Group dental plans
Delta Dental offers the following Premier Dental Plans. Other plan options are available for larger groups.
Value Added Services
The following services are provided to Moda Health plans at no additional cost.
Member Dashboard
With Member Dashboard (available to all Moda Health & Delta Dental members), our customized member website, you can:
- View your member handbook online
- View claims status and history, including deductibles and out-of-pocket balances
- Print an Explanation of Benefits (EOB)
- Change your address
- Email customer service
The following service is provided to Moda Health dental plans at no additional cost.
EverywhereCare
Through a partnership with International SOS Assistance, Inc., Delta Dental subscribers can receive expert dental care when they are outside of the United States.
Oral Health, Total Health Program
An innovative, evidence-based dental benefit that enhances dental coverage for diabetic members and those who are pregnant.
Dental plans effective 10/01/11
*Summary only. Select benefit detail for more specific coverage. Important features included with all dental plans:
|
|||||
| Plan | Ded | Max | Benefit | ||
|---|---|---|---|---|---|
| A0 | None | $1,500 | 70%-100%, 70%-100%, 50% | ||
| A01 | None | $1,000 | 70%-100%, 70%-100%, 50% | ||
| A02 | None | $2,000 | 70%-100%, 70%-100%, 50% | ||
| B3X50 | $50/$150 | $1,500 | 100%-ded. waived, 80%, 50% | ||
| B3X501 | $50/$150 | $1,000 | 100%-ded. waived, 80%, 50% | ||
| B3X502 | $50/$150 | $2,000 | 100%-ded. waived, 80%, 50% | ||
| D3X50 | $50/$150 | $1,500 | 80%-ded. waived, 50%, 50% | ||
| D3X501 | $50/$150 | $1,000 | 80%-ded. waived, 50%, 50% | ||
| D3X502 | $50/$150 | $2,000 | 80%-ded. waived, 50%, 50% | ||
| W3X50 | $50/$150 | $1,500 | 80%-ded. waived, 80%, 50% | ||
| W3X501 | $50/$150 | $1,000 | 80%-ded. waived, 80%, 50% | ||
| W3X502 | $50/$150 | $2,000 | 80%-ded. waived, 80%, 50% | ||
| AKO3X25 | $25/$75 | $2,500 | 100% ded. waived, 85%, 75% 50% ortho ($2,000 max) | ||
| Fortify Dental | None | $500 | 100%, 10%, 10% | ||
Give your clients something they can really smile about. Moda Health dental plans give members access to the largest provider network in Oregon and the nation, the Delta Dental network. Moda Health also provides its dental members with an indispensable member website and much more. Moda Health's evidence-based dental coverage even extends certain benefits to members who are at higher risk for dental problems. Now that's smart.
More than dental coverage
At no additional cost, Moda Health dental plan members benefit from the following services:
- Member Dashboard, our personalized member website, offers all insurance-related information at one convenient online location. Members can access their Member Handbooks, claims status and history, detailed benefit information, health tools and more.
- Through our Everywhere Care program, as Delta Dental members, our members can receive expert dental care when they are outside of the United States.
- Our innovative Oral Health, Total Health program offers extra dental coverage to diabetic and pregnant members, who are at a higher risk for dental issues.
Dental plan options
Moda Health offers several types of standard dental plans. Other plan options are available for larger groups.
- Delta Dental Premier — The highest level of benefits and provider choice
- Delta Dental PPO — Financial savings using contracted dentists
- Voluntary dental — Individuals enjoy the benefits of a comprehensive plan
- Ortho riders
Moda Health also offers Administrative Services Only (ASO) plans.
Dental plans effective July 1, 2012
| Plan | Ded | Max | Benefit | |
|---|---|---|---|---|
| AO DO1C |
ODS | $0 | $1500 | 70%-100%, 70%-100%, 50% |
| DirectOption | $0 | $0 | $10 OV,$100 Crowns, $2,800 Ortho | |
| B3X25 DO1C |
ODS | $25 | $1500 | 100%-ded. waived, 80%, 50% |
| DirectOption | $0 | $0 | $10 OV, $100 Crowns, $2,800 Ortho | |
| B3X501 DO3C |
ODS | $50 | $1000 | 100%-ded. waived, 80%, 50% |
| DirectOption | $0 | $0 | $15 OV, $150 Crowns, $2,800 Ortho | |
| B3X50 DO1C |
ODS | $50 | $1500 | 100%-ded. waived, 80%, 50% |
| DirectOption | $0 | $0 | $10 OV, $100 Crowns, $2,800 Ortho | |
| B3X502 DO1C |
ODS | $50 | $2000 | 100%-ded. waived, 80%, 50% |
| DirectOption | $0 | $0 | $10 OV, $100 Crowns, $2,800 Ortho | |
| C3X25 DO2C |
ODS | $25 | $1500 | 80%, 80%, 50% |
| DirectOption | $0 | $0 | $10 OV, $150 Crowns, $2,800 Ortho | |
| C3X50 DO2C |
ODS | $50 | $1500 | 80%, 80%, 50% |
| DirectOption | $0 | $0 | $10 OV, $150 Crowns, $2,800 Ortho | |
| C3X501 DO4C |
ODS | $50 | $1000 | 80%, 80%, 50% |
| DirectOption | $0 | $0 | $20 OV, $150 Crowns, $2,800 Ortho | |
| D3X501 DO5C |
ODS | $50 | $1000 | 100%-ded. waived, 80%, 50% |
| DirectOption | $0 | $0 | $25 OV, $200 Crowns, $2,800 Ortho | |
| EO1 DO6C |
ODS | $0 | $1000 | 50%, 50%, 50% |
| DirectOption | $0 | $0 | $30 OV, $300 Crowns, $2,800 Ortho | |
Important features included with all dental plans:
- Endodontics, Periodontics & Oral Surgery in Basic
- Extra cleanings for pregnant women & members with diabetes
- Brush biopsy screening for early oral cancer detection
- No waiting periods
- No missing tooth clauses
- No balance billing for contracted provider services
| Plan | Ded | Max | Benefit | |
|---|---|---|---|---|
| Fortify Option | $0 | $500 | 100%, 10%, 10% | |
| Plan | Ded | Max | In-network benefit | Out-of-network benefit | |
|---|---|---|---|---|---|
| BP3X25 DO3C |
ODS | $25 | $1500 | 100%-ded. Waived, 80%, 50% | 80%-ded. Waived, 60%, 50% |
| Direct Option | $0 | $0 | $15 OV, $150 Crowns, $2,800 Ortho | ||
| BP3X50 DO3C |
ODS | $50 | $1500 | 100%-ded. Waived, 80%, 50% | 80%-ded. Waived, 60%, 50% |
| Direct Option | $0 | $0 | $15 OV, $150 Crowns, $2,800 Ortho | ||
| BP3X501 DO4C |
ODS | $50 | $1000 | 100%-ded. Waived, 80%, 50% | 80%-ded. Waived, 60%, 50% |
| Direct Option | $0 | $0 | $20 OV, $150 Crowns, $2,800 Ortho | ||
| Description |
|---|
| Child Ortho, 50% to $1,000 Maximum |
| Child Ortho, 50% to $1,500 Maximum |
| Ad. & Ch. Ortho, 50% to $1,000 Maximum |
| Ad. & Ch. Ortho, 50% to $1,500 Maximum |
We're sorry, we don't currently offer dental plans in Washington. Use the dropdown at the top of the page to view dental plans in Oregon or Alaska.
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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.
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