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Delta Dental for Everyone Gold Plan Dental Insurance for Seniors in District of Columbia

PPO Plan
$51.89/Mo
Delta Dental senior dental plan for people with Medicare
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Rating:Delta Dental A.M. Best rating.
Premium: from $51.89/mo*
Deductible:Member Pays: $50 per person per calendar year
Coverage:$1,000 per person
Plan Type:PPO
Benefits:Delta Dental for Everyone Gold Plan Dental Plan 1020-001 Summary of Benefits for District of Columbia

*Premiums vary based on regional pricing.

About Delta Dental for Everyone Gold Plan for District of Columbia Medicare Beneficiaries

Delta Dental for Everyone Gold Plan, by Delta Dental, is a Dental PPO (Preferred Provider Organization or Participating Provider Organization) insurance plan for District of Columbia seniors. It's the most common type of dental insurance, and they almost always require you to pay a deductible.

Unlike an HMO, a dental PPO allows you to use a dentist outside of the network. However, when you use a network dentist you pay reduced rates. When you use a network dentist, you will typically pay a certain percentage (e.g. 20%) of the reduced rate (co-payment), and the insurance company pays the remainder (e.g. 80%).

Be sure to compare Delta Dental for Everyone Gold Plan with other PPO dental insurance in District of Columbia before you choose.

The monthly premium with the Delta Dental for Everyone Gold Plan plan starts at about $51.89. This is an estimated rate for a 65 year old woman living in District of Columbia that does not use tobacco. This is an insurance product, so you'll need to get a quote to get the exact cost for your situation.

Plan Benefits

The following table lists the standardized core benefits with this plan. Delta Dental for Everyone Gold Plan may have additional coverages and benefits listed in the plan brochure (downloadable pdf).

Benefit Coverage
Dental Plan Type:PPO
Co-insurance:Member Pays: 0 - 70%
Annual Deductible:Member Pays: $50 per person per calendar year
Max Benefit:$1,000 per person
Cleanings:Member Pays: 40% first year, 20% second year and 0% from the third year on after deductible
No waiting period
Topical Fluoride:Member Pays: 40% first year, 20% second year and 0% from the third year on after deductible; Topical application of fluoride solutions is limited to Enrollees under age 19.
No waiting period
Sealant:Member Pays: 50% first year, 35% second year and 20% from the third year on after deductible; Sealants are limited as follows: 1) to permanent first molars through age eighth (8) and to permanent second molars through age 15 if they are without cavities or
Fillings & Restorative Dentistry:Member Pays: 50% first year, 35% second year and 20% from the third year on after deductible
6 month waiting period
X-Rays:Member Pays: 40% first year, 20% second year and 0% from the third year on after deductible
No waiting period
Oral Surgery:Member Pays: Not covered first year, 70% second year and 50% from the third year on after deductible
12 month waiting period
Tooth Extractions:Member Pays: Not covered first year, 70% second year and 50% from the third year on after deductible
12 month waiting period
Crowns:Member Pays: Not covered first year, 70% second year and 50% from the third year on after deductible
12 month waiting period
Root Canals:Member Pays: Not covered first year, 70% second year and 50% from the third year on after deductible
12 month waiting period
Periodontics:Member Pays: Not covered first year, 70% second year and 50% from the third year on after deductible
12 month waiting period
Dentures:Member Pays: Not covered first year, 70% second year and 50% from the third year on after deductible
12 month waiting period
Bridges:Member Pays: Not covered first year, 70% second year and 50% from the third year on after deductible
12 month waiting period
Endodontics:Member Pays: Not covered first year, 70% second year and 50% from the third year on after deductible
12 month waiting period

Contact Delta Dental

For more information about this plan, download the Summary of Benefits Delta Dental for Everyone Gold Plan Dental Plan 1020-001 Summary of Benefits for District of Columbia, call, or visit their website.

Here's their contact information:

Compare Plans

We recommend comparing Delta Dental for Everyone Gold Plan with these quality District of Columbia dental plans:

Availability

Delta Dental for Everyone Gold Plan is available in , and most other cities and towns in District of Columbia.

The dental plan information on MedicareWire is maintained by and was last updated on .