Dental Options
We don't currently offer Dental Plans in your area.
Dental Coverage
Learn which dental benefits our individual plans cover and what benefits you can get by buying additional coverage.
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Pediatric Dental Highlights
If you bought your individual plan on the Marketplace through HealthCare.gov, we bring you these pediatric dental benefits. You can see any dentist with these benefits, but you save when you see ones in our network.
| In-Network Provider | Out-of-Network Provider | |
| Dental Deductible | $120 per member | Not covered |
| Dental Annual Out-of-Pocket | $350 per child $700 per family |
Not covered |
| Dental Exam | 0% coinsurance (Deductible does not apply) |
Not covered |
| Preventive Services including X-rays, cleanings, and fluoride treatments |
0% coinsurance (Deductible does not apply) |
Not covered |
| Minor Restorative Services including fillings, extractions, and oral surgery |
Dental deductible 50% coinsurance |
Not covered |
| Major Services including crowns and dental implants |
Dental deductible 50% coinsurance |
Not covered |
| Medically Necessary Orthodontic Services | 50% coinsurance | Not covered |
Note: Some plans' benefits, such as catastrophic plans, may vary.
If you bought your individual plan directly from us, these pediatric dental benefits are included through Delta Dental.
| In-Network Provider | Out-of-Network Provider* | |
| Dental Deductible | $120 per member | Not covered |
| Dental Annual Out-of-Pocket | $350 per child $700 per family |
Not covered |
| Dental Exam | 0% coinsurance (Deductible does not apply) |
Not covered |
| Preventive Services including X-rays, cleanings, and fluoride treatments |
0% coinsurance (Deductible does not apply) |
Not covered |
| Minor Restorative Services including fillings, extractions, and oral surgery |
Dental deductible 50% coinsurance |
Not covered |
| Major Services including crowns and dental implants |
Dental deductible 50% coinsurance |
Not covered |
| Medically Necessary Orthodontic Services | 50% coinsurance | Not covered |
*If you visit a dentist outside the Delta Dental PPO network, the pediatric essential health benefits will not be covered.
Delta Dental Extra Coverage
If you bought a plan directly from us, you can also buy extra dental coverage from Delta Dental.
With these plans, you get coverage for:
- Exams.
- Cleanings.
- X-rays.
- Sealants.
- Fluoride treatments.
- Gum disease treatment.
- Root canals.
- Dentures.
- Crowns.
You can also choose:
- An Enhanced Benefits Program, which can give members with certain health conditions that might be affected by dental health, like pregnancy, diabetes, and high-risk heart conditions, even stronger coverage.
- Individual Kids Basic plans, for those under age 19, which can be bought on their own or as part of the gold or silver dental plans. You must see a dentist from the Delta Dental PPO network to use these benefits.
Options and Rates
Delta Dental PPO Bronze Plan
| Individual Only | $14.47 |
| Individual +1 | $29.66 |
| Individual & Family | $61.93 |
Delta Dental PPO Silver Plan with the Individual Kids Basic Plan
| Individual Only | $28.94 |
| Individual +1 | $56.48 |
| Individual & Family | $112.22 |
Delta Dental PPO Gold Plan with the Individual Kids Basic Plan
| Individual Only | $35.54 |
| Individual +1 | $69.00 |
| Individual & Family | $133.74 |
Delta Dental PPO Individual Kids Basic Plan
| Individual Under 19 | $25.17 per child |
For details on specific dental services and plan year limitations, see your plan’s policy (under Dental Services).
Finding a Dentist
In-network dentists are listed as Delta Dental PPO. Any dentists not found in the search or not listed as Delta Dental Premier aren’t in network.
