U.S. Department of Veterans Aairs
Veterans Health Administration
Veterans Affairs Dental
Insurance Program
Delta Dental is proud to oer valuable dental benefits to help improve the health
and lives of Veterans and CHAMPVA beneficiaries through the Veterans Aairs
Dental Insurance Program (VADIP).
Eligible beneficiaries include Veterans enrolled in Veterans Aairs (VA) health care and people enrolled in
the VA’s Civilian Health and Medical Program (CHAMPVA). Choose between three plans and enjoy access
to our large, nationwide network of dentists. All three VADIP plans oer 100% coverage for in-network
cleanings, exams and x-rays.
Benefits
Enhanced plan Comprehensive plan Prime plan
In-network Out-of-network In-network Out-of-network In-network Out-of-network
Benefits available upon enrollment
Diagnostic and preventive
1
Routine cleanings, x-rays,
oral exams, sealants
100% 80% 100% 80% 100% 90%
Basic restorative
Fillings (silver)
50% 30% 60% 40% 70% 60%
Simple extractions
2,3
50% 30% 50% 30% 50% 40%
General services Not covered Not covered 50% 30% 50% 40%
Additional benefits available after nine months of enrollment
Major restorative
2
Crowns
Not covered Not covered 50% 30% 70% 60%
Endodontics
2
Root canals
50% 30% 50% 30% 50% 40%
Periodontics
2
Treatment for gums
50% 30% 50% 30% 50% 40%
Prosthodontics
2,4
Bridges, dentures, implants
Not covered Not covered 50% 30% 50% 40%
Deductibles and maximums
Deductible $50 $50 $0 $50 $0 $50
Annual maximum $1,000 $1,000 $1,500 $1,500 $3,000 $3,000
1
The deductible is waived for diagnostic and preventive procedures for all plans.
2
The waiting period is nine months for major restorative (Comprehensive and Prime; Enhanced not covered), endodontics (all plans), periodontics (all plans), oral surgery
3
(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 nine 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 a covered benefit.
Enrollment is quick and easy
Visit deltadentalins.com/vadip and select Enroll now. Be sure to enter your name exactly as it is listed in the
VA system.
Don’t have internet access? Call Delta Dental at 855-460-3302 and request an enrollment application kit or
simply enroll over the phone.
The Department of Veterans Aairs Dental Insurance Program
deltadentalins.com/vadip
Region 1 Region 2 Region 3 Region 4 Region 5
Connecticut
Delaware
Maine
Maryland
Massachusetts
New Hampshire
New Jersey
New York
North Carolina
Pennsylvania
Rhode Island
Vermont
Virginia
Washington D.C.
West Virginia
Alabama
Florida
Georgia
Kentucky
Puerto Rico
South Carolina
Tennessee
U.S. Virgin Islands
Illinois
Indiana
Iowa
Kansas
Michigan
Minnesota
Missouri
Nebraska
North Dakota
Ohio
South Dakota
Wisconsin
Arkansas
Colorado
Louisiana
Mississippi
Montana
Oklahoma
Texa s
Utah
Wyoming
Alaska
American Samoa
Arizona
California
Guam
Hawaii
Idaho
Nevada
New Mexico
Northern
Mariana Islands
Oregon
Philippines
Washington
Delta Dental coverage is aordable
Receive quality dental care at a price you can aord. Easily look up plan rates in your area and
compare options to find the right fit for your needs. Your premium rate is based on where you live.
January 1, 2023 – December 31, 2023
Rating region
Veteran CHAMPVA
1 Veteran 2 Veterans 1 beneficiary 2 beneficiaries
3 or more
beneficiaries
Enhanced Plan
1
$21.50 $43.00 $21.50 $43.00 $64.50
2 $20.51 $41.02 $20.51 $41.02 $61.53
3 $22.61 $45.22 $22.61 $45.22 $67.83
4 $18.87 $37.74 $18.87 $37.74 $56.61
5 $26.05 $52.10 $26.05 $52.10 $78.15
Comprehensive Plan
1 $36.89 $73.78 $36.89 $73.78 $110.67
2
$35.07 $70.14 $35.07 $70.14 $105.22
3 $38.91 $77.83 $38.91 $77.83 $116.74
4 $32.10 $64.19 $32.10 $64.19 $96.29
5 $45.16 $90.32 $45.16 $90.32 $135.48
Prime Plan
1 $45.88 $91.76 $45.88 $91.76 $137.64
2
$43.58 $87.16 $43.58 $87.16 $130.74
3 $48.47 $96.94 $48.47 $96.94 $145.41
4 $39.79 $79.58 $39.79 $79.58 $119.37
5 $56.41 $112.82 $56.41 $112.82 $169.23
The Department of Veterans Aairs Dental Insurance Program
You can find an in-network dentist and more detailed information on the VADIP plans at
deltadentalins.com/vadip.
deltadentalins.com/vadip
VADIP is administered and underwritten by Delta Dental of California through its subsidiary, Delta Dental Insurance Company.
Register for LifePerks and you’ll receive special oers on:
• Oral health services including whitening and dental care products
• Health and wellness services such as hearing aid and LASIK discounts from
Amplifon and QualSight, as well as whole-body health deals for fitness
equipment and gym memberships
• Lifestyle deals ranging from pet insurance, child care and travel to financial and
auto services
• Entertainment discounts for movie theaters and theme parks
Learn more and register at lifeperksvad.lifemart.com
LifePerks keeps you shining
through a well-balanced lifestyle
Wellness is more than oral health. That’s why, as a Delta Dental
member, you have access to thousands of local and national oers to
help you maintain a healthy life.
Copyright © 2023 Delta Dental. All rights reserved.
VADIP Fact Sheet #135945.01 (rev. 01/23)
Delta Dental is a registered mark of Delta Dental Plans Association.
The Department of Veterans Aairs Dental Insurance Program
