Our traditional dental insurance plans feature:
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$27
.45 per person, per month
per person, per month
Mesquite Plan-762 | Delta Dental PPO™
Covered Services
You Pay
Delta Dental Pays
Notes
Annual Maximum
Per person, per benefit year
$2,000
Annual maximum benefit amount represents a combination of all networks & is not cumulative.
Deductible
Per person, per benefit year
$50
Deductible applies to all services. Deductible amount represents a combination of all networks & is not cumulative.
Type 1: Preventive Services
Exams, cleanings, fluoride, space maintainers & sealants
0%
100%
Type 2: Basic Services
X-rays, periodontal maintenance, simple extractions & composite fillings
20%
80%
Type 3A: Major Services
Gum disease treatment, root canals, surgical extractions, general anesthesia, denture relines/rebases/adjustments & repairs to crowns/dentures/bridges
50%
50%
6-month waiting period. May be waived if you were covered under a prior PPO/Indemnity dental plan with no more than a 63-day gap in coverage
Type 3B: Major Services
Implants, crowns, complete/partial dentures & bridges
50%
50%
9-month waiting period. May be waived if you were covered under a prior PPO/Indemnity dental plan with no more than a 63-day gap in coverage.
Per person, per benefit year
You Pay | |
Delta Dental Pays | $2,000 |
Notes | Annual maximum benefit amount represents a combination of all networks & is not cumulative. |
Per person, per benefit year
You Pay | $50 |
Delta Dental Pays | |
Notes | Deductible applies to all services. Deductible amount represents a combination of all networks & is not cumulative. |
Exams, cleanings, fluoride, space maintainers & sealants
You Pay | 0% |
Delta Dental Pays | 100% |
Notes |
X-rays, periodontal maintenance, simple extractions & composite fillings
You Pay | 20% |
Delta Dental Pays | 80% |
Notes |
Gum disease treatment, root canals, surgical extractions, general anesthesia, denture relines/rebases/adjustments & repairs to crowns/dentures/bridges
You Pay | 50% |
Delta Dental Pays | 50% |
Notes | 6-month waiting period. May be waived if you were covered under a prior PPO/Indemnity dental plan with no more than a 63-day gap in coverage |
Implants, crowns, complete/partial dentures & bridges
You Pay | 50% |
Delta Dental Pays | 50% |
Notes | 9-month waiting period. May be waived if you were covered under a prior PPO/Indemnity dental plan with no more than a 63-day gap in coverage. |
Saguaro Plan-763 | Delta Dental PPO™
Covered Services
You Pay
Delta Dental Pays
Notes
Annual Maxium
Per person, per benefit year
$1,500
Annual maximum benefit amount represents a combination of all networks & is not cumulative.
Deductible
Per person, per benefit year
$50
Deductible applies to all services. Deductible amount represents a combination of all networks & is not cumulative.
Type 1: Preventive Services
Exams, cleanings, fluoride, space maintainers & sealants
0%
100%
Type 2: Basic Services
X-rays, periodontal maintenance, simple extractions & composite fillings
40%
60%
Type 3A: Major Services
Gum disease treatment, root canals, surgical extractions, general anesthesia, denture relines/rebases/adjustments & repairs to dentures/crowns/bridges
40%
60%
6-month waiting period. May be waived if you were covered under a prior PPO/Indemnity dental plan with no more than a 63-day gap in coverage.
Type 3B: Major Services
Implants, crowns, complete/partial dentures & bridges
60%
40%
9-month waiting period. May be waived if you were covered under a prior PPO/Indemnity dental plan with no more than a 63-day gap in coverage.
Per person, per benefit year
You Pay | |
Delta Dental Pays | $1,500 |
Notes | Annual maximum benefit amount represents a combination of all networks & is not cumulative. |
Per person, per benefit year
You Pay | $50 |
Delta Dental Pays | |
Notes | Deductible applies to all services. Deductible amount represents a combination of all networks & is not cumulative. |
Exams, cleanings, fluoride, space maintainers & sealants
You Pay | 0% |
Delta Dental Pays | 100% |
Notes |
X-rays, periodontal maintenance, simple extractions & composite fillings
You Pay | 40% |
Delta Dental Pays | 60% |
Notes |
Gum disease treatment, root canals, surgical extractions, general anesthesia, denture relines/rebases/adjustments & repairs to dentures/crowns/bridges
You Pay | 40% |
Delta Dental Pays | 60% |
Notes | 6-month waiting period. May be waived if you were covered under a prior PPO/Indemnity dental plan with no more than a 63-day gap in coverage. |
Implants, crowns, complete/partial dentures & bridges
You Pay | 60% |
Delta Dental Pays | 40% |
Notes | 9-month waiting period. May be waived if you were covered under a prior PPO/Indemnity dental plan with no more than a 63-day gap in coverage. |
Agave Plan-764 | Delta Dental PPO™
Covered Services
You Pay
Delta Dental Pays
Notes
Annual Maximum
Per person, per benefit year
$1,000
Annual maximum benefit amount represents a combination of all networks & is not cumulative.
