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Delta Dental’s Veterans Affairs Dental Insurance Program provides you and your family with comprehensive dental protection at an affordable cost. Your monthly premium rate depends on where you live and the number of CHAMPVA beneficiaries you choose to enroll. Use our calculator to look up your rate and compare plans to help find the right fit for your needs.

Benefits available upon enrollment

Benefits Enhanced Plan
In-network Out-of-network
Diagnostic and preventive¹
Routine cleanings, x-rays,
oral exams, sealants
100% 80%
Basic restorative
Fillings (silver)
50% 30%
Simple extractions²,³ 50% 30%
General services NAB NAB

Additional benefits available after 12 months of enrollment

Benefits Enhanced Plan
In-network Out-of-network
Major restorative²
Crowns
NAB NAB
Endodontics²
Root canals
50% 30%
Periodontics²
Treatment for gums
50% 30%
Prosthodontics²,
Bridges, dentures, implants
NAB NAB

Deductibles and maximums

Benefits Enhanced Plan
In-network Out-of-network
Deductible $50 $50
Annual Maximum    $1000 $1000

Benefits available upon enrollment

Benefits Comprehensive Plan
In-network Out-of-network
Diagnostic and preventive¹
Routine cleanings, x-rays,
oral exams, sealants
100% 80%
Basic restorative
Fillings (silver)
60% 40%
Simple extractions²,³ 50% 30%
General services 50% 30%

Additional benefits available after 12 months of enrollment

Benefits Comprehensive Plan
In-network Out-of-network
Major restorative²
Crowns
50% 30%
Endodontics²
Root canals
50% 30%
Periodontics²
Treatment for gums
50% 30%
Prosthodontics²,
Bridges, dentures, implants
50% 30%

Deductibles and maximums

Benefits Comprehensive Plan
In-network Out-of-network
Deductible $0 $50
Annual Maximum $1500 $1500

Benefits available upon enrollment

Benefits Prime Plan
In-network Out-of-network
Diagnostic and preventive¹
Routine cleanings, x-rays,
oral exams, sealants
100% 90%
Basic restorative
Fillings (silver)
70% 60%
Simple extractions²,³ 50% 40%
General services 50% 40%

Additional benefits available after 12 months of enrollment

Benefits Prime Plan
In-network Out-of-network
Major restorative²
Crowns
70% 60%
Endodontics² Root canals 50% 40%
Periodontics²
Treatment for gums
50% 40%
Prosthodontics²,
Bridges, dentures, implants
50% 40%

Deductibles and maximums

Benefits Prime Plan
In-network Out-of-network
Deductible $0 $50
Annual Maximum $3000 $3000

Benefits available upon enrollment

Benefits Enhanced Plan
In-network Out-of-network
Diagnostic and preventive1
Routine cleanings, x-rays,
oral exams, sealants
100% 80%
Basic restorative
Fillings (silver)
50% 30%
Simple extractions2,3 50% 30%
General services NAB NAB

Additional benefits available after 12 months of enrollment

Benefits Enhanced Plan
In-network Out-of-network
Major restorative2
Crowns
NAB NAB
Endodontics2
Root canals
50% 30%
Periodontics2
Treatment for gums
50% 30%
Prosthodontics2,4
Bridges, dentures, implants
NAB NAB

Deductibles and maximums

Benefits Enhanced Plan
In-network Out-of-network
Deductible $50 $50
Annual Maximum $1000 $1000

Benefits available upon enrollment

Benefits Enhanced Plan Comprehensive Plan Prime Plan
In-network Out-of-network In-network Out-of-network In-network Out-of-network
Diagnostic and preventive¹
Routine cleanings, x-rays,
oral exams, sealants
100% 80% 100% 80% 100% 90%
Basic restorative
Fillings (silver)
50% 30% 60% 40% 70% 60%
Simple extractions²,³ 50% 30% 50% 30% 50% 40%
General services NAB NAB 50% 30% 50% 40%

Additional benefits available after 12 months of enrollment

Benefits Enhanced Plan Comprehensive Plan Prime Plan
In-network Out-of-network In-network Out-of-network In-network Out-of-network
Major restorative²
Crowns
NAB NAB 50% 30% 70% 60%
Endodontics²
Root canals
50% 30% 50% 30% 50% 40%
Periodontics²
Treatment for gums
50% 30% 50% 30% 50% 40%
Prosthodontics²,
Bridges, dentures, implants
NAB NAB 50% 30% 50% 40%

Deductibles and maximums

Benefits Enhanced Plan Comprehensive Plan Prime Plan
In-network Out-of-network In-network Out-of-network In-network Out-of-network
Deductible $50 $50 $0 $50 $0 $50
Annual Maximum $1000 $1000 $1500 $1500 $3000 $3000

Benefits available upon enrollment

Benefits Enhanced Plan
In-network Out-of-network
Diagnostic and preventive¹
Routine cleanings, x-rays,
oral exams, sealants
100% 80%
Basic restorative
Fillings (silver)
50% 30%
Simple extractions²,³ 50% 30%
General services NAB NAB

