In California, this applies to covered individuals utilizing an in-network provider. These rates may not apply to you. Delta Dental PPO plans are underwritten by Delta Dental Insurance Company in AL, DC Policy IENT-P-CORE-DC-R22 , 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.

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 and FL — Delta Dental Insurance Company; MD and TX — Alpha Dental Programs, Inc.

Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. These companies are financially responsible for their own products. Skip to main content. Delta Dental Insurance for Individuals and Families.

Find a dental plan to fit your needs and budget Buy an individual dental insurance plan directly from Delta Dental and take care of your oral health. Get to know our individual dental plans. DeltaCare® USA DHMO-type dental plan Predictability.

Shop plans. Plans at a glance Specific benefit information may vary by state. AARP member? Learn about AARP dental insurance plans. Search our network With three out of four U.

Find a dentist. Get peace of mind with Delta Dental. Health Care Exchange Marketplace We believe in increased access to affordable dental benefits. Federal Government Programs Delta Dental is a trusted partner for a variety of Federal Government agencies.

FAQs We have answers to common questions to help you find the right individual dental plan. Enrolling in a plan Finding a dentist Managing a plan. Enrolling in a plan. In which states can I purchase an individual Delta Dental plan? DeltaCare USA individual plans are available in CA, FL, MD, NV, NY, PA, TX, UT and DC.

What's the difference between a PPO and a DHMO-type plan? Are braces covered? What about teeth whitening dentures, veneers, etc.? Do you offer vision coverage? What is the waiting period for an individual Delta Dental plan? Who can enroll in an individual plan?

Can I choose the start date for my plan coverage? The dates are based on the plan purchase date: Plans purchased from the first through the 14th of the month have effective date options of the 15th of the current month, the first of the next month, the 15th of the next month or the first of the month after next.

For example, a plan purchased on July 3 can be effective July 15, August 1, August 15 or September 1. Plans purchased on or after the 15th of the month have effective date options of the first of the next month, the 15th of the next month, the first of the month after next or the 15th of the month after next.

For example, a plan purchased on July 15 can be effective August 1, August 15, September 1 or September DeltaCare USA plans have a set effective date based on the plan purchase date: Plans purchased by the 21st of the month will become effective on the first date of the following month.

For example, a plan purchased on June 17 would become effective on July 1. Plans purchased after the 21st will not be effective until the month after the next. For example, a plan purchased on July 25 would not be effective until September 1.

Why is there a fee to enroll in an individual plan? Finding a dentist. How do I determine if my dentist is in network for a specific individual Delta Dental plan? This helps reduce out-of-pocket costs, so you pay less for the dental care you need.

Improved overall health : Research shows good oral health has a positive effect on overall health and well-being. Encourage routine dental care for long term benefit: During preventive check-ups, your dentist is better able to detect problems early on and help you avoid more costly and complex procedures in the future.

Coverage for the unexpected: Oral health problems can appear unexpectedly. At Delta Dental, we offer a wide variety of affordable individual dental insurance plan options. Explore our PPO, Dental HMO, managed, and discount dental plans, and learn about the different types of dental insurance coverage we offer using the chart below.

Delta Dental PPO is our preferred-provider option program. With Delta Dental PPO you have access to a network of dentists who accept reduced fees for covered services, giving you the lowest out-of-pocket costs.

Delta Dental Premier is our original fee-for-service plan that offers the largest network of dentists. These dentists have agreed to contracted fees with Delta Dental, so for covered services, you pay no more than your copay and deductible.

Delta Dental PPO Plus Premier combines the Delta Dental PPO and Delta Dental Premier networks, which gives you the benefits of Delta Dental PPO and more. With this plan, even if your Delta Dental Premier dentist is not in the PPO network, you still receive the benefit of that dentist's contracted fee.

Enjoy minimal or no copayments for preventive care and choose from a network of dentists to manage your dental needs. Delta Dental Patient Direct is a dental service discount plan. You choose from a panel of participating dentists who charge discounted fees for their services.

You pay the discounted fee directly to your dentist at the time of treatment - with no paperwork to file. Plans and rates vary by state. Dental benefits are administered by the independent Delta Dental companies. DeltaVision® : DeltaVision is a vision plan, that offers pre-negotiated discounts on eye exams, glasses, contact lenses and laser vision correction.

DeltaVision may be available separately or as a part of your dental insurance. Delta Dental companies offer individual and family dental plans in most states. Enter your state to learn more.

Dental insurance helps you get the professional care you need to maintain your oral health, including regular teeth cleanings, fluoride and sealant treatments, and other types of preventive and restorative care. Routine brushing and flossing at home is a great place to start, but care from dental professionals is critical to achieving and maintaining a healthy smile and better overall health.

When shopping for dental insurance there are a number of factors to consider in order to choose the best plan for you and your family. First, evaluate your individual needs and understand your budget. You will also want to look at network size and applicable restrictions.