Deductible
Per person, per benefit year
$50
Deductible applies to all services. Deductible amount represents a combination of all networks & is not cumulative.
Type 1: Preventive Services
Exams, cleanings, fluoride, space maintainers & sealants
10%
90%
Type 2: Basic Services
X-rays, periodontal maintenance, simple extractions & composite fillings
60%
40%
Type 3A: Major Services
Gum disease treatment, root canals, surgical extractions, general anesthesia, denture relines/rebases/adjustments & repairs to dentures/crowns/bridges
70%
30%
6-month waiting period. May be waived if you were covered under a prior PPO/Indemnity dental plan with no more than a 63-day gap in coverage.
Type 3B: Major Services
Implants, crowns complete/partial dentures & bridges
70%
30%
9-month waiting period. May be waived if you were covered under a prior PPO/Indemnity dental plan with no more than a 63-day gap in coverage.
Per person, per benefit year
You Pay | |
Delta Dental Pays | $1,000 |
Notes | Annual maximum benefit amount represents a combination of all networks & is not cumulative. |
Per person, per benefit year
You Pay | $50 |
Delta Dental Pays | |
Notes | Deductible applies to all services. Deductible amount represents a combination of all networks & is not cumulative. |
Exams, cleanings, fluoride, space maintainers & sealants
You Pay | 10% |
Delta Dental Pays | 90% |
Notes |
X-rays, periodontal maintenance, simple extractions & composite fillings
You Pay | 60% |
Delta Dental Pays | 40% |
Notes |
Gum disease treatment, root canals, surgical extractions, general anesthesia, denture relines/rebases/adjustments & repairs to dentures/crowns/bridges
You Pay | 70% |
Delta Dental Pays | 30% |
Notes | 6-month waiting period. May be waived if you were covered under a prior PPO/Indemnity dental plan with no more than a 63-day gap in coverage. |
Implants, crowns complete/partial dentures & bridges
You Pay | 70% |
Delta Dental Pays | 30% |
Notes | 9-month waiting period. May be waived if you were covered under a prior PPO/Indemnity dental plan with no more than a 63-day gap in coverage. |
Cholla Plan-765 | Delta Dental PPO™
Covered Services
You Pay
Delta Dental Pays
Notes
Annual Maximum
Per person, per benefit year
Unlimited
Annual maximum benefit amount represents a combination of all networks & is not cumulative.
Deductible
Per person, per benefit year
$25
Deductible applies to all services. Deductible amount represents a combination of all networks & is not cumulative.
Type 1: Preventive Services
Exams, cleanings, fluoride & sealants
0%
100%
Space maintainers are not covered services.
Type 2: Basic Services
X-rays & periodontal maintenance
50%
50%
Simple extractions & fillings are not covered services.
Type 3A: Major Services
Gum disease treatment, root canals, surgical extractions, general anesthesia, denture relines/rebases/adjustments & repairs to crowns/dentures/bridges
Not Covered
Not Covered
Type 3B: Major Services
Implants, crowns, complete/partial dentures & bridges
Not Covered
Not Covered
Per person, per benefit year
You Pay | |
Delta Dental Pays | Unlimited |
Notes | Annual maximum benefit amount represents a combination of all networks & is not cumulative. |
Per person, per benefit year
You Pay | $25 |
Delta Dental Pays | |
Notes | Deductible applies to all services. Deductible amount represents a combination of all networks & is not cumulative. |
Exams, cleanings, fluoride & sealants
You Pay | 0% |
Delta Dental Pays | 100% |
Notes | Space maintainers are not covered services. |
X-rays & periodontal maintenance
You Pay | 50% |
Delta Dental Pays | 50% |
Notes | Simple extractions & fillings are not covered services. |
Gum disease treatment, root canals, surgical extractions, general anesthesia, denture relines/rebases/adjustments & repairs to crowns/dentures/bridges
You Pay | Not Covered |
Delta Dental Pays | Not Covered |
Notes |
Implants, crowns, complete/partial dentures & bridges
You Pay | Not Covered |
Delta Dental Pays | Not Covered |
Notes |
Looking for something different? Perhaps our incentive-based individual dental plans are a better match for your needs. (Scroll up to the tabs at the top of the page to check them out.)
