How the Dental Plan Works
With the dental plan, you can use any dentist you want, but your out-of-pocket expenses are usually lower when you use a WDS/Delta Dental participating dentist. (For information about participating dentists, see " Participating Dentists.")
Any WDS/Delta Dental participating dentist will automatically file your claims for you. Most dentists in Washington are participants in one or more of the WDS/Delta Dental networks.
The dental plan increases what it pays for most services through an incentive program, as long as you see a dentist each year for a covered service:
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for diagnostic and preventive services, as well as basic services, the dental plan begins paying at 70% and increases 10% in January of each year until the dental plan pays 100%; and
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for major services (excluding prosthodontics), the dental plan begins paying at 70%, then increases to 80%, and then again to 85%.
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