Dental coverage

Dental Member Services (Delta Dental of Washington)
If you have questions about your dental benefit usage and providers, call Delta Dental of Washington Customer Service at 1-877-719-4006 (TTY 711), Monday through Friday, 7 a.m. to 5 p.m. You can also register your MySmile® account at DeltaDentalWA.com get dental coverage details, preventive care reminders, treatment costs, and more.

Your ID number
You will not receive a separate ID card or identification number for your dental benefits. When you receive dental care, provide your Delta Dental network dentist with your Kaiser Permanente medical plan subscriber's member ID number, which appears on your Kaiser Permanente member ID card. Your Delta Dental network dentist should use your Kaiser Permanente medical plan subscriber’s member ID number when submitting claims to Delta Dental of Washington.

Finding a Delta Dental network dentist
Visit DeltaDentalWA.com and use the Find a Dentist tool. Remember to choose the Delta Dental PPO Plus Premier^TM network. The online directory is easy to use anytime, at home or on your smartphone. You can search based on preferences that matter to you, including dentist name, specialty, location, and language. You can even see endorsements from other Delta Dental patients for categories including extended office hours, friendly staff, and if they help ease anxiety. You can also call Delta Dental at 1-877-719-4006 (TTY 711) for assistance finding a network dentist.

Kaiser Permanente refers to Kaiser Foundation Health Plan of Washington. All dental plans offered and underwritten by Delta Dental of Washington.

¹ This isn’t a coverage document. Please refer to your 2023 Evidence of Coverage available on your Kaiser Permanente member portal or kp.org/directory for additional details. The dental benefits described here are not applicable to employer group retiree plans.

² If selected, the optional supplemental Delta Dental PPO Plus Premier plan premium for 2023 is $52 per month and is added to your Kaiser Permanente Medicare health plan’s monthly premium.

³ The benefits under your embedded preventive dental benefit and the optional supplemental benefit Delta Dental PPO Plus Premier plan are not duplicated and cannot be combined. If you are enrolled the optional supplemental benefit, any preventive services you receive have the same service limits/frequencies as with the embedded preventive dental benefit.

If you’re an Individual and Family plan member, your dental coverage is provided by Delta Dental of Washington and uses the Delta Dental PPO Plus Premier™ network. Please visit the Kaiser Permanente Washington Individual and Family page for more information.

Dental Member Services (Delta Dental of Washington)
Call 1-800-554-1907, Monday through Friday, 7 a.m. to 5 p.m. You can also visit Delta Dental’s Kaiser Permanente Individual and Family Plan member page for more information.

Your ID number
Your Delta Dental coverage doesn’t have its own identification number. When you or a family member covered on your plan receives dental care, use the Kaiser Permanente medical plan subscriber’s member ID number, which appears on the subscriber’s Kaiser Permanente member ID card. If you’re not sure who the subscriber is for your plan, call Kaiser Permanente Member Services at 1-800-290-8900 (TTY 711).

Visit a participating Delta Dental network dentist
To get the most from your benefits, we encourage you to see a participating dentist. These dentists contract with Delta Dental to provide services at discounted fees and file all claims for you. Dentists who are part of Delta Dental’s networks will not charge more than their approved fees and usually cost you less than out-of-network dentists. You may choose any licensed dentist to provide services under this plan. However, if you go to an out-of-network dentist, Delta Dental has no control over their fees. You will be responsible for submitting claims and paying any difference in the charges. This is called balance billing.

Finding a Delta Dental network dentist
Visit deltadentalwa.com and use the Find a Dentist tool. Remember to choose the Delta Dental PPO Plus Premier™ network. The online directory is easy to use anytime, at home or on your smartphone. You can search based on preferences that matter to you, including dentist name, specialty, location, and language. You can even see endorsements from other Delta Dental patients for categories including extended office hours, friendly staff, kid-friendly, and if they help ease anxiety.

Choosing your plan
You can choose from 2 kinds of dental plans.

Adult/Family Basic plan

The optional Adult/Family Basic plan includes dental coverage for everyone covered on the medical plan.

• This dental plan is available for adults or families who buy their medical plan directly from Kaiser Permanente.
  
  
• Adults or families who purchase their medical coverage through Washington Healthplanfinder may also purchase a dental plan on the exchange.

