Welcome. We are excited to take care of your oral health needs. The Delta Dental of Oregon dental plan includes the Delta Dental Premier Network, which offers you access to the largest dental network available in Oregon and across the nation. Better yet, you'll save money by seeking care from participating Delta Dental Premier 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.
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.
No matter where in the world you roam, Passport Dental gives you access to great care through your Delta Dental of Oregon dental plan.
To help you better understand our dental plan benefits and rates, we've created a handy summary chart for you.
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.
|Providers/Network||Premier and PPO Dental Providers and Non-Participating Providers1|
|Calendar year deductible||$25 per individual|
|Calendar year benefit maximum (plan pays)||$1,500 per individual2|
|Available twice in a calendar year|
|Exams||Covered in full2|
|Cleanings||Covered in full2|
|Diagnostic||Covered in full2, 3|
|Restorative||20% after deductible4|
|Oral surgery(extractions)||20% after deductible4|
|Endodontic/periodontic||20% after deductible4|
|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|
To learn more about our dental plans, please call us toll-free at 1-800-452-1058.
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We have exciting news to share. ODS is changing its name to Moda Health.
Moda comes from the latin term "modus" and means "a way". We picked it because that's what we are here to do: help our communities find a way to better health.
Together, we can be more, be better.
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