellness
Added benefits for those at high risk of tooth decay or gum disease
Yes
Yes
Prevention Pays
Covers preventive care beyond annual maximum benefit
Yes
Yes
Dependents
Covered to age 26. No age restriction if unmarried full-time student
Deductible
Per person per calendar year
$25, not to exceed $75 per family
$25, not to exceed $75 per family
Deductible Note
Does not apply to Preventive Care or Orthodontic Services
Annual Maximum Benefit
Per person per calendar year
$1,200
$1,200
Minimum Employees Enrolled
10
10
Employer Contribution
For single premium
100%
100%
| Standard [9010] | $47.45 |
| With Orthodontics [9020] | $49.70 |
| Standard [9010] | $121.50 |
| With Orthodontics [9020] | $131.70 |
Routine exams, cleanings, x-rays
| Standard [9010] | 100% |
| With Orthodontics [9020] | 100% |
Cavity repair, oral surgery, emergency pain relief
| Standard [9010] | 80% |
| With Orthodontics [9020] | 80% |
Including periodontal maintenance cleaning
| Standard [9010] | 80% |
| With Orthodontics [9020] | 80% |
Crowns, bridges, dentures, implants
| Standard [9010] | 50% |
| With Orthodontics [9020] | 50% |
Orthodontics | 1 year wait for coverage
| Standard [9010] | None |
| With Orthodontics [9020] | 50% |
Added benefits for those at high risk of tooth decay or gum disease
| Standard [9010] | Yes |
| With Orthodontics [9020] | Yes |
Covers preventive care beyond annual maximum benefit
| Standard [9010] | Yes |
| With Orthodontics [9020] | Yes |
Per person per calendar year
| Standard [9010] | $25, not to exceed $75 per family |
| With Orthodontics [9020] | $25, not to exceed $75 per family |
Per person per calendar year
| Standard [9010] | $1,200 |
| With Orthodontics [9020] | $1,200 |
| Standard [9010] | 10 |
| With Orthodontics [9020] | 10 |
For single premium
| Standard [9010] | 100% |
| With Orthodontics [9020] | 100% |
25 Plus Plans (2023)
25 Plus Plan
Network: PPO Plus Premier
Standard [2500]
With Orthodontics [2525]
Monthly Rate: Single
$46.70
$48.45
Monthly Rate: Family
$119.30
$128.30
Preventive Care
Routine exams, cleanings, x-rays
100%
100%
Fillings & Extractions
Cavity repair, oral surgery, emergency pain relief
80%
80%
Root Canals & Gum Disease Treatment
Including periodontal maintenance cleaning
80%
80%
Crowns & Prosthetics
Crowns, bridges, dentures, implants
50%
50%
Braces & Teeth Alignment
Orthodontic treatments
None
50%
Health through Oral Wellness
Added benefits for those at high risk of tooth decay or gum disease
Yes
Yes
Prevention Pays
Covers preventive care beyond annual maximum benefit
Yes
Yes
Dependents
Covered to age 26. No age restriction if unmarried full-time student.
Deductible
Per person per calendar year
$25, not to exceed $75 per family
$25, not to exceed $75 per family
Deductible Note
Does not apply to Preventive Care or Orthodontic Servcies
Annual Maximum Benefit
Per person per calendar year
$1,200
$1,200
Minimum Employees Enrolled
25
25
Employer Contribution
For single premium
100%
100%
| Standard [2500] | $46.70 |
| With Orthodontics [2525] | $48.45 |
| Standard [2500] | $119.30 |
| With Orthodontics [2525] | $128.30 |
Routine exams, cleanings, x-rays
| Standard [2500] | 100% |
| With Orthodontics [2525] | 100% |
Cavity repair, oral surgery, emergency pain relief
| Standard [2500] | 80% |
| With Orthodontics [2525] | 80% |
Including periodontal maintenance cleaning
| Standard [2500] | 80% |
| With Orthodontics [2525] | 80% |
Crowns, bridges, dentures, implants
| Standard [2500] | 50% |
| With Orthodontics [2525] | 50% |
Orthodontic treatments
| Standard [2500] | None |
| With Orthodontics [2525] | 50% |
Added benefits for those at high risk of tooth decay or gum disease
| Standard [2500] | Yes |
| With Orthodontics [2525] | Yes |
Covers preventive care beyond annual maximum benefit
| Standard [2500] | Yes |
| With Orthodontics [2525] | Yes |
Per person per calendar year
| Standard [2500] | $25, not to exceed $75 per family |
| With Orthodontics [2525] | $25, not to exceed $75 per family |
Per person per calendar year
| Standard [2500] | $1,200 |
| With Orthodontics [2525] | $1,200 |
| Standard [2500] | 25 |
| With Orthodontics [2525] | 25 |
For single premium
| Standard [2500] | 100% |
| With Orthodontics [2525] | 100% |
Health through Oral Wellness
All pooled group plans include our innovative benefit program at no additional cost. It's a unique patient-centered program to encourage better health and lower plan cost.
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Prevention Pays
Your pooled group plan does even more with Prevention Pays. Covering preventive care beyond the annual maximum benefit encourages regular dental visits to protect your smile and keep it healthy.
PPO Plus Premier
All pooled group plans are Delta Dental PPO Plus Premier plans. Enrolled members get broad choice of dentists in two networks.
Plan documents
Download plan summaries, enrollment forms, and other files at our Document Library.