Dental plans for their smile

Healthy teeth are happy teeth. With our small group Delta Dental Plan of Oregon plans, members have access to Delta Dental, the nation's largest dental network. Their smile will thank them, wherever they roam.

2017 small group plan summaries

Our small group dental plans are designed to help members be their healthy best. Read more by downloading our full 2017 small group brochure:

Summaries of Benefits

View comparison chart of all 2017 small group dental plans

2017 Oregon small group dental plans (1-50) What employees pay (in-network for ages 19+)
Deductible Annual max Exams and cleanings Direct Option plan match PDF
Premier Plans
Delta Dental Premier Progress Plan 1000 $0 $1,000 0-30% Direct Option 1E-EK
Delta Dental Premier Progress Plan 1500 $0 $1,500 0-30% Direct Option 1E-EK
Delta Dental Premier Progress 2000 (26-50 enrollees only) $0 $2,000 0-30% Direct Option 1E-EK
Delta Dental Premier Elite 1000 25 $25 $1,000 0% Direct Option 3E-EK
Delta Dental Premier Elite 1500 25 $25 $1,500 0% Direct Option 1E-EK
Delta Dental Premier Elite 2000 25 (26-50 enrollees only) $25 $2,000 0% Direct Option 1E-EK
Delta Dental Premier Elite 1000 50 $50 $1,000 0% Direct Option 3E-EK
Delta Dental Premier Elite 1500 50 $50 $1,500 0% Direct Option 1E-EK
Delta Dental Premier Elite 2000 50 (26-50 enrollees only) $50 $2,000 0% Direct Option 1E-EK
Delta Dental Premier Elite Voluntary 1000 $50 $1,000 0% n/a
Delta Dental Premier Elite Voluntary 1500 $50 $1,500 0% n/a
Delta Dental Premier Sensible 1000 $50 $1,000 20% after deductible Direct Option 4E-EK
Delta Dental Premier Sensible 1500 $50 $1,500 20% after deductible Direct Option 1E-EK
Delta Dental Premier 1 Plan 1000 $75 $1,000 25% n/a
Delta Dental Premier Sensible Voluntary 1000 $50 $1,000 20% after deductible n/a
Delta Dental Premier Sensible Voluntary 1500 $50 $1,500 20% after deductible n/a
Delta Dental Premier Base Plan 1000 $0 $1,000 50% Direct Option 5E-EK
Delta Dental Premier Shining Smiles $50 n/a Not covered n/a
PPO Plans
Delta Dental PPO Flourish 1000 25 $25 $1,000 0%

Direct Option 4E-EK

Delta Dental PPO Flourish 1500 25 $25 $1,500 0% Direct Option 3E-EK
Delta Dental PPO Flourish 2000 25 (26-50 enrollees only) $25 $2,000 0% Direct Option 1E-EK
Delta Dental PPO Flourish 1000 50 $50 $1,000 0% Direct Option 4E-EK
Delta Dental PPO Flourish 1500 50 $50 $1,500 0% Direct Option 1E-EK
Delta Dental PPO Flourish 2000 50 (26-50 enrollees only) $50 $2,000 0% Direct Option 2E-EK
Delta Dental PPO Flourish Voluntary 1000 $50 $1,000 0% n/a
Delta Dental PPO Flourish Voluntary 1500 $50 $1,500 0% n/a
Delta Dental PPO Comprehensive 1000 25 $25 $1,000 0% Direct Option 4E-EK
Delta Dental PPO Comprehensive 1500 25 $25 $1,500 0% Direct Option 3E-EK
Delta Dental PPO Comprehensive 2000 25 (26-50 enrollees only) $25 $2,000 0% Direct Option 1E-EK
Delta Dental PPO Comprehensive 1000 50 $50 $1,000 0% Direct Option 4E-EK
Delta Dental PPO Comprehensive 1500 50 $50 $1,500 0% Direct Option 3E-EK
Delta Dental PPO Comprehensive 2000 50 (26-50 enrollees only) $50 $2,000 0% Direct Option 1E-EK
Delta Dental PPO Comprehensive Voluntary 1000 $50 $1,000 0% n/a
Delta Dental PPO Comprehensive Voluntary 1500 $50 $1,500 0% n/a
Delta Dental PPO Practical 1000 $50 $1,000 0% Direct Option 4E-EK
Delta Dental PPO Practical 1500 $50 $1,500 0% Direct Option 3E-EK
Delta Dental PPO Practical 2000 $50 $2,000 0% Direct Option 1E-EK
Delta Dental PPO Plan 1000 $50 $1,000 0% n/a
Delta Dental PPO MAC 1000 $50 $1,000 25% Direct Option 7E-EK
Delta Dental PPO MAC 1500 $50 $1,000 0% Direct Option 7E-EK
Direct Option (Willamette Dental) plans
Willamette Dental Direct Option 1E-EK $0 No annual maximum 0% Direct Option 1E-EK
Willamette Dental Direct Option 3E-EK $0 No annual maximum 0% Direct Option 3E-EK
Willamette Dental Direct Option 4E-EK $0 No annual maximum 0% Direct Option 4E-EK
Willamette Dental Direct Option 5E-EK $0 No annual maximum 0% Direct Option 5E-EK
Willamette Dental Direct Option 7E-EK $0 No annual maximum 0% Direct Option 7E-EK
Willamette Dental Voluntary Direct Option 1E-EK $0 No annual maximum 0% Direct Option 1E-EK
Willamette Dental Voluntary Direct Option 2E-EK $0 No annual maximum 0% Direct Option 2E-EK

