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Dental plan

Welcome. We are excited to take care of your oral health needs. The Delta Dental of Oregon dental plan includes the Delta Dental Premier and PPO Networks, which offers you access to the largest dental network available in Oregon and nationwide. Better yet, you'll save money by seeking care from participating Delta Dental Providers. Delta Dental dentists have agreed to accept contracted fees as full payment for services. This means you usually pay less for each visit and are protected from balance billing – the difference between what Delta Dental of Oregon pays and the dentist's fee – which will cut down on your out-of-pocket costs. Learn more about the dental plan for PERS members

Oral Health, Total Health

Oral health research has shown a strong link between oral health and overall health. Delta Dental of Oregon believes that when you see a dentist regularly and maintain a healthy mouth, it can help keep the rest of your body healthy, too. Through our Oral Health, Total Health program, Delta Dental of Oregon offers additional preventive benefits to members with diabetes and pregnant women in their third trimester.

Passport Dental

No matter where in the world you roam, Passport Dental gives you access to great care through your Delta Dental of Oregon dental plan.

2019 Dental plan benefits and rates

To help you better understand our dental plan benefits and rates, we've created a handy summary chart for you.

Dental plan benefits and rates

This is a summary of benefits only, for general comparison. Any errors or omissions are purely unintentional. Should any discrepancies be found between this guide and the health plan document, the information in the health plan document shall prevail.

1 The amounts payable for services of a non-participating provider are limited to the amount in the PPO Fee Schedule. The dentist may balance bill.

2 Charges for preventive services do not apply to the calendar year benefit maximum.

3 Some limitations apply.

4 There is a 12-month waiting period for basic and major services following enrollment unless member has had continuous employer-sponsored dental coverage for the previous 12 months immediately preceding PHIP dental enrollment.

  Delta Dental
Providers/Network Premier and PPO Dental Providers and Non-Participating Providers1
  Member Pays:
Calendar year deductible $25 per individual
Calendar year benefit maximum (plan pays) $1,500 per individual2
Preventive Care
  Available twice in a calendar year
Exams Covered in full2
Cleanings Covered in full2
Diagnostic Covered in full2, 3
Basic Services
Restorative 20% after deductible4
Oral surgery(extractions) 20% after deductible4
Endodontic/periodontic 20% after deductible4
Major Services
Crowns 50% after deductible4
Cast restorations 50% after deductible4
Dentures/bridge work 50% after deductible4
Implants 50% after deductible4
Out-of-area coverage Worldwide for emergency services only
Rates
Adult $62.42
Child $25.27

2020 Dental plan benefits and rates

For plan year 2020, please see the summary page below.

Dental plan benefits and rates

This is a summary of benefits only, for general comparison. Any errors or omissions are purely unintentional. Should any discrepancies be found between this guide and the health plan document, the information in the health plan document shall prevail.

1 The amounts payable for services of a non-participating provider are limited to the amount in the PPO Fee Schedule. The dentist may balance bill.

2 Deductible waived on preventive services.

3 Charges for preventive services do not apply to the calendar year benefit maximum.

4 Some limitations apply.

5 There is a 12-month waiting period for basic and major services following enrollment unless member has had continuous employer-sponsored dental coverage for the previous 12 months immediately preceding PHIP dental enrollment.

  Delta Dental
Providers/Network Delta Dental Premier and PPO Dental Providers and Non-Participating Providers1
  Member Pays:
Calendar year deductible $25 per individual2
Calendar year benefit maximum (plan pays) $1,500 per individual3
Preventive Care
  Available twice in a calendar year
Exams Covered in full3
Cleanings Covered in full3
Diagnostic Covered in full3, 4
Basic Services
Restorative 20% after deductible5
Oral surgery(extractions) 20% after deductible5
Endodontic/periodontic 20% after deductible5
Major Services
Crowns 50% after deductible5
Cast restorations 50% after deductible5
Dentures/bridge work 50% after deductible5
Implants 50% after deductible4
Out-of-area coverage Worldwide for emergency services only
Rates
Adult $64.96
Child $26.28

To learn more about our dental plans, please call us toll-free at 1-844-827-7379.

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