* The waiting period is waived if you were covered under a Delta Dental of Illinois
group-sponsored policy within 60 days of the start of your coverage under this policy,
and had at least 12 months of continuous coverage under that plan. Waiting periods must be
satisfied if there has been a lapse in coverage or for new members who are added to this policy.
Your previous coverage will be verified. Waiting periods will be waived if you were covered within the
past 60 days by Delta Dental of Illinois. Please note: your effective date for the individual product
must be within 60 days of your termination date from prior Delta Dental of Illinois coverage.
You must enroll by the 20th of the month to be effective the 1st of the following month.
There is a 24-month waiting period to re-enroll if you drop coverage. Subsequent rate
changes will be reviewed prior to the renewal date subject to a 60-day notification.
Delta Dental of Illinois' individual product is only available to Illinois residents.
Are you looking for a plan that complies with the Affordable Care Act’s pediatric dental essential health benefit (EHB)?
Delta Dental of Illinois has dental plans that meet the guidelines of the Affordable Care Act (ACA). These plans are NOT available online.
about these plans or find out how you can enroll
in our ACA compliant individual plans.
Members who choose Delta Dental PPO – Gold, Silver or Bronze plans*
have the flexibility to choose any dentist with Delta Dental’s individual
dental plans – Delta Dental PPO℠, Delta Dental Premier® or non-network,
but your out-of-pocket costs will vary. Delta Dental’s individual plans
reimbursement for dental procedures is based on Delta Dental PPO fees.
You will save the most money by visiting a Delta Dental PPO℠ dentist.
Delta Dental Premier and non-network dentists can bill for charges above the allowed Delta Dental
PPO amount. This means that even if a procedure is covered at 100%, you may have out of pocket
costs if you use a Delta Dental Premier or non-network dentists because they can bill for charges
above the allowed Delta Dental PPO amount. However, Delta Dental Premier dentists cannot bill for
charges above the allowed Delta Dental Premier amount, which means you may save money with a
Delta Dental Premier dentist compared to a non-network dentist. See how.
* Not applicable to members who choose Delta Dental PPO-Gold with Individual Kids Preferred,
Delta Dental PPO-Silver with Individual Kids Preferred or Individual Kids Preferred.
Delta Dental of Illinois’ Individual Kids Preferred plan meets all the guidelines of the Affordable Care Act’s (ACA)
Pediatric Dental Essential Health Benefit (EHB). The Delta Dental PPO Individual Kids Preferred plan uses an Exclusive Provider Feature.
With an Exclusive Provider Feature, benefits are paid only when a member sees a Delta Dental PPO dentist.
There are no benefits when a member sees a dentist outside of the Delta Dental PPO network.
However, with the Gold and Silver Plan with the Individual Preferred plan, members under age 19 can use the benefits of both plans
but can only receive benefits from the Individual Kids Preferred plan with Delta Dental PPO dentists.
For enrollment help or questions, please contact us at 877-824-2776,
8:30 a.m. to 5:00 p.m. central time, Monday through Friday or by
email at email@example.com.
For customer service or claims questions, please contact Delta
Dental of Illinois Customer Service at 855-327-8336, 7:30 a.m. to 5 p.m.
Monday through Friday, or email
If you're an Illinois resident and can answer "YES" to any of
the statements below, we're confident you'll find the right
protection and assurance you want from all of our three plan options.
Delta Dental of Illinois has got you covered!