Let's help you get the best dental plan!
Copper Plan-766 | Delta Dental PPO™
Covered Services
In Year 1, You Pay
In Year 2, You Pay
In Year 3+, You Pay
Notes
Annual Maximum
Per person, per benefit year
$1,500*
$1,750*
$2,000*
*This is the maximum amount Delta Dental will pay toward covered dental services for each person on the plan. You may pay more/less. Annual maximum benefit amount represents a combination of all networks & is not cumulative.
Deductible
Per person, per benefit year
$50
$50
$50
Deductible applies to all services. Deductible amount represents a combination of all networks & is not cumulative.
Type 1: Preventive Services
Exams, cleanings, fluoride, space maintainers & sealants
0%
0%
0%
Type 2: Basic Services
X-rays, periodontal maintenance, simple extractions & composite fillings
60%
40%
20%
Type 3A: Major Services
Gum disease treatment, root canals, surgical extractions, general anesthesia, denture relines/rebases/adjustments & repairs to crowns/dentures/bridges
70%
60%
50%
Type 3B: Major Services
Implants, crowns, complete/partial dentures & bridges
70%
60%
50%
Per person, per benefit year
In Year 1, You Pay | $1,500* |
In Year 2, You Pay | $1,750* |
In Year 3+, You Pay | $2,000* |
Notes | *This is the maximum amount Delta Dental will pay toward covered dental services for each person on the plan. You may pay more/less. Annual maximum benefit amount represents a combination of all networks & is not cumulative. |
Per person, per benefit year
In Year 1, You Pay | $50 |
In Year 2, You Pay | $50 |
In Year 3+, You Pay | $50 |
Notes | Deductible applies to all services. Deductible amount represents a combination of all networks & is not cumulative. |
Exams, cleanings, fluoride, space maintainers & sealants
In Year 1, You Pay | 0% |
In Year 2, You Pay | 0% |
In Year 3+, You Pay | 0% |
Notes |
X-rays, periodontal maintenance, simple extractions & composite fillings
In Year 1, You Pay | 60% |
In Year 2, You Pay | 40% |
In Year 3+, You Pay | 20% |
Notes |
Gum disease treatment, root canals, surgical extractions, general anesthesia, denture relines/rebases/adjustments & repairs to crowns/dentures/bridges
In Year 1, You Pay | 70% |
In Year 2, You Pay | 60% |
In Year 3+, You Pay | 50% |
Notes |
Implants, crowns, complete/partial dentures & bridges
In Year 1, You Pay | 70% |
In Year 2, You Pay | 60% |
In Year 3+, You Pay | 50% |
Notes |
Turquoise Plan-767 | Delta Dental PPO™
Covered Services
In Year 1, You Pay
In Year 2, You Pay
In Year 3+, You Pay
Notes
Annual Maxium
Per person, per benefit year
$1,000*
$1,250*
$1,500*
*This is the maximum amount Delta Dental will pay toward covered dental services for each person on the plan. You may pay more/less. Annual maximum benefit amount represents a combination of all networks & is not cumulative.
Deductible
Per person, per benefit year
$50
$50
$50
Deductible applies to all services. Deductible amount represents a combination of all networks & is not cumulative.
Type 1: Preventive Services
Exams, cleanings, fluoride, space maintainers & sealants
0%
0%
0%
Type 2: Basic Services
X-rays, periodontal maintenance, simple extractions & composite fillings
20%
10%
0%
Type 3A: Major Services
Gum disease treatment, root canals, surgical extractions, general anesthesia, denture relines/rebases/adjustments & repairs to dentures/crowns/bridges
70%
60%
50%
Type 3B: Major Services
Implants, crowns, complete/partial dentures & bridges
70%
60%
50%
Per person, per benefit year
In Year 1, You Pay | $1,000* |
In Year 2, You Pay | $1,250* |
In Year 3+, You Pay | $1,500* |
Notes | *This is the maximum amount Delta Dental will pay toward covered dental services for each person on the plan. You may pay more/less. Annual maximum benefit amount represents a combination of all networks & is not cumulative. |
Per person, per benefit year
In Year 1, You Pay | $50 |
In Year 2, You Pay | $50 |
In Year 3+, You Pay | $50 |
Notes | Deductible applies to all services. Deductible amount represents a combination of all networks & is not cumulative. |
Exams, cleanings, fluoride, space maintainers & sealants
In Year 1, You Pay | 0% |
In Year 2, You Pay | 0% |
In Year 3+, You Pay | 0% |
Notes |
X-rays, periodontal maintenance, simple extractions & composite fillings
In Year 1, You Pay | 20% |
In Year 2, You Pay | 10% |
In Year 3+, You Pay | 0% |
Notes |
Gum disease treatment, root canals, surgical extractions, general anesthesia, denture relines/rebases/adjustments & repairs to dentures/crowns/bridges
In Year 1, You Pay | 70% |
In Year 2, You Pay | 60% |
In Year 3+, You Pay | 50% |
Notes |
Implants, crowns, complete/partial dentures & bridges
In Year 1, You Pay | 70% |
In Year 2, You Pay | 60% |
In Year 3+, You Pay | 50% |
Notes |
Looking for something different? Perhaps our traditional individual dental plans are a better match for your needs. (Scroll up to the tabs at the top of the page to check them out.)
