| Delta Dental Patient Direct 400 Dentist in Colorado | Delta Dental PPO Direct 1,130 Dentist in Colorado | Delta Dental Plus Direct 2,500 Dentist in Colorado |
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Monthly Rates
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Monthly Rates
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Monthly Rates
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If you would like to apply for Colorado
Dental Insurance coverage
please call me at 720-301-2767
or you can email me at
sales@coloradohealthinsuranceshop.com.
| Plan Options |
Option 1 Patient Direct® |
Option 2 PPO Direct Plan |
Option 3 PPO Plus Direct Plan |
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|---|---|---|---|---|
| Plan Type: |
DISCOUNT PLAN (not insurance) |
INSURANCE PLANS | ||
| Dentist Network: | Delta Dental Patient Direct® 1 | Delta Dental PPO 2 | Delta Dental PPO | Delta Dental Premier® or Non-Participating |
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Colorado Network Size: (includes general dentists and specialists) |
400 | 1130 | 1130 | 2500 |
| Out of Network Services: | No | No | Yes | |
| Benefit Year Maximum: | No Maximums | $1,000 | $1,500 | |
| Benefit Year Deductible/Family: | No Deductibles | $75 per person | $50 per person | |
| Deductible applies to: | Basic and Major | Basic and Major | ||
| COVERED SERVICES | ||||
| Type I-Diagnostic & Preventive | No Waiting Period | No Waiting Period | No Waiting Period | |
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Exams oral (1 in 6 months) |
Savings range from 50% to 100% 3 | Covered at 100% | Covered at 100% | Covered at 90% 4 |
| Type II-Basic Services | No Waiting Period | No Waiting Period | No Waiting Period | |
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Simple Extractions |
Savings range from 50% to 80% 3 |
Covered at 70% | Covered at 80% | Covered at 70% 4 |
| Type IIIA-Major Services | No Waiting Period | 12-month waiting period | 12-month waiting period | |
| Credit will be given with proof of prior dental coverage6 | ||||
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Surgical Extractions |
Savings range from 50% to 67% 3 |
Covered at 40% | Covered at 60% | Covered at 50% 4 |
| Type IIIB-Major Services | No Waiting Period | 24-month waiting period | 24-month waiting period | |
| Credit will be given with proof of prior dental coverage 6 | ||||
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Special Restorative |
Savings range from 50% to 67% 3 |
Covered at 40% | Covered at 60% | Covered at 50% 4 |
| Orthodontics | No Waiting Period | Not a Benefit 5 | Not a Benefit 5 | |
| Adult & child |
Savings range from 21% to 23% 3 |
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| Monthly Rates | ||||
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Individual Only
Individual and One Dependent Individual and Two or More Dependents |
$14.25
$25.25 $36.25 |
$28.00
$52.00 $72.00 |
$36.00
$67.00 |
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