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Are there any dental services that are not covered?

Yes, an example of a service that is not covered is corrective orthodontia. For complete details, click on the links below for each plan. 

Individual Prime Plans without the ACA pediatric dental benefit 

  • Platinum Prime - our richest plan with a $2,000 annual benefit maximum. This plan covers check-ups, cleanings, x-rays, bridges, crowns, cavity repair, oral surgery, and implants. There are waiting periods for some services.
  • Preferred Prime - our most popular plan with a $1,000 annual benefit maximum. This plan covers check-ups, cleanings, x-rays, bridges, crowns, cavity repair, oral surgery, and implants. There are waiting periods for some services.
  • Preventive Prime - covers care for check-ups, cleanings, x-rays, and cavity repair.

Individual Plus Plans include the ACA pediatric dental benefit

  • Platinum Plus ‐ our richest plan with a $2,000 annual benefit maximum. This plan covers check-ups, cleanings, x-rays, cavity repair, implants, and major services. There are waiting periods for adults for some services. Children do not have waiting periods.
  • Preferred Plus ‐ our most popular plan with a $1,000 annual benefit maximum. This plan covers check-ups, cleanings, x-rays, cavity repair, implants, and major services. There are waiting periods for adults for some services. There are no waiting periods for children.
  • Preventive Plus ‐ for adults this plan covers care for check-ups, cleanings, x-rays, and cavity repair. Children will receive benefits for check-ups, cleanings, x-rays, cavity repair, implants, and major services.

Children (up to age 21) and adults will have different benefits on the Individual Plus plans. These Delta Dental plans for children include:

  • Coverage for preventive care, x-rays, bridges, crowns, cavity repair, oral surgery, and implants.
  • Coverage up to age 21 which exceeds the ACA requirement
  • No annual or lifetime benefit maximum for children's dental benefits
  • Medically necessary orthodontia coverage
  • Out-of-pocket limit of $350 per child or $700 for all children on the policy

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