Compare Plan Options, Individual and Family Dental Plans, Delta Dental of Colorado
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Delta Dental for Individuals & Families
Plan Options

Individual Plan Options

Option 1
Delta Dental
PPO Direct

Option 2
Delta Dental PPO
Plus Direct

 

Get our Individual PPO Direct Rates
See our Individual PPO Plus Direct Rates

Choose PPO Direct
Choose PPO Plus Direct

General Plan Information

Plan Type:

Insurance

Insurance

Plan Dentist Network:

PPO1

PPO and Premier

Out of Network Services:

No, only PPO dentists may be seen with this plan

Yes, any dentist may be seen with this plan

Benefit Year Maximum:

$1,000

$1,500

Benefit Year Deductible:

$75 per person for Basic and Major Services

$50 per person for Basic and Major Services

Type I -- Diagnostic & Preventive

No Waiting Period

No Waiting Period

Oral Exams (1 in 6 months)
Cleanings (1 in 6 months)
Fluoride Treatments (2 in 12 months, under age 16)
Space Maintainers (under age 14)
Sealants (under age 15)
All X-rays

Covered at 100%

  • PPO dentists covered at 100%
  • Premier dentists covered at 90%2
  • Non-participating dentists covered at 90%2

Type II -- Basic Services

6-month Waiting Period3

6-month Waiting Period3

Simple Extractions
Fillings

Covered at 70%

  • PPO dentists covered at 80%
  • Premier dentists covered at 70%2
  • Non-participating dentists covered at 70%2

Type IIIA -- Major Services

12-month Waiting Period3

12-month Waiting Period3

Surgical Extractions
General Anesthesia (with covered oral surgery only)
Endodontics (root canal therapy)
Periodontics (gum treatment)
Denture relines and rebases, adjustments
Repairs to crowns, dentures, and bridges

Covered at 30%

  • PPO dentists covered at 50%
  • Premier dentists covered at 40%2
  • Non-participating dentists covered at 40%2

Type IIIB -- Major Services

24-month Waiting Period3

24-month Waiting Period3

Special Restorative
Crowns
Complete and Partial Dentures
Fixed Bridgework

Covered at 30%

  • PPO dentists covered at 50%
  • Premier dentists covered at 40%
  • Non-participating dentists covered at 40%

Orthodontics

Not a Benefit

Not a Benefit

1 Member must receive all dental care from a PPO Dentist in order for services to be considered for coverage.

2 If the member sees a Premier dentist, the member is responsible for the difference between the PPO dentist’s allowable fee and the fee from the Premier Maximum Plan Allowance. If the member sees a non-participating dentist, the member is responsible for the difference between the PPO dentist’s allowable fee and the billed charges.

3 If you’ve been enrolled in a dental plan within 90 days of your effective date in this plan, waiting periods will be waived.



NOTE:

These plans are administered by Delta Dental of Colorado, Denver, Colorado 80237. For individual plan support, call 1-800-496-6902, or send an e-mail to individual@ddpco.com.

To join these plans, you cannot have other dental coverage and you must be a Colorado resident age 18 or over.

If you are not a Colorado resident, find Delta Dental individual plans in your state.