The term eligibility refers to who may be covered by a Delta Dental of Idaho Individual plan. Only Idaho residents including spouses and/or dependent children are eligible. Coverage can be purchased by individuals, two-person households or families. Individual dental plans may be purchased regardless of existing group dental, health or Medicare plans.

The cost of Individual and Family plans are determined by the plan selected and age of the covered person(s). Preventive plans that cover basic cleanings and exams cost, on average, $23 a month. Other plans that cover major services such as root canals and crowns cost more but generally have a higher annual maximum to help cover more services.

To receive a quote for an Individual and Family dental plan, visit our Shop Plans page or call (1-855-703-3582) and one of our representatives will help you get started.

Our plans provide a broad array of dental services, but like any policy, there are exclusions and limitations as well as amounts you will pay out of pocket. You can obtain information on the specific exclusions, limitations, and other policy provisions by reviewing the Additional Plan Details located on the Shop Plans page or by calling (1-855-703-3582) and speaking to a representative.

You can, but only if they are a participating provider in the Delta Dental Premier® or Delta Dental PPO™ networks. We have a large network of dentists across Idaho and nationwide. If your dentist or specialist does not participate in one of these networks, we cannot cover their procedures (including orthodontic treatment).

Check or Find a Provider:

• Search Online: Find a Dental Provider (Choose Delta Dental PPO Plus Premier)
• Call Us: 1-855-703-3582

The term Premier and PPO refers to the two types of networks we’ve established in the State of Idaho. A Delta Dental Premier or PPO participating dentist means they have signed an agreement with Delta Dental of Idaho to participate in our network and have agreed to discounted fees for services. The Delta Dental Premier or PPO participating dentist accepts Delta Dental’s payment and the patient’s co-payment, if any, as payment in full. The PPO network generally provides the most savings to members and is the recommended dentist network to choose when searching for a dentist.

Individual and Family plans do not cover procedures provided by a dentist who is not in the Delta Dental PPO or Premier networks. Because of this, it is highly recommended to see a dentist in either the PPO or Premier network.

Coverage becomes effective on the first of the month following enrollment. You may also select a future month for your policy to become effective, up to 3 months in advance. Your contract and benefit period is for 12 months; this period may or may not align with the calendar year and is based on the initial effective date. Coverage continues for 12 months and will automatically renew for another 12-month period unless written cancellation is received within 30 days of the renewal date.

All contracts are annual.

Premiums can be paid monthly or annually. All premiums must be paid electronically using a checking or savings account and routing number, or a debit or credit card. For your convenience, you can log on to www.deltadentalid.com/member/ to set up or change your automatic monthly payment method. 

Yes, Delta Dental of Idaho provides dental benefit plans regardless of existing group or Medicare coverage. You should review your Medicare Advantage or Medicare supplement plan to determine if dental coverage is included or if you need to purchase additional dental benefits.

Your contract will automatically renew on your anniversary date unless you notify Delta Dental of Idaho in writing of your intent to cancel within 30 days of the contract expiration date. The anniversary date is the date your contract originally began, and the contract expiration date is the last day of your current coverage period. You will receive a notice of renewal at least 45 days prior to the expiration of your dental plan. Early termination will result in a 12-month penalty period before you are eligible to re-apply for coverage. See “How do I cancel my policy?” for additional details.

All dental policies require policy changes to be submitted in writing, either via email, fax, or mail. You can submit via email: individualplan@deltadentalid.com, by mail: Delta Dental of Idaho, 555 E Parkcenter Blvd., Boise, ID 83706, or by fax: 208-489-3590

You will receive a notice of renewal at least 45 days prior to expiration of your dental plan.  If you wish to change plans for the upcoming contract year, you can contact your broker of record, or call 1-855-703-3582 and one of our representatives will help you.

Once you’re enrolled, visit www.deltadentalid.com/member/ to sign in and update your contact and payment information. You can also view and print your ID card, contract, payments, benefits, and claims information. Also available is our mobile app allowing you to access your ID card, view contracts, look up benefits, and find a dentist near you. This app can be downloaded via the Google and Apple app stores.

All our dental policies require a 12-month commitment. We recommend reviewing your policy contract guidelines on the requirements and instructions for termination. You may also be eligible to terminate your policy mid-contract, following an approved qualifying event. A few of the most common qualifying events include:

• Obtaining dental coverage through an employer or the Your Health Idaho (YHI) Marketplace
• Entering full-time military service
• Death of the policyholder

All termination requests must be submitted in writing at least 30 days before the renewal date of your contract. You can submit via email: individualplan@deltadentalid.com or by mail: Delta Dental of Idaho, 555 E Parkcenter Blvd., Boise, ID 83706. 

Your written request must include your name, policy number, date of birth, phone number, email address, reason for cancellation, and requested effective date of the cancellation. All requests will be reviewed in the order they are received, and you will receive a reply within 3 business days. 

Our Individual plans offer a broader range of dental procedures and premium pricing based on the individual or family needs. Our ACA compliant plans offer a certified pediatric plan option that is compliant with the Affordable Care Act. You can enroll in either plan directly through Delta Dental of Idaho or in partnership with your broker.

The ACA dental plans available at YHI are the same as those offered here. However, if you apply for an APTC, you must enroll and manage your coverage through YHI. If you enroll through YHI, any changes to your policy, including cancellations, must be made directly with YHI.