Individual Dental Plans

Get affordable certified essential health benefit dental coverage from the nation's leading and most experienced dental benefits administrator.

 

Plan brochure

View benefit summary

(includes exclusions and limitations)

Pediatric EHB
Certified High Plan

Good health starts with a healthy smile

A healthy smile is important—not only to your oral health, but for your overall health, too. In fact, your dentist can detect more than 120 signs and symptoms of nondental disease—including cancer, diabetes, heart disease, kidney disease and osteoporosis—during a routine oral exam.*

Having dental coverage helps you get the care you need to stay healthy. It can also help keep your overall health care costs down. That’s why we are pleased to offer you quality individual dental benefits. After all, good health starts with a healthy smile!

 

   
Set by our network
agreements
          
 
Submitted fee
Maximum
approved fee
 
Coverage
level
Amount Delta
Dental pays
 
Amount
you pay
Delta Dental in-network dentist
$950
$744
x
50%
$372
=
$372
             
61% decrease from the
dentist's submitted fee

 

This payment example above is for illustration purposes only. Fees and reimbursements can vary by location and dentist. It does however represent how the payment is determined.


Delta Dental offers the dental benefits you need at an affordable price

  • Diagnostic and preventive care—No waiting periods or deductibles.
  • Annual maximum—$1,000 annual maximum per covered person per benefit year on the High Plan; $750 annual maximum per covered person per benefit year on the Low Plan.
  • No annual maximum limit on pediatric EHB.
  • Low deductible—See the Summary of Benefits for details.
    Deductible only applies to basic and major services.
  • Exceptional customer service—Specialized representatives are available to assist you at 800-971-4108.
  • Secure online access 24/7—Delta Dental's secure online Individual Account Manager is a fast, secure way to locate participating dentist, review your claims, access benefit information and more.

Save money by staying in network with our nationwide network of dentists

As a Delta Dental member, you may see any dentist you like. However, there are advantages to choosing a dentist who belongs to one of Delta Dental’s two dentist networks.

Delta Dental PPOSM network dentists offer significant fee reductions to Delta Dental members. This minimizes your out-of-pocket costs and maximizes your dental benefits.

You may also choose a dentist from the Delta Dental Premier® network. Fee savings with Delta Dental Premier are not as great as with our PPO network, but Delta Dental Premier offers many advantages over visiting nonparticipating dentists.

The table below illustrates some of the advantages of choosing an in-network dentist.

 
Delta Dental PPO or Delta Dental Premier
Nonparticipating
Claims and payments
Delta Dental participating dentists fill out and submit claim forms for you. Claim payments are sent directly to the dentist. Staying in network makes claims and payment hassle-free!
You may have to fill out and submit your own claim forms. Claim payments will be sent to you. Because of this, the dentist may require you to pay the full cost of treatment up front.
Network discounts
Delta Dental participating dentists agree to reduced fees, minimizing your out-of-pocket costs.
No limits on what the dentist may charge. If the dentist’s normal charge is higher than Delta Dental’s maximum approved fee, the dentist can pass the balance on to you.


Start smiling brighter today with Delta Dental!

 

*James W. Little et al., Dental Management of the Medically Compromised Patient (St. Louis: Mosby, 2012).

 

OH PED High 2018
Delta Dental Plan of Ohio, Inc.
PA 9/17