Delta Dental Individual and Family™ EPO
Our balance between cost and coverage plan. Great for people who may need fillings or other dental services in addition to preventive care.
 

Your Monthly Cost

Starts as Low as

$30.02*

*Lowest cost for individuals.

 

Get Started with Your Dental Quote

 

Please enter your information for exact pricing and to begin enrolling in a plan today.





Benefit Maximum

$1,000 Per Person

Deductible

Individual: $50

Family: $150

Waiting Periods

  • Preventive Services: No waiting period
  • Restorative Services: 6 months
  • Complex Services: 12 months

Benefits Summary

 

Network

Delta Dental's EPO network

As a Delta Dental EPO subscriber, you have access to Delta Dental’s EPO network in Massachusetts (MA). Participating providers have agreed to offer discounted fees and a no balance billing policy. Should you require care outside of Massachusetts, you have access to Delta Dental’s extensive national PPO network with more than 282,000 participating dentist locations nationwide. If you choose to receive services from a provider who does not participate in the EPO in MA, or the PPO out of MA, you will have no coverage. 

In order to receive benefits under this plan, consumers must use in-network providers for their services. If you visit a dentist who is not in our network, you will be responsible for the entire cost of the services you receive. You may only receive covered benefits from non-participating dentist in the event of an emergency dental condition.

Category/Procedure Frequency
Category/Procedure Frequency
Bite-wing X-rays Twice per twelve months
Category/Procedure Frequency
Cleanings & Exams Twice per twelve months
Category/Procedure Frequency
Sealants Once per 48 months
Category/Procedure Frequency
Topical fluoride treatment Twice per twelve months
In Network (We Pay) Out of network (We Pay)
In Network (We Pay) Out of Network (We Pay)
100% 0%
In Network (We Pay) Out of Network (We Pay)
100% 0%
In Network (We Pay) Out of Network (We Pay)
100% 0%
In Network (We Pay) Out of Network (We Pay)
100% 0%
 
Category/Procedure Frequency
Category/Procedure Frequency
Palliative (emergency) treatment of dental plan Three times per twelve months
Category/Procedure Frequency
Silver Fillings Once per 24 Months
Category/Procedure Frequency
Simple Tooth Extraction As needed
Category/Procedure Frequency
White Fillings (Front Teeth) Once per 24 Months
In Network (We Pay) Out of network (We Pay)
In Network (We Pay) Out of Network (We Pay)
70% 0%
In Network (We Pay) Out of Network (We Pay)
70% 0%
In Network (We Pay) Out of Network (We Pay)
70% 0%
In Network (We Pay) Out of Network (We Pay)
70% 0%
 
Category/Procedure Frequency
Category/Procedure Frequency
Crowns Once per 60 Months
Category/Procedure Frequency
Dentures/Bridges Once per 60 Months
Category/Procedure Frequency
Periodontics Once per 24 Months
Category/Procedure Frequency
Root canals Once per Tooth
In Network (We Pay) Out of network (We Pay)
In Network (We Pay) Out of Network (We Pay)
40% 0%
In Network (We Pay) Out of Network (We Pay)
40% 0%
In Network (We Pay) Out of Network (We Pay)
70% 0%
In Network (We Pay) Out of Network (We Pay)
70% 0%

 

Your Monthly Cost

Starts as Low as

$30.02*

*Lowest cost for individuals.

 

Get Started with Your Dental Quote

 

Please enter your information for exact pricing and to begin enrolling in a plan today.




 

Need Help?

Talk with a representative:
1-844-260-6102

1-844-260-6102

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