Delta Dental Patient Direct - 2010 Enrollment Fees
Age of Primary Adult Enrollee + Number of Dependents [Spouse and/or Child(ren)] Initial Enrollment Fee Annual Enrollment Fee Total Due With Application
Age 18 through 59 0 $25 $98 $123
Age 18 through 59 1 $25 $125 $150
Age 18 through 59 2+ $25 $175 $200
Age 60 or over 0 $25 $88 $113
Age 60 or over 1 $25 $112 $137
Age 60 or over 2+ $25 $158 $183