Dental
Healthy teeth and gums are important to your overall wellness.
Avista offers coverage through Delta Dental of Washington to help you maintain a healthy smile through regular preventive care and fix any dental problems that may arise.
Key features at a glance:
- Free in-network preventive and diagnostic care to help keep your teeth healthy.
- Affordable coverage that helps you manage the cost of dental treatment.
- Wide network of providers that have agreed to negotiated rates, which helps you save money — visit the Delta Dental of Washington website to find an in-network provider near you.
Plan Summary
| Delta Dental PPO Dentist | Delta Dental Premier Dentist | Non-Participating Dentist | |
|---|---|---|---|
| Annual Maximum per Person | $2,000 | $2,000 | $2,000 |
| Deductible: (Waived on Class I, Orthodontia and Accidents) Individual/ Family |
$25 / $75 | $25 / $75 | $25 / $75 |
| Class 1 – Diagnostic & Preventive (Exams, Cleaning, Fluoride, X-Rays, Sealants) |
100%; no deductible | 100%; no deductible | 100%; no deductible |
| Class II – Restorative (Fillings, Endodontics, Periodontics, Oral Surgery) |
90% after deductible | 80% after deductible | 80% after deductible |
| Class III – Major (Dentures, Partial Dentures, Implants, Bridges, Crowns) |
50% after deductible | 50% after deductible | 50% after deductible |
| Orthodontia Adults and Dependent Children Lifetime Maximum per Person |
50% after deductible $1,000 |
50% after deductible $1,000 |
50% after deductible $1,000 |
*If you use an out-of-network provider, you are responsible for any charges above the usual, customary, and reasonable (UCR) limits.