The Program does not make any payments to providers. You are responsible for paying the provider but will receive a discount from those providers in our discount program network.

Discount amounts may vary depending on the provider and type of service. Provider participation may change without notice. Aetna Vital Savings is not available in Vermont or Montana. This material is for information only and is not an offer or invitation to contract.

An application must be completed to obtain coverage. Insurance plans contain exclusions and limitations. See brochure and policy for a complete description of benefits, exclusions, limitations, and conditions of coverage. Providers are independent contractors and are not agents of Aetna.

Plan features and availability may vary by location and are subject to change. Refer to dentaldirect. Aetna does not provide care or guarantee access to dental services. Also of interest:. Links to various non-Aetna sites are provided for your convenience only.

Aetna Inc. and its affiliated companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites.

and its its affiliated companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. and its affiliated companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.

The information you will be accessing is provided by another organization or vendor. If you do not intend to leave our site, close this message. Each main plan type has more than one subtype. Some subtypes have five tiers of coverage.

Others have four tiers, three tiers or two tiers. This search will use the five-tier subtype. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan.

Do you want to continue? The Applied Behavior Analysis ABA Medical Necessity Guide helps determine appropriate medically necessary levels and types of care for patients in need of evaluation and treatment for behavioral health conditions.

The ABA Medical Necessity Guide does not constitute medical advice. Treating providers are solely responsible for medical advice and treatment of members. Members should discuss any matters related to their coverage or condition with their treating provider.

Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits.

Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered i.

The member's benefit plan determines coverage. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Please note also that the ABA Medical Necessity Guide may be updated and are, therefore, subject to change. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis.

This excerpt is provided for use in connection with the review of a claim for benefits and may not be reproduced or used for any other purpose. Copyright by the American Society of Addiction Medicine.

Reprinted with permission. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept".

See CMS's Medicare Coverage Center. See Aetna's External Review Program. CPT only copyright American Medical Association.

All Rights Reserved. CPT is a registered trademark of the American Medical Association. You, your employees and agents are authorized to use CPT only as contained in Aetna Clinical Policy Bulletins CPBs solely for your own personal use in directly participating in healthcare programs administered by Aetna, Inc.

You acknowledge that AMA holds all copyright, trademark and other rights in CPT. License to use CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, N. State Street, Chicago, Illinois Applications are available at the American Medical Association Web site, www.

Go to the American Medical Association Web site. Department of Defense procurements and the limited rights restrictions of FAR CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose.

No fee schedules, basic unit, relative values or related listings are included in CPT. The American Medical Association AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this product is with Aetna, Inc.

and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product.

This Agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept".

The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services.

This information is neither an offer of coverage nor medical advice. It is only a partial, general description of plan or program benefits and does not constitute a contract.

In case of a conflict between your plan documents and this information, the plan documents will govern. We're working with 3Won to process your request for participation. Please select "Continue to ProVault to begin the contracting and credentialing process.

and its affiliates are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. Not combinable with other offers.

For in-store use only. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.

Search by current location: Yes. ZIP code, city, or address. Find dentists. Please enable your browser to allow this site to use your location. Cost matters. Treatment specification:. Zip code: This ZIP code does not exist.

Dentist last name optional :. Cost Estimator terms of use Please scroll down and accept to proceed. Information regarding the Cost Estimator content If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling " General information regarding your health care The information and content collectively, "Content" on this website is for your general educational information only.

General information regarding your dental benefits Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage.

For a complete description of the details of your coverage, please refer to your coverage documents. Estimates may vary depending on your benefit plan and the state you live in.

Claims will be processed when received according to your plan provisions. You may be responsible for the cost of procedures or services not covered by your plan. Use of this website in no way increases or decreases the benefits available under a dental benefit plan.

If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control.

Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. Refer to your benefit plan to determine whether these requirements apply to you.

Preventive services are included in this tool. Preventive care coverage varies by plan and by demographic considerations such as age. Refer to your benefit plan to determine whether preventive services are covered for you.

General information regarding cost estimates Do not avoid getting dental care based on the cost information provided on this website. This website shows estimates of certain dental care costs. The version of the Cost Estimator that is available publicly does not require sign-in credentials uses aggregated historical cost data for the procedure in question.

The secure version available only after you sign in uses procedure costs or cost ranges as reflected in provider fee schedules and aggregated historical cost data. The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan.

More information regarding how cost estimates are calculated Cost estimates for services provided by out-of-network dentists available in the out-of-network estimator are based upon submitted claims data for out-of-network providers.

Accept Decline. Dentists found with last name starting with. Select the dentist name for cost estimates. Find your Delta Dental Connect with us The national network of Delta Dental companies protects more smiles than any other dental insurance company. I receive dental insurance via my employer.