Orthodontia riders

View comparison chart of all 2017 small group orthodontia plans

2017 OR Small group orthodontia riders
(26-50)
What employees pay
Lifetime max Eligible Employees Dependent children PDF

1 Treatment must be started prior to the child's 17th birthday.

Plan names
Adult & Child Ortho 1000 $1,000 50% 50%
Adult & Child Ortho 1500 $1,500 50% 50%
Child Ortho 1000 $1,000 Not covered 50%1
Child Ortho 1500 $1,500 Not covered 50%1

Dental benefit highlights

Our Delta Dental of Oregon plans connect members with great benefits and quality dentists. Members can count on:

  • Freedom to choose a dentist
  • Savings from in-network dentists
  • Cleanings every six months
  • Predetermination of benefits if requested in a pretreatment plan
  • No claim forms
  • Fast and accurate claims payment
  • Superior customer service

Our dental plans also include useful online tools, resources and special programs for members who need a little extra attention for their pearly whites.

Small group dental plan options

We offer a variety of plans so clients can find the right fit for them. Choose from four types of Delta Dental of Oregon plans plus a variety of voluntary plans. They can choose the coverage and price to suit them.

Each Delta Dental of Oregon small group plan comes with a Direct Option plan match with an exclusive network of Willamette Dental providers. These plans work well for employees who prefer copay plans and are open to seeing only Willamette Dental providers. Groups with one to 50 employees can offer these plans. Members who choose a Direct Option plan must see Willamette Dental providers for dental care.

Delta Dental Premier plans

Premier plans offer groups access to the Delta Dental Premier Network, the largest dental network nationally and one of the largest in Oregon, with more than 2,300 dentists in Oregon and 152,000 dentists nationwide.

Members with this plan have the freedom to choose their own dentist.

When they see Delta Dental Premier Network providers, there is no balance billing.

  • Broad choice of providers
  • Cost savings by seeing a Premier Network provider

Delta Dental PPO plans

These plans help groups save costs by connecting members with providers in the Delta Dental PPO Network, one of the largest preferred provider organization (PPO) dental networks in Oregon and across the country, with more than 1,200 dentists in Oregon and 102,000 nationwide.

Dentists agree to accept the Delta Dental PPO Network fee, which is typically lower than other networks.

Members with PPO plans have more choice and control over their out-of-pocket costs. When they use Delta Dental PPO dentists, they receive their plan's best benefit level and enjoy the most savings. If they wish, members can also use out-of-network providers at a reduced benefit level.

As long as members see participating dentists, there is no balance billing.

  • Access to one of the largest PPO networks in Oregon
  • Provider choice and cost control

Delta Dental PPO MAC plans

Delta Dental PPO MAC plans offer groups even more savings than our standard PPO plans.

With these plans, both PPO and Premier dentists agree to accept the Delta Dental PPO Network fee, which is typically lower than other networks. As long as members see a PPO Network dentist, there is no balance billing. Premier dentists may balance bill for the difference between the Delta Dental PPO Network fee and the filed or contracted fee.

  • Provider choice and cost control
  • Maximum cost savings
  • Lowest cost dental plan option

Delta Dental pediatric plan

Our Delta Dental Premier Shining Smiles pediatric plan offers child-only benefits to members. It. It also meets the federal pediatric essential health benefits (EHB) requirement.

Groups can purchase this plan even if no one enrolls right away.

Voluntary plans

These Delta Dental and Direct Option voluntary plans offer the same great value and variety as our other plans, but allow flexible group contribution and participation. Groups can elect to fund plans up to 100 percent by employees.

  • Versatility to attract and retain staff
  • 50 to 100 percent funded by employees
  • Choice of Delta Dental or Direct Option plans with an exclusive network of Willamette Dental providers

Direct Option plan match

Each Delta Dental of Oregon non-voluntary small group plan comes with a Direct Option (Willamette Dental) plan match. Check the Direct Option table in the 2017 small group plans brochure to see the matches.

