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Choose from three Delta Dental Individual and Family plans designed to suit your family’s needs.
*The 502 Standard and the 503 Enhanced plans meet the Affordable Care Act (ACA) requirements.
Compare benefits and features to select the plan that’s best for you!
 Benefit Summary
 
1040
Traditional Plan
502
Standard Plan
ACA*
503
Enhanced Plan
ACA*
 Deductible One-Time $50 per person $100 per person per year No deductible
 After the deductible has been paid, services are covered at the following percentages.
 Diagnostic & Preventive
 Exams, routine cleanings,
 x-rays, fluoride application,
 space maintainers & sealants
100%100%100%
 Fillings50%60%60%
 Extractions and Oral Surgery50%40% after one year wait, no wait under age 1940% after one year wait, no wait under age 19
 Wisdom Teeth Extraction50%40% medically necessary only40% medically necessary only
 Endodontics
 Root canals
50% after one year wait40% after one year wait, no wait under age 1940% after one year wait, no wait under age 19
 Periodontics
 Treatment of gum disease
 and periodontal maintenance
50% after one year wait40% after one year wait, no wait under age 1940% after one year wait, no wait under age 19
 Major Restorative
 Crowns, bridges, dentures
 and implants
50% after one year wait40% after one year wait, no wait under age 1940% after one year wait, no wait under age 19
 Orthodontics0%40% up to age 19
medically necessary only
40% up to age 19
medically necessary only
 Annual Maximum Benefit
 per person
$1,200$1,000 age 19 and over$1,500 age 19 and over
 All services are subject to the annual maximum benefit and will not be paid if your annual maximum benefit has been reached.
 Annual Out-of-pocket MaximumDoes not apply$350 per child/$700 for two or more children under age 19$350 per child/$700 for two or more children under age 19
 Dependents covered to age19 or full-time student2626

 2018 Rates (Per Month)
 
1040
Traditional Plan
502
Standard Plan
ACA
503
Enhanced Plan
ACA
 Child Only (under 19)-$36.04$48.76
 Individual/Single Person$49.00$36.04$48.76
 Couple/Two Person$98.00$72.08$97.52
 Family$145.00--
 Subscriber +1 Dep See Couple/Two Person$72.08$97.52
 Subscriber +2 Dep See Family$108.12$146.28
 Subscriber +3 Dep See Family$144.16$195.02
 Couple +1 Dep See Family$108.12$146.28
 Couple +2 Dep See Family$144.16$195.02
 Couple +3 Dep See Family$180.20$243.78
  Click here to select


Delta Dental’s plans save you money! Focusing on prevention and early detection protects you from expensive procedures and unplanned emergencies down the road.

Delta Dental’s Individual and Family Plan members have the best of both worlds: access to the largest network of dentists in South Dakota with Delta Dental Premier and Delta Dental PPO network dentists who have agreed to deeper discounts. To locate a dentist use our “find a dentist” tool here.