Find answers to frequently asked questions about your dental coverage here. Below, we share Delta Dental of Washington benefit and rate changes and also helpful information for members receiving a notice about needing pediatric dental coverage.
Delta Dental of Washington benefit and rate changes for 2024:
- Pediatric plan rates increased by 4.09% and the Adult/Family Basic plan rates decreased by 2.15%. Rate adjustments are spread among all members with dental coverage, whether they use their coverage or not.
- For members who are currently enrolled in one of the dental plans, coverage will auto renew for the new year, and no action is required during Open Enrollment.
- Members who are not changing medical plans, but want to add, cancel, or make a change to their dental coverage, should use the Account Change Form during Open Enrollment.
- No benefit changes were made on the Adult/Family Basic plan or the Pediatric plan.
- Our Adult/Family Basic plan includes a special dental benefit for members 19 and older who are pregnant, managing heart disease, or living with diabetes.
- Members with these qualifying conditions can receive an extra dental cleaning and exam with a Delta Dental PPO Plus Premier™ provider each year, at no additional charge.
- Delta Dental of Washington will notify members who qualify for this extra benefit. The member’s specific diagnosis will be kept strictly confidential.
- This extra cleaning and exam doesn’t apply to the annual maximum benefit, or the dental plan’s cleaning and exam limitations.
- Benefit and premium details can be found on the dental plans summary of benefits (PDF).
Did you receive a notice about needing pediatric dental?
Pediatric dental coverage is an essential benefit under the Affordable Care Act (ACA), and Washington state regulations require enrollment in a qualified dental plan for anyone 18 and younger.
You have 2 coverage options
1. Choose one of the pediatric dental plans offered through Kaiser Permanente, with coverage provided by Delta Dental of Washington.
- The Pediatric plan, which provides the ACA-qualified pediatric dental coverage for those 18 and younger.
- The Adult/Family Basic plan, which provides the ACA-qualified pediatric dental coverage for those 18 and younger, plus dental coverage for those 19 and older.
View these dental plans' benefits and monthly premium rates (PDF).
If you select one of these options, complete the Account Change Form (PDF). Dental coverage will start on the first of the month after we receive the Account Change Form.
2. Enroll in the ACA-required pediatric dental coverage through your employer or another dental plan.
If you plan to enroll, or have already enrolled, in a plan through an employer or another dental carrier, you’ll need to print and sign the Attestation of Pediatric Dental Coverage form (PDF) and send it along with proof of coverage and the coverage effective date. This could be a copy of a dental ID card, billing statement, or letter from a dental provider that lists the names enrolled and dates of coverage. You’ll need to attest and provide proof of coverage each year to Kaiser Permanente within 60 days of your medical coverage effective date.
Instructions
1. Print and sign the Attestation of Pediatric Dental Coverage form (PDF).
2. Send the attestation and documentation via fax or mail.
Fax: 1-855-355-5334
Mail: Kaiser Permanente for Individuals and Families P.O. BOX 23127, San Diego, CA 92193-9921
Questions about using your dental coverage?
For more information, call Member Services at 206-630-4640 or 1-800-290-8900, or TTY relay 711.
Using your dental benefits
Dental plans summary of benefits (PDF)
Questions about using your dental coverage?
For more information, call Member Services at 206-630-4640 or 1-800-290-8900, or TTY relay 711.
