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Delta Dental Individual and Family Plan A Enhanced Dental Insurance for Seniors in North Carolina

PPO Plan
$35.66/Mo
Delta Dental senior dental plan for people with Medicare
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Rating:Delta Dental A.M. Best rating.
Premium: from $35.66/mo*
Deductible:Adult: The deductible applies to Basic and Major Services only.
Child: The deductible does not apply ot exams, cleanings, fluouride, space maintainers, emergency palliatiative treatment, sealants and orthodontics.
Coverage:Adult: $1000 Child: None
Plan Type:PPO
Benefits:Delta Dental Individual and Family Plan A Enhanced Dental Plan 1033-003 Summary of Benefits for North Carolina

*Premiums vary based on regional pricing.

About Delta Dental Individual and Family Plan A Enhanced for North Carolina Medicare Beneficiaries

Delta Dental Individual and Family Plan A Enhanced, by Delta Dental, is a Dental PPO (Preferred Provider Organization or Participating Provider Organization) insurance plan for North Carolina 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 Individual and Family Plan A Enhanced with other PPO dental insurance in North Carolina before you choose.

The monthly premium with the Delta Dental Individual and Family Plan A Enhanced plan starts at about $35.66. This is an estimated rate for a 65 year old woman living in North Carolina 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 Individual and Family Plan A Enhanced may have additional coverages and benefits listed in the plan brochure (downloadable pdf).

Benefit Coverage
Dental Plan Type:PPO
Co-insurance:Adult: 0 - 60%
Child: 0 - 50%
Annual Deductible:Adult: The deductible applies to Basic and Major Services only.
Child: The deductible does not apply ot exams, cleanings, fluouride, space maintainers, emergency palliatiative treatment, sealants and orthodontics.
Max Benefit:Adult: $1000 Child: None
Cleanings:Adult: 0%/10%
Child: No charge
No waiting period
Topical Fluoride:Adult: 0%/10%
Child: No charge
No waiting period
Sealant:Adult: Not covered
Child: No charge
Adult: N/A
Child: No waiting period
Fillings & Restorative Dentistry:Adult: 20%/30% Coinsurance after deductible
Child: 20%/40% Coinsurance after deductible
Adult: 6 months waiting period
Child: No waiting period
X-Rays:Adult: 0%/10%
Child: No charge
No waiting period
Oral Surgery:Adult: 20%/30% Coinsurance after deductible
Child: 20%/40% Coinsurance after deductible
Adult: 6 months waiting period
Child: No waiting period
Tooth Extractions:Adult: 20%/30% Coinsurance after deductible
Child: 20%/40% Coinsurance after deductible
Adult: 6 months waiting period
Child: No waiting period
Crowns:Adult: 50%/60% Coinsurance after deductible
Child: 50%/ after deductible
Adult: 12 months waiting period
Child: No waiting period
Root Canals:Adult: 20%/30% Coinsurance after deductible
Child: 20%/40% after deductible
Adult: 6 months waiting period
Child: No waiting period
Periodontics:Adult: 20%/30% Coinsurance after deductible
Child: 20%/40% after deductible
Adult: 6 months waiting period
Child: No waiting period
Dentures:Adult: 50%/60% Coinsurance after deductible
Child: 50% after deductible
Adult: 12 month waiting period
Child: No waiting period
Bridges:Adult: 50%/60% Coinsurance after deductible
Child: 50% after deductible
Adult: 12 months waiting period
Child: No waiting period
Endodontics:Adult: 20%/30% Coinsurance after deductible
Child: 20%/40% after deductible
Adult: 6 months waiting period
Child: No waiting period

Contact Delta Dental

For more information about this plan, download the Summary of Benefits Delta Dental Individual and Family Plan A Enhanced Dental Plan 1033-003 Summary of Benefits for North Carolina, call, or visit their website.

Here's their contact information:

Compare Plans

We recommend comparing Delta Dental Individual and Family Plan A Enhanced with these quality North Carolina dental plans:

Availability

Delta Dental Individual and Family Plan A Enhanced is available in Charlotte, Gastonia, Concord, Raleigh, Greensboro, High Point, Winston, Salem, Durham, Fayetteville, Cary, Wilmington, Ashville, Jacksonville, Chapel Hill, Rocky Mount, Burlington, Wilson, and most other cities and towns in North Carolina.

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