Benefits of being a member

Personalized member website

All our dental plans come with access to myModa. This personalized website helps members manage their benefits and get the most from their health plan. With myModa, members can track their benefits and claims, access their Member Handbook, order ID cards and more.

Dental Optimizer puts oral health on their radar

Powered by Microsoft HealthVault, Dental Optimizer™ lets members store dental health information and share it with caregivers. The result? More coordinated and effective care.

To get started, members log in to myModa at modahealth.com and look for Dental Optimizer. Then they can try out tools, like risk assessment quizzes and a treatment cost calculator. Along the way, members learn about:

  • Preventing dental disease
  • The latest and most effective treatments
  • Saving out-of-pocket costs

Oral Health, Total Health

Research shows a strong link between oral health and overall health. We believe that when members see a dentist regularly and keep their mouth and teeth healthy, they help keep the rest of their body healthy, too.

Through our Oral Health, Total Health program, we offer additional preventive benefits to members who are diabetic, pregnant and in their third trimester, or under age 19 with certain high risk oral conditions.

We also provide other evidence-based dental benefits, including routine oral cancer screenings with every exam. If a member needs additional screening, we cover brush biopsy, a nonsurgical method of detecting abnormal cells in the mouth.

Questions?

We're here to help. Contact our Sales and Account Services team for friendly support.

Dental plans for their smile

Healthy teeth are happy teeth. With our Delta Dental of Alaska plans, members have access to Delta Dental, the nation's largest dental network. Their smile will thank them, wherever they roam.

2017 small group plan summaries

Our small group dental plans are designed to help your client's team members be their healthy best. Read more by downloading our full 2016 small group brochure:

Summaries of Benefits

View comparison chart of all 2017 small group dental plans

2017 Alaska small group dental plans (1-50) What employees pay (in-network for ages 19+)
Deductible Annual max Exams and cleanings PDF
Premier Plans
Delta Dental Premier Pinnacle plan 2000 $50 $2,000 0%
Delta Dental Premier Pinnacle plan 2500 $50 $2,500 0%
Delta Dental Premier Advance plan 1000 $50 $1,000 0%
Delta Dental Premier Advance plan 1500 $50 $1,500 0%
Delta Dental Premier Advance plan 2000 $50 $2,000 0%
Delta Dental Premier Practical plan 1000 $50 $1,000 20%
Delta Dental Premier Practical plan 1500 $50 $1,500 20%
Delta Dental Premier Practical plan 2000 $50 $2,000 20%
Delta Dental Premier Advance Voluntary plan 1000 $50 $1,000 0%
Delta Dental Premier Advance Voluntary plan 1500 $50 $1,500 0%
Delta Dental Premier Practical Voluntary plan 1000 $50 $1,000 20%
Delta Dental Premier Practical Voluntary plan 1500 $50 $1,500 20%
Delta Dental Premier Mandated plan $25 $500 0% after deductible
Delta Dental Premier Radiant Smiles plan $50 N/A 0%
PPO Plans
Delta Dental PPO Prosperous plan 1000 $50 $1,000 0%
Delta Dental PPO Prosperous plan 1500 $50 $1,500 0%
Delta Dental PPO Prosperous plan 2000 $50 $2,000 0%
Delta Dental PPO Prosperous Voluntary plan 1000 $50 $1,000 0%
Delta Dental PPO Prosperous Voluntary plan 1500 $50 $1,500 0%

Orthodontia riders

View comparison chart of all 2017 small group orthodontia plans

2017 AK Small group orthodontia riders
(26-50)
What employees pay
Lifetime max Eligible Employees Dependent children PDF

1 Treatment must be started prior to the child's 17th birthday.

Plan names
Adult & Child Ortho 1000 $1,000 50% 50%
Adult & Child Ortho 1500 $1,500 50% 50%
Adult Ortho 1000 $1,000 50% N/A
Adult Ortho 1500 $1,500 50% N/A
Child Ortho 1000 $1,000 N/A 50%1
Child Ortho 1500 $1,500 N/A 50%1

Dental benefit highlights

Our Delta Dental of Alaska plans connect members with great benefits and quality dentists. Members can count on:

  • Freedom to choose a dentist
  • Savings from in-network dentists
  • Cleanings every six months
  • Predetermination of benefits if requested in a pretreatment plan
  • No claim forms
  • Fast and accurate claims payment
  • Superior customer service

Our dental plans also include useful online tools, resources and special programs for members who need a little extra attention for their pearly whites.

Small group dental plan options

We offer a variety of plans so your clients can find the right fit for them. Choose from these types of Delta Dental of Alaska plans plus a variety of voluntary plans. They can choose the coverage and price to suit them.

Delta Dental Premier plans

Premier plans offer your clients access to the Delta Dental Premier Network, the largest dental network in Alaska and nationally. Employees with this plan have the freedom to choose their own dentist. When they see Delta Dental Premier Network providers, there is no balance billing.