Pediatric plan

• The pediatric plan offers dental coverage for those 18 and younger. The state of Washington requires you to have pediatric dental coverage as part of your medical plan if you have dependents 18 and younger.

• This dental plan is available if you buy your medical plan directly from Kaiser Permanente.

• If you sign up for a pediatric dental plan with another company, complete an Attestation of Pediatric Dental Coverage form and send it to us along with proof of dental coverage within 60 days of the start date of your medical plan.

• If you don’t submit this information within the 60 days, you won’t meet the minimum health and dental coverage required by Washington state and federal regulations.

Kaiser Permanente refers to Kaiser Foundation Health Plan of Washington. All dental plans offered and underwritten by Delta Dental of Washington.

If you’re a Small Business Group plan member (covered by an employer with 50 or fewer employees), your dental coverage is provided by Delta Dental of Washington and uses the Delta Dental PPO Plus Premier™ network. Visit the Kaiser Permanente Washington Small Group page for more information.

Dental Member Services (Delta Dental of Washington)
Call 1-800-554-1907, Monday through Friday, 7 a.m. to 5 p.m., or go online to deltadentalwa.com for answers.

Your ID number
Your Delta Dental coverage doesn’t have its own identification number. When you or a family member covered on your plan receives dental care, use the Kaiser Permanente medical plan subscriber’s member ID number, which appears on the subscriber’s Kaiser Permanente member ID card. If you’re not sure who the subscriber is for your plan, call Kaiser Permanente Member Services at 1-888-901-4636 (TTY 711).

Visit a participating Delta Dental network dentist
To get the most from your benefits, we encourage you to see a participating dentist. These dentists contract with Delta Dental to provide services at discounted fees and file all claims for you. Dentists who are part of Delta Dental’s networks will not charge more than their approved fees and cost you less than out-of-network dentists. You may choose any licensed dentist to provide services under this plan. However, if you go to an out-of-network dentist, Delta Dental has no control over their fees. You will be responsible for submitting claims and paying any difference in the charges. This is called balance billing.

Finding a Delta Dental network dentist
Visit deltadentalwa.com and use the Find a Dentist tool. Remember to choose the Delta Dental PPO Plus Premier™ network. The online directory is easy to use anytime, at home or on your smartphone. You can search based on preferences that matter to you, including dentist name, specialty, location, and language. You can even see endorsements from other Delta Dental patients for categories including extended office hours, friendly staff, kid-friendly, and if they help ease anxiety.

Kaiser Permanente refers to Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc. All dental plans offered and underwritten by Delta Dental of Washington.

Dental Customer Service (Delta Dental of Washington)
Call 1-800-554-1907, Monday through Friday, 7 a.m. to 5 p.m., or visit deltadentalwa.com for answers.

Your ID number
Your Delta Dental coverage comes with a unique identification number. When you or a family member covered on your plan receives dental care, you will use your Delta Dental ID card. To view a digital version of your ID card, visit deltadentalwa.com and register for a MySmile® account.

Your dental plan
Your Health360 dental plan offers the following benefits:

• An annual maximum step increase that you earn for each year receiving preventive dental care from a PPO network dentist. You may repeat this each year until you reach your annual maximum upper limit.
• An extra dental cleaning and exam with any PPO network provider are offered every year, at no additional charge, to patients with qualifying conditions, including heart disease, diabetes, and pregnancy. Patients who qualify for the extra cleaning and exam will be notified by mail.
• An option to sign up for dental care reminders via email through your MySmile® account.

Choosing an in-network dentist
Your plan gives you access to the Delta Dental PPO® network. Visiting a Delta Dental PPO dentist helps maximize your benefits and reduce your out-of-pocket costs. A list of Delta Dental Premier® and Delta Dental PPO® dentists is available through Delta Dental’s Find a Dentist tool.

Claims and billing
Your PPO network dentist will submit claims to Delta Dental of Washington on your behalf. If you have questions about a claim, call Delta Dental Customer Service at 1-800-554-1907, Monday through Friday, 7 a.m. to 5 p.m.

If you’re not sure what plan you or a family has, call Kaiser Permanente Member Services at 1-888-901-4636 (TTY 711), Monday through Friday, 8 a.m. to 5 p.m.

Kaiser Permanente refers to Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc. All dental plans offered and underwritten by Delta Dental of Washington.