
Delta Dental Insurance offers various plans that cover orthodontic treatment, including braces. In fact, some Delta Dental plans cover up to 50% of orthodontic expenses, with a maximum lifetime benefit of $1,000 to $1,500.
Most Delta Dental plans require a waiting period before coverage begins, typically ranging from 6 to 24 months. This waiting period allows the insurance company to assess the need for orthodontic treatment.
The cost of braces can vary widely, depending on factors such as age, severity of the condition, and type of braces. On average, the cost of traditional metal braces can range from $3,000 to $7,000.
Delta Dental Insurance often requires a pre-authorization for orthodontic treatment, which involves a consultation with a Delta Dental-approved orthodontist. This ensures that the treatment is medically necessary and aligns with the insurance company's guidelines.
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Delta Dental Insurance Coverage
You can save more money and have options with a Delta Dental PPO plan for Orthodontics.
Delta Dental PPO Premium plan offers the broadest coverage, covering more procedures, with lower out-of-pocket costs and covering orthodontics for both adults and children.
With a Delta Dental PPO Premium plan, one set of post-treatment retainers is typically covered for the course of a lifetime.
Lingual braces are estimated to be 50% covered with a waiting period of 6 months, and the maximum lifetime benefit is $1,500.
To ensure your orthodontic treatment plan is covered, start by consulting with your orthodontist to discuss your proposed treatment and submit the necessary pre-authorization or treatment plan to Delta Dental for review.
Members must have an active policy that includes orthodontic benefits, and there may be age restrictions or specific conditions that must be met for coverage to apply.
Using Delta Dental insurance for braces is subject to the network of dental offices participating in your specific plan, and it's advantageous to choose a provider within the Delta Dental PPO network to maximize your benefits.
The Delta Dental PPO Premium plan has a $50 annual deductible, which is the amount you pay for each person per year before your plan starts making payments for your orthodontic services.
A Pretreatment Estimate is suggested, and clinical requirements must be met, with crowns covered at 50% per tooth every seven years.
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What's Covered
Delta Dental coverage plans for orthodontics offer flexibility and options, including high-quality care from network orthodontists who meet or exceed Delta Dental's requirements.
You can save money with a Delta Dental PPO plan for orthodontics. This plan provides options and flexibility for orthodontic care.
One set of post-treatment retainers is typically covered for the course of a lifetime with Delta Dental's PPO premium plan. However, specific information about your plan's orthodontic coverage should be reviewed in your plan booklet.
Delta Dental PPO Premium and Delta Dental PPO Plus Premier plans cover lingual braces at 50% with a 6-month waiting period and a maximum lifetime benefit of $1,500.
Most Delta Dental plans, including Delta Dental PPO and Delta Dental Premier plans, cover standard orthodontic treatments, such as traditional metal braces, ceramic braces, and clear aligners. However, specifics of coverage may vary based on your individual dental plan.
Delta Dental's orthodontic coverage typically includes services like initial consultations, diagnostic services, and adjustments throughout the treatment period.
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Plan Details
Delta Dental coverage plans for orthodontics offer flexibility and options to save money. You can choose a plan that fits your needs and budget.
The Delta Dental PPO plan covers orthodontic care for both adults and children, with lower out-of-pocket costs and a broader range of procedures.
A $50 annual deductible applies to each person, and the plan has a $2,000 annual maximum for orthodontic care.
PPO Plus Premier
The Delta Dental PPO Plus Premier plan offers unparalleled access and significant savings by utilizing two of Delta Dental's national dental networks: Delta Dental PPO and Delta Dental Premier.
This plan provides two degrees of claim savings, giving members the flexibility to choose an orthodontist from either network. By selecting an orthodontist from the Delta Dental Premier network, members can still receive savings, and by choosing one from the Delta Dental PPO network, they can get the greatest value.
For the latest information on this plan, please visit the Delta Dental website, specifically the page for the Delta Dental PPO Plus Premier plan.
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First Washington Plan Individual

The First Washington Plan Individual is a great option for those looking for affordable dental coverage. This plan offers orthodontic benefits, which is a rare find in individual dental plans.
