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Delta For Everyone Platinum PPO

<<Back to Plans	Delta For Everyone Platinum PPO (PPO)
Individual:	$37.59/mo
Individual +1:	$68.57/mo
Family:	$99.53/mo
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Deductible:	$50 Annual
Max. Annual Benefit:	$1,500.00
Cleaning:	Plan Pays Year 1 Year 2 Year 3 80% 90% 100% Waiting Period: 0 Months
X-ray:	Plan Pays Year 1 Year 2 Year 3 80% 90% 100% Waiting Period: 0 Months
Filling:	Plan Pays Year 1 Year 2 Year 3 60% 70% 80% Waiting Period: 6 Months
Root Canal:	Plan Pays Year 1 Year 2 Year 3 0% 40% 50% Waiting Period: 12 Months
Crown:	Plan Pays Year 1 Year 2 Year 3 0% 40% 50% Waiting Period: 12 Months
Oral Surgery:	Plan Pays Year 1 Year 2 Year 3 0% 40% 50% Waiting Period: 12 Months
Extractions:	Plan Pays Year 1 Year 2 Year 3 0% 40% 50% Waiting Period: 12 Months
Implants:	Plan Pays: N/A Waiting Period: N/A
Implants Included:	No
Orthodontia:	Yes - See Brochure for Details
Vision Benefit:	No
Plan Highlights:
Application Fee:	$35.00
Effective Date:	05/01/2024
Dentist Search:	Dentist Search
Plan Brochure:	View Plan Brochure
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