Life's full of surprises, but dental care costs shouldn't be. Get low, negotiated rates with individual PPO plans to help limit out-of-pocket costs.
Good dental health is essential to your overall well-being.¹ Choose a plan that supports your needs to help maintain your oral health and your quality of life.
With three out of four U.S. dentists in our combined networks², you'll likely find a dentist you can trust, whether for routine visits or specialized dental services.
Embracing retirement or navigating the gig economy? We design our plans with individual needs in mind, so you never have to compromise on your oral health.
From preventive care that keeps dental problems at bay to coverage for major procedures, you have the freedom to choose what works for you. Specific plans available may vary by zip code.
Delta Dental PPO
|
DeltaCare USA
|
||
---|---|---|---|
Basic | Premium | ||
Choose any dentist | ✓ | ✓ | X |
Diagnostic and preventive services (cleanings, exams, x-rays) | 100% | 100% | copayment |
Basic services (fillings, tooth removal) | % of fee | % of fee | copayment |
Major services (root canals, crowns, implants, orthodontics) | X | % of fee | copayment⁷ |
Teeth whitening | X | % of fee | copayment |
Waiting Periods⁴ | 6 months for Basic services | 6 months for Basic services 12 months for Major services |
none |
Maximum plan pays per calendar year | $1,000 | $2,000 | none |
Dentist network size |
Choose any dentist:
Basic: ✓
Premium: ✓
Diagnostic and preventive services (cleanings, exams, x-rays):
Basic: 100%
Premium: 100%
Basic services (fillings, tooth removal):
Basic: % of fee
Premium: % of fee
Major services (root canals, crowns, implants, orthodontics):
Basic: X
Premium: % of fee
Teeth whitening:
Basic: X
Premium: % of fee
Waiting Periods⁴:
Basic: 6 months for Basic services
Premium: 6 months for Basic services;
12 months for Major services
Maximum plan pays per calendar year:
Basic: $1,000
Premium: $2,000
Dentist network size:
Basic: Large network size
Premium: Large network size
Choose any dentist: Copayment
Basic services (fillings, tooth removal): X
Diagnostic and preventive services (fillings, tooth removal): Copayment
Major services (root canals, crowns, implants, orthodontics): Copayment⁷
Teeth whitening: Copayment
Waiting Periods⁴: None
Maximum plan pays per calendar year: None
Dentist network size: Small network size
93% of our members are satisfied with their Delta Dental coverage.⁸
98% of Delta Dental members feel their in-network dentist is a good match for them.⁸
99% of members are happy with the quality of care they received.⁸
Find AARP dental insurance in NYC.
Learn more about your Health Care Exchange (Marketplace) choices.
See our programs for federal employees, annuitants, and retired military (FEDVIP); and Veterans (VADIP).
PPO plans help you pay for dental care without offering fixed prices. When you see a dentist in your network, the dentist agrees to charge lower prices, and your plan shares some of the cost⁴. Even if you see a dentist who’s out of your network, our plans will still help pay for covered procedures, although you'll likely save less than you would at a Delta Dental dentist.
DHMO-type plans have fixed prices for procedures, known as copays. DHMO-type premiums tend to be lower, but you’ll only enjoy coverage at your chosen DeltaCare® USA dentist⁴.
We offer state-wide and NYC dental insurance that covers many procedures, including braces, dentures and cosmetic procedures such as teeth whitening⁴.
However, not all dental plans cover all procedures. You may want to shop around for a plan that best suits your current and anticipated needs. Some plans offered by employers may have different benefits than plans available directly from Delta Dental.
Anyone can enroll in a Delta Dental individual plan year-round. Plan eligibility requirements vary by state. For eligibility requirements related to your state and plan, refer to the plan Policy and Benefit Details document.
Have Delta Dental insurance in NY? Check out our Find a dentist tool to search for dentists in your area. Select the network for your preferred plan: either Delta Dental PPO or DeltaCare USA. You’ll likely save the most if you choose the Delta Dental PPO network for the Delta Dental PPO plans and the DeltaCare USA network for the DeltaCare USA (DHMO-type) plan.
You can also search by dentist or practice name, specialty, languages spoken, gender, office hours and which dentists are accepting new patients.
¹Oral health: a window to your overall health. Mayo Clinic, 2024.
https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/dental/art-20047475
²Delta Dental Plans Association Fact Sheet, 2023 and American Dental Association
³Based upon internal analysis of 2023 national average procedure fees by Delta Dental. Negotiated fees refer to the fees that in-network dentists have agreed to. Negotiated fees are subject to change. Please see policy for a complete description of plan benefits, limitations and exclusions. These rates may not apply to you.
⁴Limitations and exclusions apply. Please see your plan booklet or policy for a complete description of plan benefits, limitations and exclusions.
⁵This benefit information is only a summary and not intended or designed to replace or serve as the plan policy. Limitations may apply for some benefits; some services may be excluded from the plan.
⁶Covering a single adult enrollee in New York. PPO plan rates are calculated based on PPO Basic plan premiums. Prices vary by plan type, location, and number of dependents. DeltaCare USA premiums are annual payments only. Price per month is for comparison only.
⁷DeltaCare USA plans cover implant-related procedures but do not cover the full implant procedure. Please see policy for a complete description of plan benefits, limitations and exclusions.
⁸Delta Dental Enterprise Patient Satisfaction Survey Report. A patient satisfaction survey of Delta Dental’s members was conducted during January and July 2023. A total of 9000 surveys were mailed to random samples of members who were selected from all claims paid during Q4 2022 and Q2 2023. With 545 responses received and 45 surveys returned with invalid addresses, the adjusted response rate is 6%.
Delta Dental PPO plans are underwritten by Delta Dental Insurance Company in AL, DC (Policy IENT-P-CORE-DC-R24), 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.
DeltaCare USA plans are underwritten in these states by these entities: CA — Delta Dental of California; DC (Policy I-P-DC-dc-24) and FL — Delta Dental Insurance Company; MD and TX — Alpha Dental Programs, Inc.; UT — Alpha Dental of Utah, Inc.; NY — Delta Dental of New York, Inc.; NV — Alpha Dental of Nevada, Inc.; PA — Delta Dental of Pennsylvania. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. These companies are financially responsible for their own products.
Delta Dental is a registered mark of Delta Dental Plans Association.