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Adult ortho included · waiting periods shown up front

Delta Dental PPO™ Individual Premium Plan

It's the most complete individual plan Delta sells. You get 100% preventive care, major work and implants at 50%, adult orthodontics, and a $2,000 annual maximum. We also show exactly when each benefit starts paying, so you can plan around the waits.

Get cover today. See your dentist when it counts.

01

Know the waits

Preventive is day one; bigger work has a clock.

02

Find your dentist

Search in‑network providers by procedure.

03

Verify & go

Eligibility confirmed before you ever call.

Does Delta Dental PPO Premium cover Invisalign for adults?
Yes. Premium covers orthodontics, including Invisalign and braces, for adults and dependent children at 50% (up to a $1,500 lifetime max, separate $50 ortho deductible), after a 12‑month wait that's waivable if you had prior coverage. It also covers implants at 50%, with no missing‑tooth clause.
50%adult ortho & implants
$2,000annual maximum
$1,500ortho lifetime max
6–12 mowaits · waivable
What you get

The most complete coverage Delta sells to individuals

Pays a percentage of covered care. See any licensed dentist, and you save the most in the PPO network.

100%

Preventive

Exams, cleanings, x‑rays. No waiting period.

80%

Basic

Fillings & extractions (after the wait).

50%

Major & implants

Crowns, bridges, dentures, implants, root canals.

50%

Orthodontics

Adults & children, the differentiator.

The reason people choose Premium

Adult orthodontics, actually covered

Most plans cap ortho to dependent children. Premium covers adults too at 50%, up to a $1,500 lifetime maximum with a separate $50 ortho deductible, plus implants at 50%. So the Invisalign or implant you've delayed finally has a number. Ortho has a 12-month wait, and it is waivable with proof of prior coverage.

50%adult ortho
$1,500ortho lifetime
6–12 mowaits · waivable
Read this before you buy

When does each benefit actually start?

Premium covers more procedures than any other individual Delta plan, but it asks you to wait for the bigger work. Preventive starts on day one. Everything else is on a clock, and here are the exact timelines.

Preventive · Day 1 Basic (fillings) Major & implants Orthodontics

Delta Dental waiting periods vary by state; typical individual terms shown (basic about 6 months; major, implants and ortho about 12 months). Prior continuous dental coverage can waive or shorten them. CoverCapy verifies your exact start dates with the carrier before you enroll.

Need work sooner? If you need a filling or crown right away, a day‑one plan may fit better first. Compare waiting periods across plans
Beyond the dental coverage

Member savings the coverage table never shows

Delta members get access to savings programs alongside the dental benefit. These are discount programs, not insurance, but they are real money most plans never mention.

SmileWay® wellness

If you have certain chronic conditions, such as diabetes, heart disease or a pregnancy, you can get up to 4 cleanings a year at 100% instead of the usual two.

LASIK savings (QualSight)

Up to about 35% off the national average LASIK price at 800+ locations, with a free consultation. A savings program, not an insured benefit.

Hearing care (Amplifon)

Around 66% average savings on hearing aids across 6,000+ providers, plus complimentary follow-up care. A savings program, not an insured benefit.

Teledentistry

Virtual checkups and advice from a dentist by video or photo, useful for a quick read on whether something needs an in-person visit.

LifePerks discounts

Member discounts on oral care, fitness, groceries and meal delivery, travel, pet insurance, child care and more.

Calendar-year reset

The $2,000 maximum runs on a calendar year and resets every January 1, and coverage can start as soon as about 9 days out.

Savings programs are access-to-discount programs provided through third parties (QualSight, Amplifon and others), are not insurance, and are separate from your dental coverage. Availability varies by state and plan; confirm with Delta Dental.

The underrated perk

You pay the network rate, even when the plan does not

In-network dentists agree to Delta's contracted fee, the maximum allowable charge, which is often 25 to 40 percent below their walk-in price. You keep that lower rate even after you have used up your $2,000 annual maximum, or when a visit falls just outside a frequency limit. It even helps on cosmetic work the plan does not cover, such as whitening, because a contracted dentist's rate is typically lower than the cash price.

ProcedureTypical cash priceDelta PPO network rate*
Cleaning (adult)D1110$100 to $130$84
Full x-ray seriesD0210$130 to $180$107
Filling (2-surface, back tooth)D2392$200 to $300$177
Crown (porcelain)D2740$1,200 to $1,800$951
Root canal (molar)D3330$1,100 to $1,600$933
Tooth extractionD7140$180 to $300$131
Implant placementD6010$2,000 to $3,000$1,829
In-office whitening (per arch)D9972 · cosmetic, usually not covered$400 to $700$288

*Network rates are illustrative contracted fees from a published Delta Dental PPO fee schedule and vary by ZIP and dentist; cash prices are national estimates. On covered services the plan then pays its share on top of this lower rate. Whitening and other cosmetic services are usually not a covered benefit, so the network discount on them is not guaranteed in every state. The lower rate only applies at a dentist contracted for the Delta Dental PPO product, so find and verify a PPO dentist and confirm the office's fee before you book.

Use the plan

Dentists, verification, cost & your nomination

Covered serviceIn‑networkWaiting period
Diagnostic & PreventiveExams, cleanings, x‑rays, sealants100%None
Basic ServicesFillings, extractions80%~6 months*
Major ServicesCrowns, bridges, dentures50%~12 months*
ImplantsSurgical placement & restoration50%~12 months*
OrthodonticsAdults & dependent children · $1,500 lifetime · $50 ortho deductible50%~12 months*
Teeth whiteningCosmetic · varies by stateState-specificNot covered

$2,000 annual maximum, per calendar year (resets January 1) · $50 individual / $150 family deductible · no missing‑tooth clause. *Waits are waivable with proof of prior comparable dental coverage (basic ~6 months; major, implants and ortho ~12 months). Terms vary by state; verified with the carrier before enrollment.