Delta Dental PPO plans

These plans help groups in Anchorage and the Mat-Su Valley save costs by connecting members with providers in the Delta Dental PPO Network.

Members receive in-network benefits when seeing a Delta Dental PPO Network dentist. For out-of-network benefits, they can save money by seeing providers in the Delta Dental Premier Network. In both cases, there is no balance billing.

Delta Dental pediatric plan

Our Delta Dental Premier Radiant Smiles pediatric plan offers child-only coverage to members. It also meets the federal pediatric essential health benefits (EHB) requirement. Groups can purchase this plan even if no one enrolls right away.

Delta Dental Premier Preventive Mandated plan

This plan connects members with the Delta Dental Premier Network. Members access coverage for preventive dental care services only. Providers accept the Delta Dental contracted fee, so there will be no balance billing.

Voluntary plans

Our Delta Dental voluntary plans offer the same great value and variety as our other plans, but allow flexible group contribution and participation. Groups can elect to fund plans up to 100 percent by employees.

  • Versatility to attract and retain staff
  • 50 to 100 percent funded by employees
  • Participation as low as 25%

Benefits of being a member

Personalized member website

All our dental plans come with access to myModa. This personalized website helps members manage their benefits and get the most from their health plan. With myModa, members can track their benefits and claims, access their Member Handbook, order ID cards and more.

Dental Optimizer puts oral health on their radar

Powered by Microsoft HealthVault, Dental Optimizer™ lets members store dental health information and share it with caregivers. The result? More coordinated and effective care.

To get started, members log in to myModa at modahealth.com and look for Dental Optimizer. Then they can try out tools, like risk assessment quizzes and a treatment cost calculator. Along the way, members learn about:

  • Preventing dental disease
  • The latest and most effective treatments
  • Saving out-of-pocket costs

Oral Health, Total Health

Research shows a strong link between oral health and overall health. We believe that when members see a dentist regularly and keep their mouth and teeth healthy, they help keep the rest of their body healthy, too.

Through our Oral Health, Total Health program, we offer additional preventive benefits to members who are diabetic, pregnant and in their third trimester, or under age 19 with certain high risk oral conditions.

We also provide other evidence-based dental benefits, including routine oral cancer screenings with every exam. If a member needs additional screening, we cover brush biopsy, a nonsurgical method of detecting abnormal cells in the mouth.

Questions?

We're here to help. Contact our Sales and Account Services team for friendly support.

Dental plans for their smile

Healthy teeth are happy teeth. With our small group Delta Dental Plan of Oregon plans, your clients have access to Delta Dental, the nation's largest dental network. Their smile will thank them, wherever they roam.

2016 small group plan summaries

Our small group dental plans are designed to help your client's team members be their healthy best. Read more by downloading our full 2016 small group brochure:

Summaries of Benefits

View comparison chart of all 2016 small group dental plans

2015 Oregon small group dental plans (1-50) What employees pay (in-network for ages 19+)
Deductible Annual max Exams and cleanings Direct Option plan match PDF
Premier Plans
Delta Dental Premier Abundant 2000 $50 $2,000 0% Direct Option 1D-DK
Delta Dental Progress Plan 1000 $0 $1,000 0% Direct Option 2D-DK
Delta Dental Progress Plan 1500 $0 $1,500 0% Direct Option 1D-DK
Delta Dental Premier Progress 2000 $0 $2,000 0-30% Direct Option 1D-DK
Delta Dental Premier Progress Preventive 1 Plan 1000 $0 $1,000 0-30% Direct Option 2D-DK
Delta Dental Premier Progress Preventive 1 Plan 1500 $0 $1,500 0-30% Direct Option 1D-DK
Delta Dental Premier Progress Preventive 1 Plan 2000 $0 $2,000 0-30% Direct Option 1D-DK
Delta Dental Premier Elite 1000 25 $25 $1,000 0% Direct Option 3D-DK
Delta Dental Premier Elite 1500 25 $25 $1,500 0% Direct Option 1D-DK
Delta Dental Premier Elite 2000 25 $25 $2,000 0% Direct Option 1D-DK
Delta Dental Premier Elite 1000 50 $50 $1,000 0% Direct Option 3D-DK
Delta Dental Premier Elite 1500 50 $50 $1,500 0% Direct Option 1D-DK
Delta Dental Premier Elite 2000 50 $50 $2,000 0% Direct Option 1D-DK
Delta Dental Premier Elite Preventive 1 Plan 1000 25 $25 $1,000 0% Direct Option 3D-DK
Delta Dental Premier Elite Preventive 1 Plan 1500 25 $25 $1,500 0% Direct Option 1D-DK
Delta Dental Premier Elite Preventive 1 Plan 2000 25 $25 $2,000 0% Direct Option 1D-DK
Delta Dental Premier Elite Preventive 1 Plan 1000 50 $50 $1,000 0% Direct Option 3D-DK
Delta Dental Premier Elite Preventive 1 Plan 1500 50 $50 $1,500 0% Direct Option 1D-DK
Delta Dental Premier Elite Preventive 1 Plan 2000 50 $50 $2,000 0% Direct Option 1D-DK
Delta Dental Premier Elite Voluntary 1000 $50 $1,000 0% n/a
Delta Dental Premier Elite Voluntary 1500 $50 $1,500 0% n/a
Delta Dental Premier Sensible 1000 $50 $1,000 20% after deductible Direct Option 4D-DK
Delta Dental Premier Sensible 1500 $50 $1,500 20% after deductible Direct Option 2D-DK
Delta Dental Premier Sensible Preventive 1 Plan 1000 $50 $1,000 20% after deductible Direct Option 4D-DK
Delta Dental Premier Sensible Preventive 1 Plan 1500 $50 $1,500 20% after deductible Direct Option 2D-DK
Delta Dental Premier Sensible Voluntary 1000 $50 $1,000 20% n/a
Delta Dental Premier Sensible Voluntary 1500 $50 $1,500 20% n/a
Delta Dental Premier Base Plan 1000 $0 $1,000 50% Direct Option 5D-DK
Delta Dental Premier Shining Smiles $50 n/a Not covered n/a
PPO Plans
Delta Dental PPO Flourish 1000 25 $25 $1,000 0% 4D and 4DK
Delta Dental PPO Flourish 1500 25 $25 $1,500 0% Direct Option 3D-DK
Delta Dental PPO Flourish 2000 25 $25 $2,000 0% Direct Option 2D-DK
Delta Dental PPO Flourish 1000 50 $50 $1,000 0% Direct Option 4D-DK
Delta Dental PPO Flourish 1500 50 $50 $1,500 0% Direct Option 2D-DK
Delta Dental PPO Flourish 2000 50 $50 $2,000 0% Direct Option 2D-DK
Delta Dental PPO Flourish Preventive 1 Plan 1000 25 $25 $1,000 0% Direct Option 4D-DK
Delta Dental PPO Flourish Preventive 1 Plan 1500 25 $25 $1,500 0% Direct Option 3D-DK
Delta Dental PPO Flourish Preventive 1 Plan 2000 25 $25 $2,000 0% Direct Option 2D-DK
Delta Dental PPO Flourish Preventive 1 Plan 1000 50 $50 $1,000 0% Direct Option 4D-DK
Delta Dental PPO Flourish Preventive 1 Plan 1500 50 $50 $1,500 0% Direct Option 2D-DK
Delta Dental PPO Flourish Preventive 1 Plan 2000 50 $50 $2,000 0% Direct Option 2D-DK
Delta Dental PPO Flourish Voluntary 1000 $50 $1,000 0% n/a
Delta Dental PPO Flourish Voluntary 1500 $50 $1,500 0% n/a
Delta Dental PPO Comprehensive 1000 25 $25 $1,000 0% Direct Option 4D-DK
Delta Dental PPO Comprehensive 1500 25 $25 $1,500 0% Direct Option 3D-DK
Delta Dental PPO Comprehensive 2000 25 $25 $2,000 0% Direct Option 2D-DK
Delta Dental PPO Comprehensive 1000 50 $50 $1,000 0% Direct Option 4D-DK
Delta Dental PPO Comprehensive 1500 50 $50 $1,500 0% Direct Option 3D-DK
Delta Dental PPO Comprehensive 2000 50 $50 $2,000 0% Direct Option 2D-DK
Delta Dental PPO Comprehensive Preventive 1 Plan 1000 25 $25 $1,000 0% Direct Option 4D-DK
Delta Dental PPO Comprehensive Preventive 1 Plan 1500 25 $25 $1,500 0% Direct Option 3D-DK
Delta Dental PPO Comprehensive Preventive 1 Plan 2000 25 $25 $2,000 0% Direct Option 2D-DK
Delta Dental PPO Comprehensive Preventive 1 Plan 1000 50 $50 $1,000 0% Direct Option 4D-DK
Delta Dental PPO Comprehensive Preventive 1 Plan 1500 50 $50 $1,500 0% Direct Option 3D-DK
Delta Dental PPO Comprehensive Preventive 1 Plan 2000 50 $50 $2,000 0% Direct Option 2D-DK
Delta Dental PPO Comprehensive Voluntary 1000 $50 $1,000 0% n/a
Delta Dental PPO Comprehensive Voluntary 1500 $50 $1,500 0% n/a
Delta Dental PPO Practical 1000 $50 $1,000 0% Direct Option 4D-DK
Delta Dental PPO Practical 1500 $50 $1,500 0% Direct Option 3D-DK
Delta Dental PPO Practical 2000 $50 $2,000 0% Direct Option 2D-DK
Delta Dental PPO Practical Preventive 1 Plan 1000 $50 $1,000 0% Direct Option 4D-DK
Delta Dental PPO Practical Preventive 1 Plan 1500 $50 $1,500 0% n/a
Delta Dental PPO Practical Preventive 1 Plan 2000 $50 $2,000 0% Direct Option 2D-DK
Delta Dental PPO MAC 1000 $50 $1,000 25% Direct Option 8D-DK
Delta Dental PPO MAC 1500 $50 $1,000 0% Direct Option 7D-DK
Direct Option (Willamette Dental) plans
Willamette Dental Direct Option 1 $0 No annual maximum 0% Direct Option 1D-DK
Willamette Dental Direct Option 2 $0 No annual maximum 0% Direct Option 2D-DK
Willamette Dental Direct Option 3 $0 No annual maximum 0% Direct Option 3D-DK
Willamette Dental Direct Option 4 $0 No annual maximum 0% Direct Option 4D-DK
Willamette Dental Direct Option 5 $0 No annual maximum 0% Direct Option 5D-DK
Willamette Dental Direct Option 6 $0 No annual maximum 0% Direct Option 6D-DK
Willamette Dental Direct Option 7 $0 No annual maximum 0% Direct Option 7D-DK
Willamette Dental Direct Option 8 $0 No annual maximum 0% Direct Option 8D-DK
Willamette Dental Voluntary Direct Option 1 $0 No annual maximum 0% Direct Option 1D-DK
Willamette Dental Voluntary Direct Option 2 $0 No annual maximum 0% Direct Option 2D-DK