Monthly premiums for this plan will vary based on several factors, including age, location, and the number of people insured. Actual rates may be higher or lower than the examples provided.
A Pretreatment Estimate is recommended to ensure you're aware of the costs involved before starting treatment. Clinical requirements must be met for the plan to cover your expenses.
Crowns are covered at 50% per tooth every seven years, which is a reasonable coverage limit.
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Eligibility and Benefits
To be eligible for orthodontic coverage with Delta Dental, you typically need to have an active policy that includes orthodontic benefits. Age restrictions or specific conditions may also apply.
Eligibility requirements can vary based on the specific dental plan you hold. Some plans may only cover orthodontic treatment for children or adolescents.
You can review your dental insurance policy and the specific orthodontic benefits outlined within it to understand the eligibility criteria for accessing orthodontic services and benefits. Your orthodontist may also be able to assist you in understanding the coverage and any potential limitations or exclusions.
Delta Dental plan options offer a range of orthodontic benefits that may cover various types of braces, including traditional metal braces, ceramic braces, and in some cases, clear aligners. The specifics of coverage can differ based on the individual's dental plan.
Lingual braces, which are placed on the backside of the teeth, can be an effective option for those seeking a more discreet orthodontic treatment. However, whether these braces are covered by Delta Dental depends on the specifics of your orthodontic coverage.
You can save more money and have options as well as flexibility with a Delta Dental PPO plan for Orthodontics.
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Treatment and Costs
The Delta Dental PPO plan generally offers more extensive coverage for orthodontic services compared to some other dental plans.
Members of the Delta Dental PPO network often benefit from lower out-of-pocket costs due to negotiated rates with participating orthodontists.
The plan may cover a significant portion of the orthodontic treatment costs, thus reducing the financial burden on members.
It’s advisable to check your specific Delta Dental PPO plan to understand the percentage of coverage provided for orthodontic services and how it may impact your overall treatment costs.
Braces for children and adults are estimated to be 50% covered by both Delta Dental PPO Plus Premier and Delta Dental PPO Premium plans.
The waiting period is 6 months for coverage to kick in.
The maximum lifetime benefit for orthodontic treatment is $1,500.
When visiting a PPO orthodontist, you will receive the $1,500 calendar year maximum.
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Insurance and Providers
Finding a Delta Dental provider for braces is relatively straightforward. You can start by visiting the Delta Dental website, where you can access their dental network directory.
To search for orthodontic specialists in Los Angeles who accept Delta Dental PPO, simply use the directory on the Delta Dental website.
Your current dentist may also be able to recommend an orthodontist within the Delta Dental network, so don't hesitate to ask for their input.
To maximize your benefits and minimize your costs, it's essential to choose a provider within the Delta Dental PPO network.
If you have a Delta Dental PPO plan, selecting an in-network provider will help you save money on your out-of-pocket expenses.
Using Delta Dental insurance for braces is subject to the network of dental offices participating in your specific plan.
Always verify that your selected orthodontist accepts Delta Dental insurance to ensure you can utilize your benefits effectively for your braces.
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Frequently Asked Questions
How much is a full set of braces with insurance?
With insurance, a full set of braces typically costs between $1,638 and $4,933
How much money does dental insurance cover for braces?
Dental insurance typically covers 50% of the cost of braces, up to a $1,500 maximum. Coverage varies by policy, so check your plan for specifics.
Are braces usually covered by insurance?
Braces are often partially covered by insurance, but coverage varies depending on the policy. Check your dental plan for specifics on coverage and maximum reimbursement.
How can I get free braces with medical?
Check if your state offers Medicaid, CHIP, or a low-income insurance program, which may provide free braces for children with low-income families
Sources
- https://www.hardypedoortho.com/orthodontic-insurances-we-accept/ppo-delta-dental-orthodontics/
- https://invisalignlosangeles1.com/does-delta-dental-cover-braces-for-adults/
- https://deltadentalnc.com/individuals-and-family/frequently-asked-questions
- https://www.deltadentalwa.com/our-plans/dental/plus-ortho
- https://ooliortho.com/delta-dental-insurance-and-paying-for-braces-2/
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