Don't see your dentist? Nominate them

Verify your dentist accepts Delta Dental PPO

Confirm participation before you buy.

We'll confirm this for you

CoverCapy emails the office on your behalf to ask whether they accept Delta Dental PPO and are taking new patients. For your exact deductible and remaining maximum, confirm with Delta Dental and the office before treatment. If they're not in network, you can nominate them to join.

Estimate before you commit

What will it cost me on this plan?

Illustrative in‑network estimate after deductible & waiting period. Real costs vary by dentist.

Your estimated share
$2,750
50% ortho · capped at $1,500 ortho benefit
Avg. full price: $5,500
Nomination engine

Your nomination is already filled in.

We detected your plan and location, so the form is pre‑generated. Just confirm the dentist you want on Delta Dental PPO Premium. In‑network? We verify. Not yet? Our concierge team invites the office to join.

  • 1
    You confirmThe pre‑filled dentist, 15 seconds.
  • 2
    We do the workVerify eligibility or invite the office in.
  • 3
    They get added, you get rewardedYou earn Capy Diamonds when they join.
Capy rewards
$150Diamonds · 1st office
$175Diamonds · 3+ offices

Nominate your dentist pre‑generated

Nomination sent.

We'll verify your dentist on Delta Dental PPO Premium and reach the office within 2 business days.

This benefit information is a summary, not the plan Policy. Limitations and waiting periods may apply and vary by state; some services may be excluded. The Policy prevails in any inconsistency.

Delta Dental PPO™ plans are underwritten by Delta Dental Insurance Company and affiliated companies and offered to individuals in AL, CA, DE, FL, GA, LA, MD, MS, MT, NV, NY, PA, TX, UT, WV and DC. Prices are illustrations and vary by age and ZIP. Delta Dental is a registered trademark of Delta Dental Plans Association. CoverCapy is an independent concierge marketplace and is not Delta Dental; we're paid by the dental offices in our network, not by which plan you choose.

★ California & Washington · age 65+

On Medicare in CA or WA? You may already have Delta through SCAN.

If you're 65+ on a SCAN Health Plan Medicare Advantage plan in California or Washington, your dental runs through Delta Dental, a DeltaCare USA network benefit, with an optional PPO buy‑up for more dentist choice. Before buying an individual PPO, see what your SCAN benefit already covers and how to use it.

See the SCAN Delta benefit
Keep exploring

Compare, or match a plan to your treatment

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Good to know

Delta Dental PPO Premium FAQs

Does Premium cover adult Invisalign?
Yes. Orthodontics for adults and dependent children is covered at 50%, up to a $1,500 lifetime maximum with a separate $50 ortho deductible, after a 12‑month wait that is waivable with proof of prior coverage. Invisalign is treated the same as braces. Implants are also covered at 50%.
What are the waiting periods?
None for preventive (day one). Basic care waits about 6 months; major work, implants and orthodontics wait about 12 months. All waits are waivable with proof of prior comparable dental coverage (pro‑rated if shorter). Terms vary by state.
Is there a missing‑tooth clause?
No. This Delta Dental Premium policy has no missing‑tooth clause, so a tooth lost before your coverage started can still be benefited for an implant or bridge (confirm with a free pre‑treatment estimate, and check your state).
What's the annual maximum and deductible?
$2,000 per enrollee, per calendar year, resetting every January 1; $50 individual / $150 family deductible, also per calendar year. The $2,000 cap is higher than the $1,000 to $1,500 typical of individual plans.
How fast can coverage start?
You choose from set 1st or 15th-of-month effective dates, and the earliest effective date is roughly 9 days out. Preventive care is covered from your effective date with no waiting period.
Does Delta Dental include LASIK or hearing benefits?
As savings programs, not insurance. Delta members get discounted LASIK through QualSight and discounted hearing aids and care through Amplifon, plus teledentistry and LifePerks member discounts. These are access-to-savings programs, separate from your dental coverage.
Does Delta lower the price on services it does not cover, like whitening?
In-network dentists bill Delta's contracted fee, often 25 to 40 percent below their walk-in price. That lower rate applies to covered care and still helps even after you reach your $2,000 annual maximum. For cosmetic work like whitening that the plan does not cover, a contracted dentist's network rate is usually still lower than cash (for example, in-office whitening near $288 per arch on a published fee schedule versus $400 to $700 cash), though it is not guaranteed in every state, so confirm the office's fee before booking.
Where is this plan available?
Individual Delta Dental PPO is offered in AL, CA, DE, FL, GA, LA, MD, MS, MT, NV, NY, PA, TX, UT, WV and DC. Benefits and waits vary by state.
I'm 65+ on Medicare in California, should I buy this?
Maybe not first. If you're on a SCAN Health Plan in CA or WA, you likely already have a Delta Dental benefit through Medicare Advantage. See the SCAN Delta benefit
Transparency

Sources & last checked

Coverage, pricing and network figures were checked against Delta Dental and partner materials on June 24, 2026. Terms vary by state, ZIP, age and effective date, so confirm your own plan document before enrolling.

CoverCapy is an independent concierge guide, paid by the dental offices in its network rather than by which plan you choose. This page is informational, not the plan policy; the Policy prevails. Not affiliated with Delta Dental Plans Association.

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