Orthodontia riders

View comparison chart of all 2016 small group orthodontia plans

2015 OR Small group orthodontia riders
(1-50)
What employees pay
Lifetime max Eligible Employees Dependent children PDF

1 Treatment must be started prior to the child's 17th birthday.

Plan names
Adult & Child Ortho 1000 $1,000 50% 50%
Adult & Child Ortho 1500 $1,500 50% 50%
Child Ortho 1000 $1,000 Not covered 50%1
Child Ortho 1500 $1,500 Not covered 50%1

Dental benefit highlights

Our Delta Dental of Oregon plans connect members with great benefits and quality dentists. Members can count on:

  • Freedom to choose a dentist
  • Savings from in-network dentists
  • Cleanings every six months
  • Predetermination of benefits if requested in a pretreatment plan
  • No claim forms
  • Fast and accurate claims payment
  • Superior customer service

Our dental plans also include useful online tools, resources and special programs for members who need a little extra attention for their pearly whites.

Small group dental plan options

We offer a variety of plans so clients can find the right fit for them. Choose from four types of Delta Dental of Oregon plans plus a variety of voluntary plans. They can choose the coverage and price to suit them.

Each Delta Dental of Oregon small group plan comes with a Direct Option plan match with an exclusive network of Willamette Dental providers. These plans work well for employees who prefer copay plans and are open to seeing only Willamette Dental providers. Groups with five to 100 employees can offer these plans. Members who choose a Direct Option plan must see Willamette Dental providers for dental care.

Delta Dental Premier plans

Premier plans offer groups access to the Delta Dental Premier Network, the largest dental network in Oregon and nationally. Four out of every five dentists in the state are Delta Dental Premier dentists.

Members with this plan have the freedom to choose their own dentist.

When they see Delta Dental Premier Network providers, there is no balance billing.

  • Broad choice of providers
  • Cost savings by seeing a Premier Network provider

Delta Dental PPO plans

These plans help groups save costs by connecting members with providers in the Delta Dental PPO Network, one of the largest PPO networks in Oregon. Two out of every five Oregon dentists are PPO providers.

Dentists agree to accept the Delta Dental PPO Network fee, which is typically lower than other networks.

Members with PPO plans have more choice and control over their out-of-pocket costs. When they use Delta Dental PPO dentists, they receive their plan's best benefit level and enjoy the most savings. If they wish, members can also use out-of-network providers at a reduced benefit level.

As long as members see participating dentists, there is no balance billing.

  • Access to one of the largest PPO networks in Oregon
  • Provider choice and cost control

Delta Dental PPO MAC plans

Delta Dental PPO MAC plans offer groups even more savings than our standard PPO plans.

With these plans, both PPO and Premier dentists agree to accept the Delta Dental PPO Network fee, which is typically lower than other networks. As long as members see a PPO Network dentist, there is no balance billing. Premier dentists may balance bill for the difference between the Delta Dental PPO Network fee and the filed or contracted fee.

