Just-right Plan Options

Is a Delta Dental plan the right fit for you?

If you're a Wisconsin resident and can answer "YES" to any of the questions below, we're confident you'll find the right protection and assurance you want from our Standard or Enhanced plan options.

  • Employed or self-employed without dental coverage
  • Unemployed without dental coverage
  • College student or recent graduate not eligible under parent's dental plan
  • Retiree seeking transition or supplemental dental coverage
Benefit Summary
Monthly Premium Enhanced Plan Standard Plan
Single Single $38.60 $29.52
Two-Person Two-Person $77.03 $58.73
Family Family $134.33 $99.93
       
Deductible Enhanced Plan Standard Plan
$50 deductible applies to single coverage and for each individual in two-person plans. For family coverage, the deductible is $150 for the entire family. The deductible is annual, based on a calendar year. The deductible does not apply to benefits covered at 100%. $50 / $150 $50 / $150
Diagnostic and Preventive Services Enhanced Plan Standard Plan
  • Exams (at 6 month intervals)
  • Cleanings (at 6 month intervals)
  • Bitewing x-rays (once in 12 months)
  • Other x-rays (full mouth every 5 years)
  • Topical fluoride (once in 12 months through age 19)
  • Space maintainers (through age 15)
  • Sealants (through age 13)
 100%* 80%*
Fillings Enhanced Plan Standard Plan
Composite (tooth-colored) fillings are covered on anterior (front) teeth. For posterior (back) teeth, amalgam (silver-colored) fillings are covered. 60%* 50%*
Other Services Enhanced Plan Standard Plan
  • Emergency treatment to relieve pain
  • Crowns
  • Simple extractions
  • Root canal therapy
  • Periodontics
  • Replacement of missing teeth (bridges/dentures)
 50%* 50%*
Annual Maximum Benefit Enhanced Plan Standard Plan
Per Person Per Calendar Year $1,000 $1,000
Vision Discount Program Enhanced Plan Standard Plan
View brochure with details. Included Included
       

*Payment for services under these plans is based on Delta Dental of Wisconsin's Maximum Allowable Charge (MAC) fee schedule. If you see a Delta Dental PPO dentist, then the percentages shown will reflect your actual benefit, after the deductible is satisfied. However, if the dentist you see is not a member of the Delta Dental PPO network, your out-of-pocket costs may be higher, as the dentist may bill you for the amount between his/her fee and the Delta Dental MAC.

Important Information About Waiting Periods
There are no waiting periods for diagnostic and preventive services, and emergency treatment of dental pain. There is a 6-month waiting period for fillings and extractions and for all other services there is a 12-month benefit waiting period. The waiting period is waived if you were covered under a Delta Dental of Wisconsin employer-sponsored group policy within 60 days of the start of your coverage under this policy. Waiting periods must be satisfied if there has been a lapse in coverage or for new members who are added to this policy.

Take the next step ... choose the Just-right Plan Option for your oral health needs and Enroll Now.

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Need additional guidance?

NEED ASSISTANCE? An Individual Plan Specialist is standing by: call toll-free 888-899-3729, Monday through Friday, 8:00 a.m. to 4:30 p.m.