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Rates for Individual Plans
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Option 1 |
Option 2 |
| Annual Benefit Maximum |
$1,000 |
$1,000 |
| Coinsurance - Type 1 |
100% |
100% |
| Coinsurance - Type 2 |
80% |
50% |
| Coinsurance - Type 3 |
50% |
40% |
Deductible -
Type 2 and Type 3 |
Individual Plan $50 / Family Plan $150 |
Individual Plan $50 / Family Plan $150 |
| * Waiting periods |
6 months on Type 2,
12 months on Type 3 |
6 months on Type 2,
12 months on Type 3 |
| Monthly premium for subscribers that are age 50 and older |
| Single |
$50.00 |
$42.50 |
| Single + 1 |
$100.00 |
$81.50 |
| Family |
$154.50 |
$126.00 |
| Monthly premium for subscribers that are under the age of 50 |
| Single |
$47.00 |
$39.50 |
| Single + 1 |
$88.50 |
$70.50 |
| Family |
$150.50 |
$123.00 |
Above rates are valid for applications postmarked by
February 20, 2009.
Applications postmarked by the 20th of the month will become effective the 1st of the following month.
Example - an application postmarked February 20 will have an effective date of March 1. An application postmarked February 21 will have
an effective date of April 1.
* There is a six month waiting period on Type 2 services and a twelve month waiting period on
Type 3 services. Waiting periods are waived if you have been a member of Delta Dental of Massachusetts within the past 60 days.
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Individual Plan