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Current Location:  Delta Dental of Arizona >Individual Plans >Who Is Eligible March 11, 2010
Who Is Eligible
 

Who is eligible to enroll?

  • Arizona residents 18 years of age or older.
  • Individuals who are not currently Delta Dental of Arizona group plan enrollees.
  • Individuals who are not eligible for group coverage through Delta Dental of Arizona.
  • Eligible Dependents:
    • Your lawful spouse
    • Unmarried children under age 19 or 23 if full-time student, or those of your lawful spouse, including newborn children, stepchildren, disabled children, persons under legal guardianship substantiated by a court order, legally adopted children and children placed for adoption with you in accordance with applicable state or federal law.

      Verification of dependent status or full time student status for children over age 19 may be required.

I have a pre-existing condition - can I still enroll in Individual Plan?

Yes! Every resident of Arizona, with the exception of current Delta Dental of Arizona members, is eligible regardless dental history or pre-existing conditions. Waiting periods do apply for Type 3a & 3b services.

What if I decide to drop Delta Dental Individual Plan coverage?

Policyholder enrollments are for consecutive 12-month period(s). To maintain affordable premiums for our policyholders over the long term, persons voluntarily terminating their coverage will not be eligible for future enrollment until a minimum of 24 months has elapsed from their date of termination. In addition, 30 days written notice is required. Cancellation Request Form (pdf) 

Are there waiting periods?

Yes. To help keep your premiums low, there are waiting periods for Type 3a & 3b services. However, from the date you are eligible, you can start saving immediately on Type 1 & 2 services.

  • No waiting for Type 1 - (Cleanings, exams, etc)
  • No waiting for Type 2 - (Fillings, extractions, etc)
  • 12 months for Type 3a* - (Crown Repair, Root Canals, etc.)
  • 24 months for Type 3b* - (Dentures, Fixed Bridgework, etc)

If within the past 60 days you have been covered under a Delta Dental group plan, and had at least 12 months of continuous coverage under that plan, waiting periods may be waived. Dentists, employees and dependents of dental offices do not qualify for this plan. For additional benefit information and limitations, please refer to the benefit booklet.

Important Note About Your Effective Date

When valid enrollment documentation and payment is received by DDAZ on the 1st through the 10th of the month, coverage will be effective the first of the month immediately following. When valid enrollment documentation and payment is received by DDAZ on the 11th through the last day of the month, coverage will be effective the first of the second month.

Example: If enrollment documentation/payment is received January 5, 2007—your coverage effective date of February 1, 2007; If enrollment documentation/payment is received January 23, 2007—coverage effective date is March 1, 2007.

NOTE: After your three-month premium payment has been applied, your first EFT withdrawal will occur in the fourth month following your effective date.
For more information regarding EFT transactions, click here to access the Frequently Asked Questions page.


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