  • Provider choice and cost control
  • Maximum cost savings
  • Lowest cost dental plan option

Delta Dental pediatric plan

Our Delta Dental Premier Shining Smiles pediatric plan offers child-only benefits to members. It. It also meets the federal pediatric essential health benefits (EHB) requirement.

Groups can purchase this plan even if no one enrolls right away.

Voluntary plans

These Delta Dental and Direct Option voluntary plans offer the same great value and variety as our other plans, but allow flexible group contribution and participation. Groups can elect to fund plans up to 100 percent by employees.

  • Versatility to attract and retain staff
  • 50 to 100 percent funded by employees
  • Choice of Delta Dental or Direct Option plans with an exclusive network of Willamette Dental providers

Direct Option plan match

Each Delta Dental of Oregon non-voluntary small group plan comes with a Direct Option (Willamette Dental) plan match. Check the Direct Option table in the 2016 small group plans brochure to see the matches.

Preventive 1 option

Groups with 51 to 100 employees can choose Delta Dental plans with Preventive 1 benefits. These enhanced benefits include preventive and diagnostic services and do not apply to the annual maximum. Preventive 1 benefits help members prioritize their preventive care and save annual maximum dollars for more expensive services.

Benefits of being a member

Personalized member website

All our dental plans come with access to myModa. This personalized website helps members manage their benefits and get the most from their health plan. With myModa, members can track their benefits and claims, access their Member Handbook, order ID cards and more.

Dental Optimizer puts oral health on their radar

Powered by Microsoft HealthVault, Dental Optimizer™ lets members store dental health information and share it with caregivers. The result? More coordinated and effective care.

To get started, members log in to myModa at modahealth.com and look for Dental Optimizer. Then they can try out tools, like risk assessment quizzes and a treatment cost calculator. Along the way, members learn about:

  • Preventing dental disease
  • The latest and most effective treatments
  • Saving out-of-pocket costs

Oral Health, Total Health

Research shows a strong link between oral health and overall health. We believe that when members see a dentist regularly and keep their mouth and teeth healthy, they help keep the rest of their body healthy, too.

Through our Oral Health, Total Health program, we offer additional preventive benefits to members who are diabetic, pregnant and in their third trimester, or under age 19 with certain high risk oral conditions.

We also provide other evidence-based dental benefits, including routine oral cancer screenings with every exam. If a member needs additional screening, we cover brush biopsy, a nonsurgical method of detecting abnormal cells in the mouth.

Questions?

We're here to help. Contact our Sales and Account Services team for friendly support.

Dental plans for their smile

Healthy teeth are happy teeth. With our Delta Dental of Alaska plans, your clients have access to Delta Dental, the nation's largest dental network. Their smile will thank them, wherever they roam.

2016 small group plan summaries

Our small group dental plans are designed to help your client's team members be their healthy best. Read more by downloading our full 2016 small group brochure:

Summaries of Benefits

View comparison chart of all 2016 small group dental plans

2016 Alaska small group dental plans (1-50) What employees pay (in-network for ages 19+)
Deductible Annual max Exams and cleanings PDF
Premier Plans
Delta Dental Premier Pinnacle plan 2000 $50 $2,000 0%
Delta Dental Premier Pinnacle plan 2500 $50 $2,500 0%
Delta Dental Premier Advance plan 1000 $50 $1,000 0%
Delta Dental Premier Advance plan 1500 $50 $1,500 0%
Delta Dental Premier Advance plan 2000 $50 $2,000 0%
Delta Dental Premier Practical plan 1000 $50 $1,000 0%
Delta Dental Premier Practical plan 1500 $50 $1,500 0%
Delta Dental Premier Practical plan 2000 $50 $2,000 0%
Delta Dental Premier Advance Voluntary plan 1000 $50 $1,000 0%
Delta Dental Premier Advance Voluntary plan 1500 $50 $1,500 0%
Delta Dental Premier Practical Voluntary plan 1000 $50 $1,000 0%
Delta Dental Premier Practical Voluntary plan 1500 $50 $1,500 0%
Delta Dental Premier Mandated plan $25 $500 0%
Delta Dental Premier Radiant Smiles plan $50 N/A 0%
PPO Plans
Delta Dental PPO Properous plan 1000 $50 $1,000 0%
Delta Dental PPO Properous plan 1500 $50 $1,500 0%
Delta Dental PPO Properous plan 2000 $50 $2,000 0%
Delta Dental PPO Properous Voluntary plan 1000 $50 $1,000 0%
Delta Dental PPO Properous Voluntary plan 1500 $50 $1,500 0%

