Current Location: Delta Dental Home Page > Subscribers > Individual plans
March 11, 2010

Be your own individual!

Individual dental insurance from Delta Dental of Wisconsin has it all. Your choice of plans. Single, two-person and family options. The freedom to see any dentist. Affordable rates with automatic monthly payments. Plus, outstanding customer service and plan administration by Delta Dental, the nation's leader in dental benefits.

Plans are open to Wisconsin residents only.

We've made it easy to enroll online. When you're ready to get started, just click the button below. 

 Enroll button

Below is a summary of the two plans offered.  Benefit waiting periods, exclusions and limitations may apply. For more complete information, click here to view a printable brochure.

 Plan Summary

Standard Plan

Enhanced Plan


Deductible

  • $50 deductible applies to single coverage and for each individual in two-person plans. For family coverage, the deductible is $150 for the entire family. The deductible is annual, based on a calendar year. The deductible does not apply to benefits covered at 100%.

 

 $50/$150

 $50/$150


Annual Maximum Benefit Per Person Per Calendar Year

 


$1,000

 


$1,000

 


Diagnostic and Preventive Services

  • Exams (2 per calendar year)
  • Cleanings (2 per calendar year)
  • Bitewing x-rays (2 per calendar year to age 15, 1 per year thereafter)
  • Other x-rays (full mouth every 5 years)
  • Topical fluoride (once per calendar year through age 19)
  • Space maintainers (through age 17)
  • Sealants (through age 18) 

 80%

 100%


Fillings

  • Composite (tooth-colored) fillings are covered on anterior (front) teeth. For posterior (back) teeth, amalgam (silver-colored) fillings are covered.

 60%

 60%


Other Services

  • Emergency treatment to relieve pain
  • Crowns
  • Simple extractions
  • Root canal therapy
  • Periodontics
  • Replacement of missing teeth (bridges/dentures)

 50%

 50%


Vision Care Discount Program


Included

 


Included

 


Monthly Premium

Single

Two Persons

Family



$28.93

$57.46

$95.35


 
$33.05

$65.78

$112.25

Payment for services under these plans is based on Delta Dental of Wisconsin's Maximum Allowable Charge (MAC) fee schedule. If you see a Delta Dental PPO dentist, then the percentages shown will reflect your actual benefit, after the deductible is satisfied. However, if the dentist you see is not a member of the Delta Dental PPO network, your out-of-pocket costs may be higher, as the dentist may bill you for the amount between his/her fee and the Delta Dental MAC.

Important information about waiting periods
There are no waiting periods for diagnostic and preventive services, fillings, extractions and emergency treatment of dental pain. For all other services there is a 12-month benefit waiting period. The waiting period is waived if you were covered under a Delta Dental of Wisconsin employer-sponsored group policy within 60 days of the start of your coverage under this policy. Waiting periods must be satisfied if there has been a lapse in coverage or for new members who are added to this policy.

Enroll button 

Enrolling online is the quickest and easiest way to sign up. However, if you prefer, you can enroll by mail using this printable form.