Choose the plan that best fits your needs!
$22
.26 per month
per month
Access to basic services such as exams, cleanings & whitening.
Subscriber only
$22.26
Subscriber + one
$40.42
Family
$61.32
$32
.88 per month
per month
The best option if your dentist only participates in our Premier network.
Subscriber Only
$32.88
Subscriber + one
$61.30
Family
$95.79
$40
.75 per month
per month
Save money on comprehensive services such as whitening, veneers or braces.
Subscriber Only
$40.75
Subscriber + one
$77.16
Family
$132.07
$43
.92 per month
per month
Receive great benefits and the highest annual maximum of all available plans.
Subscriber only
$43.92
Subscriber + one
$78.25
Family
$120.54
Happy Smiles - Delta Dental PPO Plan
Covered Services
Delta Dental PPO
Year One
Year Two
Year Three
Diagnostic & Preventive
deductible does not apply
100%
100%
100%
Minor Services
10%
30%
50%
Major Services
N/A
N/A
N/A
Annual Maximum
$500
$750
$1000
Plan Deductible
per person/maximum per family
$50/$150
$50/$150
$50/$150
deductible does not apply
| Year One | 100% |
| Year Two | 100% |
| Year Three | 100% |
| Year One | 10% |
| Year Two | 30% |
| Year Three | 50% |
| Year One | N/A |
| Year Two | N/A |
| Year Three | N/A |
| Year One | $500 |
| Year Two | $750 |
| Year Three | $1000 |
per person/maximum per family
| Year One | $50/$150 |
| Year Two | $50/$150 |
| Year Three | $50/$150 |
Perfect Smiles - Delta Dental PPO Plus Premier Plan
Covered Services
Delta Dental PPO Plus Premier
Year One
Year Two
Year Three
Diagnostic & Preventive
deductible does not apply
100%
100%
100%
Minor Services
10%
30%
50%
Major Services
10%
30%
50%
Annual Maximum
$750
$1000
$1250
Plan Deductible
per person/maximum per family
$50/$150
$50/$150
$50/$150
deductible does not apply
| Year One | 100% |
| Year Two | 100% |
| Year Three | 100% |
| Year One | 10% |
| Year Two | 30% |
| Year Three | 50% |
| Year One | 10% |
| Year Two | 30% |
| Year Three | 50% |
| Year One | $750 |
| Year Two | $1000 |
| Year Three | $1250 |
per person/maximum per family
| Year One | $50/$150 |
| Year Two | $50/$150 |
| Year Three | $50/$150 |
Bright Smiles - Delta Dental PPO Plan
Covered Services
Delta Dental PPO
Year One
Year Two
Year Three
Diagnostic & Preventive
deductible does not apply
100%
100%
100%
Minor Services
50%
80%
80%
Major Services
25%
50%
50%
Annual Maximum
$500
$1000
$1500
Orthodontics (No Age Limit)
N/A
50%
50%
Orthodontic Lifetime Maximum
N/A
$1000
$1000
Plan Deductible
per person/maximum per family
$50/$150
$50/$150
$50/$150
deductible does not apply
| Year One | 100% |
| Year Two | 100% |
| Year Three | 100% |
| Year One | 50% |
| Year Two | 80% |
| Year Three | 80% |
| Year One | 25% |
| Year Two | 50% |
| Year Three | 50% |
| Year One | $500 |
| Year Two | $1000 |
| Year Three | $1500 |
| Year One | N/A |
| Year Two | 50% |
| Year Three | 50% |
| Year One | N/A |
| Year Two | $1000 |
| Year Three | $1000 |
per person/maximum per family
| Year One | $50/$150 |
| Year Two | $50/$150 |
| Year Three | $50/$150 |
Vibrant Smiles - Delta Dental PPO Plus Premier Plan
Covered Services
Delta Dental PPO Plus Premier
Year One
Year Two
Year Three
Diagnostic & Preventive
deductible does not apply
100%
100%
100%
Minor Services
25%
50%
80%
Major Services
25%
40%
50%
Annual Maximum
$1000
$1750
$2000
Plan Deductible
per person/maximum per family
$50/$150
$50/$150
$50/$150
deductible does not apply
| Year One | 100% |
| Year Two | 100% |
| Year Three | 100% |
| Year One | 25% |
| Year Two | 50% |
| Year Three | 80% |
| Year One | 25% |
| Year Two | 40% |
| Year Three | 50% |
| Year One | $1000 |
| Year Two | $1750 |
| Year Three | $2000 |
per person/maximum per family
| Year One | $50/$150 |
| Year Two | $50/$150 |
| Year Three | $50/$150 |
You care for your smile, don't forget about your eyes!
9
.15
Includes yearly eye exam, up to a $150 frame allowance or contact lense allowance. New frames every two years!
Subscriber only
$9.15
Subscriber + one
$18.30
Family
$29.46
DeltaVision 150
Member Benefit
Wellvision Exam
$10 Exam Copay
Frame or Contact Lenses
Up to $150 Allowance
Prescription Glasses
$10 Materials Copay
Covered Lenses
Single Vision, Lined Bifocal and lined trifocal plastic lenses for adults. Polycarbonate lenses for children.
| Member Benefit | $10 Exam Copay |
| Member Benefit | Up to $150 Allowance |
| Member Benefit | $10 Materials Copay |
| Member Benefit | Single Vision, Lined Bifocal and lined trifocal plastic lenses for adults. Polycarbonate lenses for children. |