Delta Dental Individual and Family Low Plan Major

Delta Dental of Wisconsin, Inc. · 2026 plan year

Low
Ind. deductible
$90
Family deductible
$270
Ind. OOP max
$375
Family OOP max
$750

Other cost-sharing reduction variants for this plan:

More Delta Dental of Wisconsin, Inc. plans in WI

Monthly premiums by age

Rating Area 1 — the lowest-priced of the 16 areas this plan covers. Premiums differ by area.

AgeIndividual
Under 15$33
21$29
30$29
40$35
50$38
60$38
64 and over$38

Live premium estimate

$

Benefits & cost sharing

Other

BenefitIn-network
Accidental DentalNot covered
Basic Dental Care - Adult50.00% Coinsurance after deductible
Basic Dental Care - Child50.00% Coinsurance after deductible
Dental Check-Up for ChildrenNo Charge after deductible
Major Dental Care - Adult50.00% Coinsurance after deductible
Major Dental Care - Child50.00% Coinsurance after deductible
Orthodontia - AdultNot covered
Orthodontia - Child50.00% Coinsurance after deductible
Routine Dental Services (Adult)No Charge after deductible

Plan rules

Service area

This plan covers 1 geographic area.

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