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Individual & Family
Delta Dental Of Idaho
dental plans

Why Dental Benefits?

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Save Money

As the nation’s leading dental insurance carrier, Delta Dental negotiates lower fees with dentists so you pay less for the dental care you need. All of our dental plans cover preventive care such as cleanings, exams, and X-rays at 100% so you can feel confident scheduling your routine dentist appointment.

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Stay Healthy

When families have dental insurance, they are almost twice as likely to visit the dentist and receive the preventive dental care they need to stay healthy. Plus, maintaining a healthy smile by visiting the dentist can help reduce the risk of heart disease, diabetes and stroke as well as detect other serious diseases before it’s too late.

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Stay Active

Children with a healthy smile show improved social interaction, communication and the ability to perform well in school. Currently, American children miss millions of school days each year due to oral health problems, and untreated oral diseases can lead to problems in eating, speaking and learning.

Why Delta Dental?

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With Delta Dental, you can have peace of mind knowing you’re covered by the dental experts. After all, dental is all we do. It’s why over 200,000 Idahoans trust Delta Dental for their dental benefits.

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Bye-bye unnerving on-hold music. Say hello to real Delta Dental customer service experts. We answer most questions in less than 3 minutes!

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Delta Dental offers members access to the country’s best dentist network. With over 150,000 dentists across the U.S., you will have access to cost-saving dental care no matter where life takes you.

— Individual & Family Plan —

Quick Docs

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Individual & Family Plan Brochure

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Individual Plan Brochure Spanish

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ACA Plan Brochure

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ACA Plan Brochure Spanish

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Individual Plan Enrollment Application

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ACA Plans Enrollment Application

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Orthodontic Discount Program

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Orthodontic Discount Program Spanish

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Subscriber VAP Flyer

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LifeSmile Flyers

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Subscriber Mobile App card

— Frequent Questions —

Individual & Family Plan

The term eligibility refers to who may be covered by a Delta Dental of Idaho Individual plan. Only permanent residents of Idaho including spouses and/or dependent children are eligible. Coverage can be purchased by singles, two-person households or families. Individual dental plans may be purchased regardless of existing group dental, group health or Medicare insurance plans.

The cost of Individual and Family plans are determined by the type of services covered and the age of the covered person. Preventive plans that cover basic cleanings and exams cost as little as $20 a month. Comprehensive plans that cover services such as root canals and crowns cost a little more, but generally have a higher annual maximum to help cover more comprehensive services.

To receive an accurate quote for an Individual and Family dental plan, you can visit our Plans page or call (1-855-703-3582) and one of our representatives will help you get started.

These plans provide a broad array of dental services, but like any policy, there are certain exclusions and limitations as well as amounts you will pay out of pocket. You can obtain information on the specific and general exclusions, limitations and other policy provisions by reviewing the product contract on the Plans page or by calling (1-855-703-3582) and speaking to a representative.

You must use a dentist in our Delta Dental Premier or Delta Dental PPO network. We have a large network of participating dentists in Idaho as well as nationwide, so there is a good chance that your dentist is in the network. To determine if your dentist is in network or if you need help finding a dentist, you can select Find a Dentist (choose Premier or PPO) or call (1-855-703-3582). We do not cover procedures by dentists who are not participating as a Delta Dental dentist.

The term Premier and PPO refers to the two types of networks we’ve established in the state of Idaho. A Delta Dental Premier or PPO participating dentist means these Idaho dentists have signed an agreement with Delta Dental of Idaho to participate in our network and have agreed to discounted fees for services. The Delta Dental Premier or PPO participating dentist accepts Delta Dental’s payment and the patient’s co-payment, if any, as payment in full. The PPO network generally provides the most savings to subscribers and is the recommended dentist network to choose when searching for a dentist.

A Delta Dental non-participating dentist is a dentist who has not signed an agreement with Delta Dental. Therefore, non-participating dentists can charge any fee for services, in which it’s the Subscriber’s responsibility to make the full payment to the non-participating dentist. Because of this, it is highly recommended to see a dentist in either the PPO or Premier network.

When valid enrollment documentation is received on the 1st through the 15th day of the month, coverage will become effective the first day of the next month. When valid enrollment documentation is received on the 16th through the last day of the month, coverage will be effective the first day of the second month. Coverage is contingent upon underwriting acceptance. Your subscriber contract period is for 12 months. Coverage continues for 12 months; and will automatically renew for another 12-month period.

All contracts are annual.

Premiums may be paid monthly or annually. A debit card or checking account number is needed for automatic monthly withdrawal. For your convenience, you can log on to www.deltadentalid.com/subscriber to setup or change your automatic monthly payment settings. Annual payments must be paid with a check mailed to Delta Dental of Idaho, 555 E Parkcenter Blvd, Boise, Idaho 83706.

If you are enrolled in an ACA plan, if automatic billing has not been setup, a monthly statement will be mailed to you at the beginning of each month.

Yes, Delta Dental provides dental benefit plans regardless of existing group coverage or Medicare. You will want to review your Medicare Advantage or Medicare supplement plan to determine if dental coverage is included or if you need to purchase additional dental benefits.

Your contract will automatically renew on your anniversary date unless you notify Delta Dental of Idaho in writing of your intent to cancel within 30 days of the contract expiration date. You will receive a notice of renewal at least 45 days prior to expiration your dental plan. If you cancel this individual dental plan for any reason other than moving out of the state of Idaho, or you gain benefits through another provider, you will have to wait 24 months before you can re-apply for coverage.

Once you’re enrolled, visit www.deltadentalid.com/subscriber to update your contact information. You can also view and print your ID card, contract, payments made, benefits and claims information. Also available is our free mobile app allowing you to access your ID card, view contracts, look up benefits and find a dentist near you. This app can be downloaded via the Google and Apple app stores.

Our Individual plans offer a wide variety of procedure coverage and premium pricing based on the individual or family needs. Our ACA compliant plans do not offer as many procedure coverage options, but do provide a certified pediatric plan option that is compliant with the Affordable Care Act. You can purchase either plan directly through Delta Dental of Idaho, or in partnership with your broker.

The plans found at Your Health Idaho (YHI) are the same plans you will find here. However, if you intend to apply for the Advance Premium Tax Credit (APTC), you must enroll in coverage through YHI. If you do enroll in dental coverage through YHI, any changes to your household information must be completed through YHI.

Questions on which plan to choose?

Our sales representatives are here to help.

individualplan@deltadentalid.com | (855) 703-3582