Orthodontia riders

View comparison chart of all 2016 small group orthodontia plans

2016 AK Small group orthodontia riders
(1-50)
What employees pay
Lifetime max Eligible Employees Dependent children PDF

1 Treatment must be started prior to the child's 17th birthday.

Plan names
Adult & Child Ortho 1000 $1,000 50% 50%
Adult & Child Ortho 1500 $1,500 50% 50%
Adult Ortho 1000 $1,000 50% N/A
Adult Ortho 1500 $1,500 50% N/A
Child Ortho 1000 $1,000 N/A 50%1
Child Ortho 1500 $1,500 N/A 50%1

Dental benefit highlights

Our Delta Dental of Alaska plans connect members with great benefits and quality dentists. Members can count on:

  • Freedom to choose a dentist
  • Savings from in-network dentists
  • Cleanings every six months
  • Predetermination of benefits if requested in a pretreatment plan
  • No claim forms
  • Fast and accurate claims payment
  • Superior customer service

Our dental plans also include useful online tools, resources and special programs for members who need a little extra attention for their pearly whites.

Small group dental plan options

We offer a variety of plans so your clients can find the right fit for them. Choose from these types of Delta Dental of Alaska plans plus a variety of voluntary plans. They can choose the coverage and price to suit them.

Delta Dental Premier plans

Premier plans offer your clients access to the Delta Dental Premier Network, the largest dental network in Alaska and nationally. Employees with this plan have the freedom to choose their own dentist. When they see Delta Dental Premier Network providers, there is no balance billing.

Delta Dental PPO plans

These plans help groups in Anchorage and the Mat-Su Valley save costs by connecting members with providers in the Delta Dental PPO Network.

Members receive in-network benefits when seeing a Delta Dental PPO Network dentist. For out-of-network benefits, they can save money by seeing providers in the Delta Dental Premier Network. In both cases, there is no balance billing.

Delta Dental pediatric plan

Our Delta Dental Premier Radiant Smiles pediatric plan offers child-only coverage to members. It also meets the federal pediatric essential health benefits (EHB) requirement. Groups can purchase this plan even if no one enrolls right away.

Delta Dental Premier Mandated plan

This plan connects members with the Delta Dental Premier Network. Members access coverage for preventive dental care services only. Providers accept the Delta Dental contracted fee, so there will be no balance billing.

Voluntary plans

Our Delta Dental voluntary plans offer the same great value and variety as our other plans, but allow flexible group contribution and participation. Groups can elect to fund plans up to 100 percent by employees.

  • Versatility to attract and retain staff
  • 50 to 100 percent funded by employees
  • Participation as low as 25%

Preventive 1 option

Groups with 51 to 100 employees can choose Delta Dental plans with Preventive 1 benefits. These enhanced benefits include preventive and diagnostic services and do not apply to the annual maximum. Preventive 1 benefits help members prioritize their preventive care and save annual maximum dollars for more expensive services.

Benefits of being a member

Personalized member website

All our dental plans come with access to myModa. This personalized website helps members manage their benefits and get the most from their health plan. With myModa, members can track their benefits and claims, access their Member Handbook, order ID cards and more.

Dental Optimizer puts oral health on their radar

Powered by Microsoft HealthVault, Dental Optimizer™ lets members store dental health information and share it with caregivers. The result? More coordinated and effective care.

To get started, members log in to myModa at modahealth.com and look for Dental Optimizer. Then they can try out tools, like risk assessment quizzes and a treatment cost calculator. Along the way, members learn about:

  • Preventing dental disease
  • The latest and most effective treatments
  • Saving out-of-pocket costs

Oral Health, Total Health

Research shows a strong link between oral health and overall health. We believe that when members see a dentist regularly and keep their mouth and teeth healthy, they help keep the rest of their body healthy, too.

Through our Oral Health, Total Health program, we offer additional preventive benefits to members who are diabetic, pregnant and in their third trimester, or under age 19 with certain high risk oral conditions.

We also provide other evidence-based dental benefits, including routine oral cancer screenings with every exam. If a member needs additional screening, we cover brush biopsy, a nonsurgical method of detecting abnormal cells in the mouth.

Questions?

We're here to help. Contact our Sales and Account Services team for friendly support.

Moda Health Provider Network

Find a physician, pharmacy or clinic

Opt in for medical

Tell us you're interested and we'll be in touch with details.

Get Started  Get Started

Questions?

If you can't find an answer, please feel free to contact our Customer Service Customer Service Customer Service

Questions?

If you can't find an answer, please feel free to contact our Customer Service

Employer web tools

Benefit Tracker

Check benefits and eligibility

Log in

Account help

Request an account

Provider Reports

For Synergy, Summit, and EOCCO provider contacts

Log in

Join our email list


Benefit Tracker

Check benefits, eligibility, incentive and utilization

Log In

Account help

Create an account

Producer web tools


Hello.

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.

Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:

Hello.

Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:

Changing your location to Oregon

You can return to your previous location in the site header.