Dental Plan
Northwest Center offers a comprehensive dental plan with Delta Dental of Washington.
- Any member who gets a Healthy Checkup will increase their benefit maximum by $250 the following year.
- A Healthy Checkup is any diagnostic and preventive service (i.e. preventive exam, cleaning, fluoride treatment, x-rays, and sealants).
- The increase is cumulative, so you can earn an extra $250 each year up to a maximum of $2,500 (i.e. $1,750 in 2026, $2,000 in 2027, etc.).
- Each year you don’t get a Healthy Checkup your benefit maximum decreases back to the previous year’s level but will not drop below $1,500.
| Delta Dental PPO Plan | ||||
|---|---|---|---|---|
| Benefit Coverage | In-Network Benefits | Out-of-Network Benefits | ||
| Calendar Year Deductible (Waived for Preventive Services) | ||||
Individual |
$50 Individual | |||
Family |
$150 Family Maximum | |||
| Calendar Year Benefits | ||||
Per Person Benefit Maximum |
Base: $1,500 Increase for Healthy Checkup: $250, Maximum: $2,500 Increases apply the following calendar year |
|||
|
Class I: Diagnostic & Preventive Exams, Cleanings, X-rays, Fluoride and Sealants |
100% | 80% MAC* | ||
|
Class II: Restorative Restorations, Endodontics, Periodontics, Oral Surgery |
80% | 70% MAC | ||
|
Class III: Major Crowns, Dentures, Partials, Bridges and Implants |
50% | 40% MAC | ||
|
Orthodontia Adults & Dependent Children |
50% to a lifetime maximum of $1,500 | |||
*MAC – Maximum Allowable Charge
NOTE: The level of benefits received is based on whether that treatment was provided by a preferred, premier or out-of-network dental provider. Benefits are payable at the preferred level by accessing your care through a Contracted Provider. Out-of-network charges will be paid at a set reimbursement amount, also called the Maximum Allowable Charge. If you use an Out-of-Network dentist, that provider may bill you over and above the set reimbursement amount offered by Delta Dental.
Find a Delta Dental PPO dentist
- Visit deltadentalwa.com
- Click on Online Tools and Find a Dentist
- Fill in your address, select the Delta Dental PPO, and click on Search