Some procedures may have waiting periods that apply before plan coverage takes effect. Please see policy for a complete description of plan benefits, limitations and exclusions. In California, this applies to covered individuals utilizing an in-network provider. These rates may not apply to you.

Delta Dental PPO plans are underwritten by Delta Dental Insurance Company in AL, DC Policy IENT-P-CORE-DC-R22 , 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.

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 and FL — Delta Dental Insurance Company; MD and TX — Alpha Dental Programs, Inc.

Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. These companies are financially responsible for their own products.

Skip to main content. Delta Dental Insurance for Individuals and Families. Find a dental plan to fit your needs and budget Buy an individual dental insurance plan directly from Delta Dental and take care of your oral health. Get to know our individual dental plans. DeltaCare® USA DHMO-type dental plan Predictability.

Shop plans. Plans at a glance Specific benefit information may vary by state. AARP member? Learn about AARP dental insurance plans. Search our network With three out of four U. Find a dentist.

Get peace of mind with Delta Dental. Health Care Exchange Marketplace We believe in increased access to affordable dental benefits. Federal Government Programs Delta Dental is a trusted partner for a variety of Federal Government agencies. FAQs We have answers to common questions to help you find the right individual dental plan.

Enrolling in a plan Finding a dentist Managing a plan. Enrolling in a plan. In which states can I purchase an individual Delta Dental plan? DeltaCare USA individual plans are available in CA, FL, MD, NV, NY, PA, TX, UT and DC. What's the difference between a PPO and a DHMO-type plan?

Are braces covered? What about teeth whitening dentures, veneers, etc.? Do you offer vision coverage? What is the waiting period for an individual Delta Dental plan?

Who can enroll in an individual plan? Can I choose the start date for my plan coverage? The dates are based on the plan purchase date: Plans purchased from the first through the 14th of the month have effective date options of the 15th of the current month, the first of the next month, the 15th of the next month or the first of the month after next.

For example, a plan purchased on July 3 can be effective July 15, August 1, August 15 or September 1. Plans purchased on or after the 15th of the month have effective date options of the first of the next month, the 15th of the next month, the first of the month after next or the 15th of the month after next.

For example, a plan purchased on July 15 can be effective August 1, August 15, September 1 or September DeltaCare USA plans have a set effective date based on the plan purchase date: Plans purchased by the 21st of the month will become effective on the first date of the following month.

For example, a plan purchased on June 17 would become effective on July 1. Plans purchased after the 21st will not be effective until the month after the next.

For example, a plan purchased on July 25 would not be effective until September 1. Why is there a fee to enroll in an individual plan? The range of discounts for medical, pharmacy or ancillary services offered under The Program will vary depending on the type of provider and products or services received.

The Program member is required and obligated to pay for all discounted prescription drugs, medical and pharmaceutical supplies, services and equipment received under The Program, but will receive a discount on certain identified medical, pharmaceutical supplies, prescription drugs, medical equipment and supplies from providers in The Program.

You may call 1. com for more information or visit the provider locator on this site for a list of providers. The fees for The Program are specified in the membership agreement.

The Program includes a day cancellation provision. Note to MA consumers: The Program is not insurance coverage and does not meet the minimum creditable coverage requirements under M. Standard mobile phone carrier and data usage charges apply.

Listed benefit total is for the calendar year maximum per person. Refer to the policy for a complete list of benefit highlights and limitations. Not all plans available in all states. Please refer to plan documents for more details. Please note: The only Cigna Healthcare plans available for New Mexico residents are the Cigna Dental and the Cigna Dental dental insurance plans.

Not for use in UT. Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company and Cigna Dental Health, Inc. In Texas, the Dental plan is known as Cigna Dental Choice, and this plan uses the national Cigna DPPO Advantage network.

Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company CHLIC , Cigna HealthCare of Arizona, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company CGLIC , or their affiliates see a listing of the legal entities that insure or administer group HMO, dental HMO, and other products or services in your state.

The Cigna Healthcare name, logo, and other Cigna Healthcare marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of The Cigna Group. All insurance policies and group benefit plans contain exclusions and limitations.

For availability, costs and complete details of coverage, contact a licensed agent or Cigna Healthcare sales representative. This website is not intended for residents of New Mexico. Selecting these links will take you away from Cigna. com to to another website, which may be a non-Cigna Healthcare website.

Cigna Healthcare may not control the content or links of non-Cigna Healthcare websites. Skip to main navigation Skip to main content Skip to footer For Medicare For Providers For Brokers For Employers Search.

Shop for your own coverage Medical Dental Other Supplemental Plans through your employer Learn about the medical, dental, pharmacy, behavioral, and voluntary benefits your employer may offer. Explore coverage through work Learn How to Buy Health Insurance Types of Dental Insurance Open Enrollment vs.

Special Enrollment See all topics Looking for Medicare coverage? Shop for Medicare plans.