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Individual and Family Pre-Paid Dental Plans

If you are looking for information on Health Care Reform & Exchange Certified Dental Plans, please click on Health Care Reform above and it will direct you to our Exchange plans.   

Delta Dental's Individual and Family Pre-Paid Dental Plans, offer you comprehensive dental benefits at an affordable price.

We currently offer two plans:
Application for Individual plan

 

Preferred

Basic

Annual Deductible per person

$50

$75

Annual Maximum per person

$1200

$1000

Preventive & Diagnostic Benefits

 Exams

Prophylaxis (Cleaning)

Bitewing x-rays/Full Mouth x-rays

Child Topical Fluoride

Child Sealants

100%

 

There is no waiting period on Preventive & Diagnostic Services

80%

 

There is no waiting period on Preventive & Diagnostic Services

Basic Services

 Space Maintainers

Amalgam Restorations/Silver Fillings in permanent & primary teeth

Synthetic Restorations/White Fillings on anterior teeth

Stainless Steel Crowns

Simple Extractions

Emergency Treatment for the Relief of Pain

50%

 

There is a six month waiting period on Basic Services

50%

 

There is a six month waiting period on Basic Services

Major Services

Oral Surgery (impacted teeth and/or wisdom teeth)

Periodontics

Root Canals

Crowns/Crown Build-up

Bridges

Dentures

Implants

50%

 

There is a 12 month waiting period on Major Services

50%

 

There is a 12 month waiting period on Major Services

 Percentages shown are what Delta Dental of Wyoming pays after the per person deductible has been met.

 

 

Preferred Plan Rates

Basic Plan Rates

 

Monthly

(Bank Draft)

Annual (Check)

Monthly

(Bank Draft)

Annual (Check)

Individual

$38.50

$462.00

$32.00

$384.00

Individual + One

$77.00

$924.00

$64.00

$768.00

Individual + Family

$114.00

$1,368.00

$96.00

$1,152.00

   Coverage is effective the first of the month after the application is received by Delta Dental of Wyoming.  

If you would like to view a copy of the application and brochure please click on the links below.    You may also print the application below off the website, complete it and mail it to our office in Cheyenne at:

Delta Dental of Wyoming
6234 Yellowstone Rd
PO Box 29
Cheyenne, WY   82009

 

Individual and Family Dental Plans Brochure

Individual and Family Dental Plan Application