ACA Compliant Dental Insurance Plans

Find the plan that's right for you and your family...

Summary of Benefit: You pay the below percentages of your dentist's charges after you pay your deductible and coinsurance (where required).


These plans do comply with the Pediatric Essential Health Benefit requirement of the Affordable Care Act (ACA).


View Pediatric ACA Qualified Dental Plans

Preventive Plan

Lowest cost plan; adult coverage limited to wellness services like exams and cleaning, pediatric coverage spans across categories.
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Starts at
$48.71*
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Calendar year maximumNone
 
DeductibleNone
Out of network $75
Preventive Care0%
Cleanings, exam, x-rays and fluoride
FillingsNot covered
Age 0-19 50%
CrownsNot covered
Age 0-19 50%
Root canalNot covered
Age 0-19 50%
ImplantsNot covered
 
Non-Surgical ExtractionsNot covered
 
Gum disease deep cleaningNot covered
Age 0-19 50%
OrthodonticsNot covered
Age 0-19 50% (medically necessary)
Annual ContractYes
Waiting PeriodsNone
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Basic Family I

A basic plan with coverage for preventive, diagnostic and basic restorative services. Major services for adults not covered.
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Starts at
$61.82*
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Calendar year maximum$1,000
Age 0-19 none
Deductible$225
Per family; In-Network
Preventive Care0%
Cleanings, exam, x-rays and fluoride
Fillings40%
Age 0-19 50%
CrownsNot covered
Age 0-19 50%
Root canalNot covered
Age 0-19 50%
ImplantsNot covered
 
Non-Surgical ExtractionsNot covered
 
Gum disease deep cleaningNot covered
Age 0-19 50%
OrthodonticsNot covered
Age 0-19 50% (medically necessary only)
Annual ContractYes
Waiting PeriodsNone
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Basic Family II

A richer plan that also includes coverage for endodontics, periodontics, oral surgery and major services.
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Starts at
$106.90*
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Calendar year maximum$1,000
Age 0-19 none
Deductible$75
Per family; In-Network
Preventive Care0%
Cleanings, exam, x-rays and fluoride
Fillings40%
Age 0-19 50%
Crowns50%
 
Root canal50%
 
ImplantsNot covered
 
Non-Surgical Extractions50%
Age 0-19 not covered
Gum disease deep cleaning50%
Age 0-19 50%
OrthodonticsNot covered
Age 0-19 50% (medically necessary only)
Annual ContractYes
Waiting PeriodsNone
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Enhanced Family Plan III

Plan with the highest level of adult coverage amongst all exchange certified plans; has lower deductibles for pediatric enrollees
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Starts at
$122.91*
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Calendar year maximum$1,000
Age 0-19 none
Deductible$75
Per family; In-Network
Preventive Care0%
Cleanings, exam, x-rays and fluoride
Fillings20%
 
Crowns50%
 
Root canal50%
 
ImplantsNot covered
Age 0-19 50%
Non-Surgical Extractions50%
Age 0-19 not covered
Gum disease deep cleaning50%
 
OrthodonticsNot covered
Age 0-19 50% (medically necessary only)
Annual ContractYes
Waiting PeriodsNone
Plan Details Collapse

* These are primarily Adult in network benefit highlights only. Monthly premiums shown are examples only of our lowest monthly rates for family coverage (subscriber & spouse, ages 26-50; plus one child, ages 0-25). Actual rates vary based on plan choice, your age, your location, number of people insured, their age, and relationship to you. Waiting periods may be waived if you had qualifying dental coverage prior to enrolling. Plans may have certain limitations and exclusions. For full details of plans, benefits and pricing, please visit DeltaDentalCoversMe.com.

 

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