Includes comprehensive coverage for children.
Affordable Care Act Information
Below you'll find frequently asked questions about the Affordable Care Act (ACA) as well as contract outlines for our ACA compliant plans. You can purchase ACA plans at yourhealthidaho.org or directly through Delta Dental of Idaho at deltadentalid.me.
Affordable Care Act (ACA) Individual & Family Plan Options
2 Plan Options for Children: Basic Pediatric or Preferred Pediatric (Premiums charged for the first 3 children, no additional premiums for larger families)
3 Plan Options for Adults: Smile Essential, Smile Adult, and Smile Adult Complete
ACA Pediatric and Adult Plan Highlights
Basic Pediatric
Compare Plan
| Cost Comparison |
|
|---|---|
| Waiting Periods | None |
| Deductible | $75 (Applies to All Services) |
| Annual Maximum | Unlimited |
| Plan Benefit - What's Covered | |
| Preventive | X |
| Fillings and Periodontal Maintenance | X |
| Basic (Extractions) | X |
| Major (Crowns, Root Canals) | X |
| Orthodontia Discount Plan - Value-Added Benefit Included with all Delta Dental Plans | |
Preferred Pediatric
Provides comprehensive coverage for children, also featuring a lower deductible and higher benefits.
Compare Plan
| Cost Comparison |
|
|---|---|
| Waiting Periods | None |
| Deductible | $25 |
| Annual Maximum | Unlimited |
| Plan Benefit - What's Covered | |
| Preventive | X |
| Fillings and Periodontal Maintenance | X |
| Basic (Extractions) | X |
| Major (Crowns, Root Canals) | X |
| Orthodontia Discount Plan - Value-Added Benefit Included with all Delta Dental Plans | |
Smile Essential Adult
Our most cost-friendly plan for diagnostic and preventive only coverage
Compare Plan
| Cost Comparison |
|
|---|---|
| Waiting Periods | 6 Months Basic * |
| Deductible | $90 (Applies to All Services) |
| Annual Maximum | $1,000 |
| Plan Benefit - What's Covered | |
| Preventive | X |
| Fillings and Periodontal Maintenance | X |
| Basic (Extractions) | |
| Major (Crowns, Root Canals) | |
| Orthodontia Discount Plan - Value-Added Benefit Included with all Delta Dental Plans | |
Smile Adult
Designed to cover routine dental visits including coverage for preventive and basic services
Compare Plan
| Cost Comparison |
|
|---|---|
| Waiting Periods | 6 Months Basic * |
| Deductible | $75 (Applies to All Services) |
| Annual Maximum | $1,000 |
| Plan Benefit - What's Covered | |
| Preventive | X |
| Fillings and Periodontal Maintenance | X |
| Basic (Extractions) | X |
| Major (Crowns, Root Canals) | |
| Orthodontia Discount Plan - Value-Added Benefit Included with all Delta Dental Plans | |
Smile Complete Adult
Our highest level of coverage with a lower deductible and higher benefts
Compare Plan
| Cost Comparison |
|
|---|---|
| Waiting Periods | 6 Months Basic, 12 Months Major * |
| Deductible | $50 |
| Annual Maximum | $1,500 |
| Plan Benefit - What's Covered | |
| Preventive | X |
| Fillings and Periodontal Maintenance | X |
| Basic (Extractions) | X |
| Major (Crowns, Root Canals) | X |
| Orthodontia Discount Plan - Value-Added Benefit Included with all Delta Dental Plans | |
| Cost Comparison |
|
|
|
|
|
|---|---|---|---|---|---|
| Waiting Periods | None | None | 6 Months Basic * | 6 Months Basic * | 6 Months Basic, 12 Months Major * |
| Deductible | $75 (Applies to All Services) | $25 | $90 (Applies to All Services) | $75 (Applies to All Services) | $50 |
| Annual Maximum | Unlimited | Unlimited | $1,000 | $1,000 | $1,500 |
| Plan Benefit | What's Covered | ||||
| Preventive | X | X | X | X | X |
| Fillings and Periodontal Maintenance | X | X | X | X | X |
| Basic (Extractions) | X | X | X | X | |
| Major (Crowns, Root Canals) | X | X | X | ||
| Orthodontia Discount Plan | Value-Added Benefit Included with all Delta Dental Plans | ||||
Choose up to 3 plans to compare
Compare selected plans (X)
CloseX
Basic Pediatric
Preferred Pediatric
Smile Essential Adult
Smile Adult
Smile Complete Adult
| Cost Comparison |
|
|
|
|
|
|---|---|---|---|---|---|
| Waiting Periods | None | None | 6 Months Basic * | 6 Months Basic * | 6 Months Basic, 12 Months Major * |
| Deductible | $75 (Applies to All Services) | $25 | $90 (Applies to All Services) | $75 (Applies to All Services) | $50 |
| Annual Maximum | Unlimited | Unlimited | $1,000 | $1,000 | $1,500 |
| Plan Benefit | What's Covered | What's Covered | What's Covered | What's Covered | What's Covered |
| Preventive | X | X | X | X | X |
| Fillings and Periodontal Maintenance | X | X | X | X | X |
| Basic (Extractions) | X | X | X | X | |
| Major (Crowns, Root Canals) | X | X | X | ||
| Orthodontia Discount Plan | Value-Added Benefit Included with all Delta Dental Plans | Value-Added Benefit Included with all Delta Dental Plans | Value-Added Benefit Included with all Delta Dental Plans | Value-Added Benefit Included with all Delta Dental Plans | Value-Added Benefit Included with all Delta Dental Plans |
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*Waiting periods may be waived if you have had 12 consecutive months of dental coverage with no more than a 30-day lapse in coverage.
HOW Program not available with ACA Plans
Frequently Asked Questions - ACA
Also known as health insurance marketplaces, health insurance exchanges are where consumers can browse and purchase health insurance during open enrollment periods. Idaho’s specific health insurance marketplace is yourhealthidaho.org.
You can purchase an ACA compliant plan through the Idaho state exchange at yourhealthidaho.org or directly through Delta Dental of Idaho at deltadentalid.me.
Yes, if you would like additional dental coverage outside of your employer sponsored benefit plan, you can purchase an ACA compliant plan through yourhealthidaho.org or through deltadentalid.me.
No, you can purchase any plan that fits your dental needs.
If you purchased an ACA plan through Delta Dental of Idaho or Your Health Idaho, your plan will automatically renew during the open enrollment period.
You can find additional information about the ACA here: https://www.healthcare.gov/
Affordable Care Act Plan Brochures and Contracts
View plan brochures and see the benefits of selecting a plan with Delta Dental of Idaho.
Insurance Terms Decoded
Deductible
