2025 Washington Dental Insurance Plans
Here are the plans available through the Health Insurance Marketplace in your state
Washington Dental Insurance Plan Comparison
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| Premier PPO | 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 |
80% after deductible | 80% after deductible up to MAC* | 50% after deductible | 50% after deductible up to MAC* | 50% after deductible | 50% after deductible up to MAC* |
| Type 3 - Major Crowns, Bridges, Prosthodontics |
50% after deductible | 50% after deductible up to MAC* | 50% after deductible | 50% after deductible up to MAC* | Not Covered | Not Covered |
|
Type 4 - Orthodontics Medically Necessary Orthodontics Only
|
50% | 50% | 50% | 50% | Not Covered | Not Covered |
| 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 | 6 Month Waiting Period | None | ||||
| Type 4 - Orthodontics | None | None | ||||
| Deductible (applies to Type 2 & Type 3) | ||||||
| Per Person | $85 | $75 | ||||
| Family Max | $255 | $225 | ||||
| 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 | $425 | $425 | ||||
| Pediatric Family EHB Out-of-Pocket Maximum | $850 | $850 | ||||
| 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