Add DeltaVision® to your dental plan!
Vision Plan-100 | EyeMed Advantage Network
Covered Services
You Pay
Exam with Dialation (as necessary)
$10 copay
Fundus Photography Benefit
Up to $39
Standard Contact Lens Fit & Follow-up
Up to $40
Premium Contact Lens Fit & Follow-up
10% off retail price
Frames
$0 copay; $130 allowance, 20% off balance over $130
Standard Plastic Lens: Single Vision, Bifocal, Trifocal or Lenticular
$10 copay
Standard Plastic Lens: Standard Progressive
$70 copay
Standard Plastic Lens: Premium Progressive
$70 copay, 80% of charge less $120 allowance
Lens Option: UV Treatment
$12
Lens Option: Tint (Solid & Gradient)
$12
Lens Option: Standard Plastic Scratch Coating
$12
Lens Option: Standard Polycarbonate - Adults & Kids
$35
Lens Option: Standard Anti-Reflective Coating
$40
Lens Option: Premium Anti-Reflective
80% of charge
Lens Option: Polarized
30% off retail price
Lens Option: Other Add-ons
30% off retail price
Contact Lenses: Conventional
Materials only
$0 copay, $130 allowance, 15% off balance over $130
Contact Lenses: Disposable
Materials Only
$0 copay, $130 allowance, plus balance over $130
Contact Lenses: Medically Necessary
Materials only
$0 copay, paid-in-full
Laser Vision Correction
Lasik or PRK from U.S. Laser Network
15% off retail price or 5% off promotional price
Frequency: Exam
Once every 12 months
Frequency: Lenses or Contact Lenses
Once every 12 months
Frequency: Frame
Once every 12 months
You Pay | $10 copay |
You Pay | Up to $39 |
You Pay | Up to $40 |
You Pay | 10% off retail price |
You Pay | $0 copay; $130 allowance, 20% off balance over $130 |
You Pay | $10 copay |
You Pay | $70 copay |
You Pay | $70 copay, 80% of charge less $120 allowance |
You Pay | $12 |
You Pay | $12 |
You Pay | $12 |
You Pay | $35 |
You Pay | $40 |
You Pay | 80% of charge |
You Pay | 30% off retail price |
You Pay | 30% off retail price |
Materials only
You Pay | $0 copay, $130 allowance, 15% off balance over $130 |
Materials Only
You Pay | $0 copay, $130 allowance, plus balance over $130 |
Materials only
You Pay | $0 copay, paid-in-full |
Lasik or PRK from U.S. Laser Network
You Pay | 15% off retail price or 5% off promotional price |
You Pay | Once every 12 months |
You Pay | Once every 12 months |
You Pay | Once every 12 months |
Love what you see? Individual vision coverage is only available as an add-on to your individual dental policy and will be offered during the final steps of the enrollment process.
Don't live in Arizona? Visit our national website if you're looking for individual dental insurance plans in another state.
1 2014 Delta Dental Oral Health & Well-Being Survey.
Disclaimers
Plan information provided as a summary only. For full coverage specifics on any of these plans, including frequencies and limitations, refer to the appropriate plan booklet.
Rates are subject to change and vary by plan. For the most current rates, visit DeltaDentalCoversMe.com.
Primary subscriber must be 18+ to enroll an eligible dependent in via the Free Until Three feature. See plan booklet for more info.
These dental plans reimburse procedures based on the Delta Dental PPO fee. Premier and out-of-network dentist may bill you for charges above the allowed Delta Dental PPO fee. As a result, you may incur higher out-of-pocket costs when seeing a Premier or out-of-network dentist.
The granting of a waiver of any waiting periods is in the sole discretion of Delta Dental of Arizona.
This vision policy is underwritten by Arizona Dental Insurance Service, Inc. dba Delta Dental of Arizona. Policies are administered, at least in part, by First American Administrators, Inc. and Wyssta Services, Inc. Certain network administration services are provided through EyeMed Vision Care, LLC.