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2024 Washington Dental Insurance Plans

Here are the plans available through the Health Insurance Marketplace in your state

Washington Dental Insurance Plan Comparison

We have several dental options for you and your family.
If you see a plan you like, please go to the Marketplace to enroll.
VISIT WAHEALTHPLANFINDER.ORG VIEW AS PDF
WA Individual Advantage PPO
Children up to age 19** Adults age 19 and older
Dentemax Network Out of Network Dentemax Network Out of Network Dentemax Network Out of Network
Services
Type 1 - Preventive
Oral Exams, Cleanings, X-rays, Fluoride, Sealants, Space Maintainers
100% 100% up to MAC* 100% 100% up to MAC* 100% 100% up to MAC*
Type 2 - Basic
Fillings
50% after deductible 50% after deductible up to MAC* 50% after deductible 50% after deductible up to MAC* 80% after deductible 80% after deductible up to MAC*
Type 3 - Major
Crowns, Bridges, Prosthodontics
50% after deductible 50% after deductible up to MAC* Not Covered Not Covered 50% after deductible 50% after deductible up to MAC*
Type 4 - Orthodontics
Medically Necessary Orthodontics Only
50% 50% Not Covered Not Covered 50% 50%
Waiting Periods
Type 1 - Preventive None None
Type 2 - Basic (age 19 or older) 6 Month Waiting Period 6 Month Waiting Period
Type 3 - Major None 6 Month Waiting Period
Type 4 - Orthodontics None None
Deductible (applies to Type 2 & Type 3)
Per Person $75 $85
Family Max $225 $255
Maximums
Annual Maximum Per Person (age 19 and older) $1,000 $1,000
Orthodontic Lifetime Max No Maximum No Maximum
Pediatric EHB Annual Max No Maximum No Maximum
Pediatric Individual EHB Out-of-Pocket Maximum $375 $375
Pediatric Family EHB Out-of-Pocket Maximum $750 $750
View Plan Details See Plan Details See Plan Details

Benefits illustrated are in summary only. Refer to your Dental Insurance Policy for a complete description of benefits, limitations and exclusions.

*All Services are subject to EMI Health Maximum Allowable Charge (MAC). When using a Non-participating Provider, the insured is responsible for all fees in excess of the Maximum Allowable Charge (MAC). Underwritten by Companion Life Insurance Company.

**Through the last day of the month in which the Insured turns 19 years of age

The Companion Life EMI Health dental plans have been reviewed and approved by the Washington State Office of the Insurance Commissioner. They meet all Federal regulations, fulfilling the requirements of the Affordable Care Act for individuals. General Policy Provisions