Additional benefits available after 12 months of enrollment

Benefits Enhanced Plan
In-network Out-of-network
Major restorative²
Crowns
NAB NAB
Endodontics²
Root canals
50% 30%
Periodontics²
Treatment for gums
50% 30%
Prosthodontics²,
Bridges, dentures, implants
NAB NAB

Deductibles and maximums

Benefits Enhanced Plan
In-network Out-of-network
Deductible $50 $50
Annual Maximum    $1000 $1000

Benefits available upon enrollment

Benefits Comprehensive Plan
In-network Out-of-network
Diagnostic and preventive¹
Routine cleanings, x-rays,
oral exams, sealants
100% 80%
Basic restorative
Fillings (silver)
60% 40%
Simple extractions²,³ 50% 30%
General services 50% 30%

Additional benefits available after 12 months of enrollment

Benefits Comprehensive Plan
In-network Out-of-network
Major restorative²
Crowns
50% 30%
Endodontics²
Root canals
50% 30%
Periodontics²
Treatment for gums
50% 30%
Prosthodontics²,
Bridges, dentures, implants
50% 30%

Deductibles and maximums

Benefits Comprehensive Plan
In-network Out-of-network
Deductible $0 $50
Annual Maximum $1500 $1500

Benefits available upon enrollment

Benefits Prime Plan
In-network Out-of-network
Diagnostic and preventive¹
Routine cleanings, x-rays,
oral exams, sealants
100% 90%
Basic restorative
Fillings (silver)
70% 60%
Simple extractions²,³ 50% 40%
General services 50% 40%

Additional benefits available after 12 months of enrollment

Benefits Prime Plan
In-network Out-of-network
Major restorative²
Crowns
70% 60%
Endodontics² Root canals 50% 40%
Periodontics²
Treatment for gums
50% 40%
Prosthodontics²,
Bridges, dentures, implants
50% 40%

Deductibles and maximums

Benefits Prime Plan
In-network Out-of-network
Deductible $0 $50
Annual Maximum $3000 $3000

Benefits available upon enrollment

Benefits Enhanced Plan
In-network Out-of-network
Diagnostic and preventive¹
Routine cleanings, x-rays,
oral exams, sealants
100% 80%
Basic restorative
Fillings (silver)
50% 30%
Simple extractions²,³ 50% 30%
General services NAB NAB

Additional benefits available after 12 months of enrollment

Benefits Enhanced Plan
In-network Out-of-network
Major restorative²
Crowns
NAB NAB
Endodontics²
Root canals
50% 30%
Periodontics²
Treatment for gums
50% 30%
Prosthodontics²,
Bridges, dentures, implants
NAB NAB

Deductibles and maximums

Benefits Enhanced Plan
In-network Out-of-network
Deductible $50 $50
Annual Maximum    $1000 $1000

Benefits available upon enrollment

Benefits Comprehensive Plan
In-network Out-of-network
Diagnostic and preventive¹
Routine cleanings, x-rays,
oral exams, sealants
100% 80%
Basic restorative
Fillings (silver)
60% 40%
Simple extractions²,³ 50% 30%
General services 50% 30%

Additional benefits available after 12 months of enrollment

Benefits Comprehensive Plan
In-network Out-of-network
Major restorative²
Crowns
50% 30%
Endodontics²
Root canals
50% 30%
Periodontics²
Treatment for gums
50% 30%
Prosthodontics²,
Bridges, dentures, implants
50% 30%

Deductibles and maximums

Benefits Comprehensive Plan
In-network Out-of-network
Deductible $0 $50
Annual Maximum $1500 $1500

Benefits available upon enrollment

Benefits Prime Plan
In-network Out-of-network
Diagnostic and preventive¹
Routine cleanings, x-rays,
oral exams, sealants
100% 90%
Basic restorative
Fillings (silver)
70% 60%
Simple extractions²,³ 50% 40%
General services 50% 40%

Additional benefits available after 12 months of enrollment

Benefits Prime Plan
In-network Out-of-network
Major restorative²
Crowns
70% 60%
Endodontics² Root canals 50% 40%
Periodontics²
Treatment for gums
50% 40%
Prosthodontics²,
Bridges, dentures, implants
50% 40%

Deductibles and maximums

Benefits Prime Plan
In-network Out-of-network
Deductible $0 $50
Annual Maximum $3000 $3000

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NAB = Not a benefit

  1. The deductible is waived for diagnostic and preventive procedures for all plans.
  2. The waiting period is 12 months for major restorative (Comprehensive and Prime; Enhanced not covered), endodontics (all plans), periodontics (all plans), oral surgery³ (all plans) and prosthodontics (Comprehensive and Prime; Enhanced not covered).
  3. Simple extractions (procedure codes D7111 and D7140) are the only covered oral surgery services under the Enhanced Plan (lifetime) and the only covered oral surgery services in the first 12 months under the Comprehensive and Prime plans.
  4. Per the missing tooth clause, services or treatment for the provision of an initial prosthodontic appliance (i.e. fixed bridge restoration, implants, removable partial or complete denture, etc.) when it replaces natural teeth extracted or missing, including congenital defects, prior to the effective date of coverage are not eligible for coverage.

Orthodontics (braces) are not covered under any of the three plans.