DPPO | Western Health Advantage

DPPO

Dental Rider Plan Option

In network now for 2026

Key Takeaways

This adult dental benefit plan includes 100% coverage for diagnostic and preventive services, with deductibles ranging from $25 a year to $150 a year, depending on the network status of your dentist and your family size. Review the plan's EOC for full information.

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Plan Highlights

Benefit Summary

Diagnostic & Preventive Services

Delta Dental PPO Dentist - 100%
Delta Dental Premier Dentist - 100%
Non-Delta Dental Dentist - 100%

Space Maintainers, Basic Restorative, Oral Surgery, Endodontics, Periodontics

Delta Dental PPO Dentist - 90%
Delta Dental Premier Dentist - 80%
Non-Delta Dental Dentist - 80%

Major Restorative, Prosthodontics, Implants

Delta Dental PPO Dentist - 60%
Delta Dental Premier Dentist - 50%
Non-Delta Dental Dentist - 50%

Orthodontics (Child and Adult)

Not covered

Notes:

Limitations and/or exclusions may apply to certain benefits.
Reimbursement is based on PPO Contracted Fees for PPO dentists, Premier dentists and non-Delta Dental dentists. For Non-Delta Dental PPO dentists, members may be responsible for amounts in excess of the PPO Contracted Fees.
This benefit information is not intended or designed to replace or serve as the plan’s Evidence of Coverage or Summary Plan Description.

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Dental HMO Plan for Individuals & Families from Delta Dental

Key Takeaways

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Plan Highlights

Benefit Summary

Diagnostic & Preventive Services

Space Maintainers, Basic Restorative, Oral Surgery, Endodontics, Periodontics

Major Restorative, Prosthodontics, Implants

Orthodontics (Child and Adult)

Notes:

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Address:

Contact:

Key Takeaways

Benefit Summary

Diagnostic & Preventive Services

Space Maintainers, Basic Restorative, Oral Surgery, Endodontics, Periodontics

Major Restorative, Prosthodontics, Implants

Orthodontics (Child and Adult)

Notes:

Address:

Contact: