DeltaCare USA Basic Plan for Families
DeltaCare USA · 2026 plan year
Low
- Ind. deductible
- —
- Family deductible
- Not listed
- Ind. OOP max
- $450
- Family OOP max
- $900
More DeltaCare USA plans in UT
Monthly premiums by age
The same in all 3 areas this plan covers.
| Age | Individual |
|---|---|
| Under 15 | $11 |
| 21 | $21 |
| 30 | $21 |
| 40 | $21 |
| 50 | $21 |
| 60 | $21 |
| 64 and over | $21 |
Live premium estimate
Benefits & cost sharing
Other
| Benefit | In-network |
|---|---|
| Accidental Dental | Not covered |
| Basic Dental Care - Adult | $45.00 |
| Basic Dental Care - Child | Not covered |
| Dental Check-Up for Children | $10.00 |
| Major Dental Care - Adult | $400.00 |
| Major Dental Care - Child | Not covered |
| Orthodontia - Adult | $3,250.00 |
| Orthodontia - Child | Not covered |
| Palliative - Child | $30.00 |
| Routine Dental Services (Adult) | $10.00 |
Plan rules
Service area
This plan covers 4 geographic areas.
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