Delta Dental PPO™ Individual Premium Plan

Delta Dental PPO Individual Premium Plan is a plan that covers a percentage of your costs for covered dental services. Once you enroll, you’ll get coverage for diagnostic and preventive care, including exams, cleanings and x-rays. Plus the premium plan also includes specialty coverage for implants, crowns and root canals. ***Plus, receive savings on LASIK™ eye surgery through Qualsight™ and hearing benefits through Amplfon™.

Here are some plan benefits.

Preventive care

Get 100% coverage for preventive dental care such as exams, cleanings and x-rays (no waiting period)

Basic procedures

Basic services are covered at 80% with in-network dentist (after deductible)

Major procedures

Major services are covered at 50% with in-network dentist (after deductible)

Annual maximum benefit

$2,000 annual maximum

Annual deductible

$50 per enrollee; $150 per family

Waiting periods

6 months for basic services; 12 months for major services

Choose any dentist

Visit any licensed dentist, though you’ll generally save more by visiting a dentist from our PPO network

Now let’s see what this plan includes.**

Plan Highlights

Deductibles and Maximums

Calendar Year Deductible	$50 Per enrollee
	$150 Per family
Annual Maximum per Calendar Year	$2,000 Per enrollee
Orthodontic Deductible	$50 Per enrollee
Orthodontic Lifetime Maximum	$1,500 Per enrollee

Covered Services

Delta Dental
PPO dentists

Non-Delta Dental
PPO dentists

Diagnostic and Preventive (D&P) Services
Exams, cleanings, x-rays and sealants

100%

Basic Services
Fillings, emergency treatment to relieve pain

80%

Cosmetic Services
Teeth whitening and mouth/night guards

80%

Endodontics
Root canals

50%

Periodontics
Gum treatments

50%

Oral Surgery
Tooth extractions

50%

Prosthodontics
Bridges, dentures, implants

50%

Major Services
Crowns, inlays, onlays, cast restorations

50%

Orthodontics
Adults and dependent children

50%

Waiting Periods

Diagnostic and Preventive Services	None
Basic Services	6 Months
Major Services	12 Months
Orthodontics	12 Months

Reimbursement is calculated based on maximum contract allowances. This benefit information is only a summary and is not intended or designed to replace or serve as the plan Policy. Limitations and/or waiting periods may apply for some benefits; some services may be excluded from the plan.

Additional Plan Information For Delta Dental PPO Individual Premium Plan

Annual Maximum

This is the total amount per person your plan will pay toward the cost of dental care each year.

$2,000, per enrollee on the plan

Calendar Year Deductible

This is the amount you must pay per person each year before your plan starts making payments for services. There is a separate deductible for orthodontics.

Individual – $50
$150 annual deductible for families.
Family $150

Choose any dentist

Visit any licensed dentist, anywhere. You’ll generally save the most by visiting a dentist from our PPO network. These dentists agree to reduced fees, and won’t charge you more than your expected share of the bill. They also complete your claim forms and can advise you on questions about your share of the payment. You can use Find a Dentist on this page to easily locate a PPO dentist.

*These rates may not apply to you.

**Please consult the plan Policy for a description of plan benefits, limitations and exclusions. In the event of any inconsistency between this document and the plan Policy, the terms of the Policy will prevail.

Delta Dental PPO™ plans are underwritten by Delta Dental Insurance Company in AL, DC (Policy IENT-P-CORE-DC-R22), FL, GA, LA, MS, MT, NV and UT and by not-for-profit dental service companies in these states: CA — Delta Dental of California; PA, MD — Delta Dental of Pennsylvania; NY — Delta Dental of New York, Inc.; DE — Delta Dental of Delaware, Inc.; WV — Delta Dental of West Virginia, Inc. In Texas, Delta Dental Insurance Company provides a Dental Provider Organization (DPO) plan.

West Virginia: Learn about our commitment to providing access to a quality dentist network at deltadentalins.com/about/legal/index-enrollee.html.

This benefit information is only a summary and is not intended to replace or serve as the plan Policy.

***Vision corrective services and Amplifon’s hearing health services are not insured benefits. Delta Dental makes the vision corrective services program and hearing health care services program available to provide access to the preferred pricing for LASIK surgery, hearing aids and other hearing services.

Delta Dental is a registered trademark of Delta Dental Plans Association.

Want this information in an email?

Enter your email and we’ll send the plan recommendations straight to your inbox.

Delta Dental PPO Individual Premium Plan FAQs

How does the Delta Dental PPO Individual Premium Plan work?

The Delta Dental PPO Plan works by allowing you to choose from a network of participating dentists. These providers have agreed to charge lower fees, which helps reduce your out-of-pocket costs. You can also see dentists outside the network, but you’ll save more by sticking with a participating dentist.

What are the benefits of preventive care with the Delta Dental PPO Plan?

One of the key features of the Delta Dental PPO Plan is its focus on preventive care. The plan covers 100% of the cost for most preventive services such as routine cleanings, exams, and x-rays. Regular oral health maintenance through preventive services not only helps avoid more serious issues but also ensures that you maximize the dental benefits offered by your plan.

Another key feature is this plan’s maximum annual spending limit, at $2,000 it is higher than typical annual caps which tend to be in the $1,000-$1,500 range.

Can I use my Delta Dental PPO Plan for major procedures?

Yes, in addition to covering preventive services, the Delta Dental PPO Individual Premium Plan also provides coverage for major procedures such as crowns, bridges, and root canals. It’s important to check your plan’s details to understand the full scope of your dental coverage.

Does the Delta Dental PPO Plan cover emergency care?

Yes, the Delta Dental PPO Plan covers emergency dental care. Whether you’re dealing with a sudden toothache or an urgent procedure, the plan provides dental benefits to ensure you get the care you need without unexpected financial stress. Consult the plan Policy for a description of plan benefits, limitations, exclusions and waiting periods.

What if I need a specialist?

If you require specialized dental care, such as orthodontics or periodontics, the Delta Dental PPO Plan includes a network of specialists. These specialists are often available through the network, ensuring that your oral health needs are met comprehensively. You can also choose to see any specialist that accepts your Delta Dental PPO plan, but will typically save more by staying in the plan’s network.

How do I know what services are covered under the Delta Dental PPO Plan?

The Delta Dental PPO Plan provides detailed information on what services are covered, including preventive services like cleanings and exams, as well as restorative and major procedures. It’s important to review your dental insurance plan documents or consult with your plan provider or participating dentist to get a full understanding of your dental coverage.

Can I combine my Delta Dental PPO Plan with other dental insurance plans?

You can combine Dental insurance with other insurance plans- this is called dual coverage. Your dentist can help you coordinate the benefits, one dental insurance plan would be primary coverage and the other would be secondary. Be sure to check the specifics of both your dental plan and any other insurance you have.

Delta Dental PPO™ Individual Premium Plan

Annual maximum: $2,000
Earliest activation: 05/01/2025
Annual deductible: $50 Individual / $150 Family
No waiting periods for preventive

Individual plan starting at

Billed monthly

$46.48/month $557.76/year

Call 1-888-632-5353

Prices may vary by age and ZIP code.

Delta Dental PPO™ Individual Premium Plan

Delta Dental PPO™ Individual Premium Plan

Here are some plan benefits.

Now let’s see what this plan includes.**

Want this information in an email?

Delta Dental PPO Individual Premium Plan FAQs

Let's find a plan near you.

Delta Dental PPO™ Individual Premium Plan

Delta Dental PPO™ Individual Premium Plan