Dental

Capital One provides two dental plan options to help you care for your oral health. Both plans are administered by Delta Dental, giving you access to Delta Dental's network providers at negotiated discount costs. You also have the flexibility to receive care from any licensed dental provider.

Preventive care covered at 100% with no deductible (if services are provided by an in-network provider). Includes two routine exams and one set of bitewing X-rays each year; one full set of X-rays every 36 months; sealants for dependents under age 16 and space maintainers for dependents under age 14; denture relines starting six months after installation. Keep in mind that preventive care and these basic services are only covered in full when seeing an in-network provider. Balance billing may apply if you see a non-participating provider even for diagnostic and preventive services.

Coverage Basic Dental Enhanced Dental

Annual Deductible

None

$50/person, $100/family

Annual Maximum

$500/person

$2,000/person

Preventive Care

  • Two routine exams and cleanings each year
  • One set of bitewing X-rays a year; one full set of X-rays every 36 months
  • Sealants for dependents under age 16
  • Space maintainers for dependents under age 14
  • Denture relines starting six months after installation

100%

100%

Basic Care

  • Fillings, root canals, periodontal therapy
  • Oral surgery (simple and surgical extractions, impactions, and other oral surgical procedures)

80% coinsurance, subject to the annual maximum

80% coinsurance, subject to the deductible and annual maximum

Major Care

  • Bridges, crowns and dentures
  • Dental implants

Not covered

50% coinsurance, subject to the deductible and annual maximum

Orthodontia (Covers Children and Adults)

  • Braces
  • Mouth guards
  • Temporomandibular Joint (TMJ) disorders

Not covered

50% coinsurance, with no deductible. The lifetime orthodontia benefit maximum is $2,500 per person.

Healthy Smile, Healthy You® Program

Healthy Smile, Healthy You® offers additional benefits for four important health conditions connected to oral health:

  • Pregnancy
  • Diabetes
  • Certain High Risk Cardiac Conditions
  • Cancer being treated via radiation and/or chemotherapy

If you have one of these conditions, you can enroll in the program to become eligible for one additional cleaning and exam. For pregnant members, the additional service is offered during the term of pregnancy. Cancer patients will also be eligible for an additional fluoride application beyond the age of 19. Learn more.

Enrolling is Easy

Complete the Healthy Smile, Healthy You® enrollment form, including your physician’s name and signature. Mail or fax the completed form to:

Delta Dental of Virginia
ATTN: Healthy Smile, Healthy You
4818 Starkey Road
Roanoke, VA 24018
Fax: 540.725.3880

Please note: If Anthem has your health condition on record, you may already be enrolled in the program. Please contact Delta Dental to confirm.