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.

2019 small group plan summaries

Our small group dental plans are designed to help members be their healthy best. Read more by downloading our full 2019 small group brochure:

• 2019 Small groups of 1 - 50 medical and dental plans brochure

Summaries of Benefits

View comparison chart of all 2019 small group dental plans

2019 Oregon small group dental plans (1-50) What employees pay (in-network per person for ages 19+) Deductible Annual max Exams and cleanings PDF Premier Plans Delta Dental Premier®, 1000, 100*/80/50, 25 $25 $1,000 0% Delta Dental Premier®, 1000, 100*/80/50, 50 $50 $1,000 0% Delta Dental Premier®, 1000, 80/80/50, 50 $50 $1,000 20% after deductible Delta Dental Premier®, 1500, 100*/80/50, 25 $25 $1,500 0% Delta Dental Premier®, 1500, 100*/80/50, 50 $50 $1,500 0% Delta Dental Premier®, 2000, 100*/80/50, 25 $25 $2,000 0% Delta Dental Premier®, 2000, 100*/80/50, 50 $50 $2,000 0% Delta Dental Premier® Shining Smiles $50 N/A Not covered Premier Preventive First Plans Delta Dental Premier® PF, 1000, 100*/80/50, 50 $50 $1,000 0% Delta Dental Premier® PF, 1500, 100*/80/50, 50 $50 $1,500 0% Premier Voluntary Plans Delta Dental Premier®, Voluntary, 1000, 100*/80/50, 50 $50 $1,000 0% Delta Dental Premier®, Voluntary, 1000, 80/80/50, 50 $50 $1,000 20% after deductible Delta Dental Premier®, Voluntary, 1500, 100*/80/50, 50 $50 $1,500 0% Delta Dental Premier®, Voluntary, 1500, 80/80/50, 50 $50 $1,500 20% after deductible PPO Plans Delta Dental PPOSM, 1000, 100*/80/50, 50 $50 $1,000 0% Delta Dental PPOSM, 1000A, 100*/90/50, 50 $50 $1,000 0% Delta Dental PPOSM, 1000B, 100*/80/50, 50 $50 $1,000 0% Delta Dental PPOSM, 1500, 100*/80/50, 50 $50 $1,500 0% Delta Dental PPOSM, 1500A, 100*/90/50, 25 $25 $1,500 0% Delta Dental PPOSM, 1500A, 100*/90/50, 50 $50 $1,500 0% Delta Dental PPOSM, 1500B, 100*/80/50, 25 $25 $1,500 0% Delta Dental PPOSM, 1500B, 100*/80/50, 50 $50 $1,500 0% Delta Dental PPOSM, 2000, 100*/80/50, 50 $50 $2,000 0% Delta Dental PPOSM, 2000A, 100*/90/50, 25 $25 $2,000 0% Delta Dental PPOSM, 2000A, 100*/90/50, 50 $50 $2,000 0% Delta Dental PPOSM, 2000B, 100*/80/50, 25 $25 $2,000 0% Delta Dental PPOSM, 2000B, 100*/80/50, 50 $50 $2,000 0% PPO Preventive First Plans Delta Dental PPOSM, PF, 1000, 100*/80/50, 50 $50 $1,000 0% Delta Dental PPOSM, PF, 1000A, 100*/90/50, 50 $50 $1,000 0% Delta Dental PPOSM, PF, 1000B, 100*/80/50, 50 $50 $1,000 0% Delta Dental PPOSM, PF, 1500, 100*/80/50, 50 $50 $1,500 0% Delta Dental PPOSM, PF, 1500A, 100*/90/50, 50 $50 $1,500 0% Delta Dental PPOSM, PF, 1500B, 100*/80/50, 50 $50 $1,500 0% PPO Voluntary Plans Delta Dental PPOSM, Voluntary, 1000, 100*/90/50, 50 $50 $1,000 0% Delta Dental PPOSM, Voluntary, 1000, 100*/80/50, 50 $50 $1,000 0% Delta Dental PPOSM, Voluntary, 1500, 100*/90/50, 50 $50 $1,500 0% Delta Dental PPOSM, Voluntary, 1500, 100*/80/50, 50 $50 $1,500 0% Delta Dental EPO Plans Delta Dental EPO,1000, 100*/80/50, 50 $50 $1,000 0% Delta Dental EPO,1500, 100*/80/50, 50 $50 $1,500 0% Direct Option Plans (with Willamette Dental Group) Direct Option Plans (with Willamette Dental Group) What employees pay (in-network, under age 19) Deductible Annual max Exams and cleanings PDF Direct Option 1F-FK No deductible $350 for one child; $700 for two or more children Covered at 100% Direct Option 3F-FK No deductible Covered at 100% Direct Option 4F-FK No deductible Covered at 100% Direct Option 5F-FK No deductible Covered at 100% Direct Option 7F-FK No deductible Covered at 100% Voluntary Direct Option Plans (with Willamette Dental Group) Voluntary Direct Option Plans (with Willamette Dental Group) What employees pay (in-network, under age 19) Deductible Annual max Exams and cleanings PDF Voluntary Direct Option 1F-FK No deductible $350 for one child; $700 for two or more children Covered at 100% Voluntary Direct Option 2F-FK No deductible Covered at 100%

Orthodontia riders

View comparison chart of all 2019 small group orthodontia plans

2019 OR Small group orthodontia riders (15-50) What employees pay Lifetime max Members age 19+ Members under age 19 PDF 1 Covered only for children. 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
• Contracted fee 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

Choose from our Delta Dental of Oregon plans. We offer a variety of plans so your clients can find the right fit for their groups. They can customize the coverage and price to suit their needs. 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 Willamette Dental providers. Members who choose a Direct Option plan must see Willamette Dental providers for dental care.

Get more value with Delta Dental

By negotiating charges for services, we help your employees save on out-of-pocket costs. Delta Dental dentists don't balance bill ‐ the difference between the maximum plan allowance and out-of-network dentist fees. If members see providers outside the network, they may pay more for 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. Almost 90% of dentists participate.

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 employees 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. Almost 50 percent of 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. Advantages to the Delta Dental PPO include:

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

Delta Dental Exclusive PPO Plan

These plans give your employees a higher level of benefits than the PPO plan but members must see Delta Dental PPO contracted providers to receive a benefit. This exclusive provider option does not pay for services provided from a Premier or non-contracted dentist. Care from providers outside this network is not covered, except for emergency services.

Preventive First plans

These plans provide an option for your employees to prevent serious and expensive dental services down the road. Under these plans, preventive services do not apply to the member's annual maximum. By saving on preventive care, members can use their annual maximum for other services.

Delta Dental Direct Option with Willamette Dental Group

We partner with Willamette Dental Group and offer a Direct Option plan that includes a network of Willamette Dental Group providers, to pair alongside our nonvoluntary Delta Dental Plans for all groups size five to 99. Groups size two to four have another option to have medical with a Direct Option plan. We manage the enrollment, billing, claims and customer service for both plans making administration easy for everyone.

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
• 51 to 100 percent funded by employees
• Choice of Delta Dental or Direct Option (Willamette Dental) plans

Benefits of being a member

Personalized member website

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

Dental Tools put oral health on their radar

Powered by Microsoft HealthVault, Dental Tools 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 Member Dashboard at modahealth.com and look for Dental Tools. Then they can try out tools, like risk assessment quizzes and a treatment cost calculator, and more.

Oral Health, Total Health

Research shows a strong link between oral health and overall health. 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.

Health through Oral Wellness® program

All plans include access to the Health through Oral Wellness program. This program uses an oral health assessment to find out a member's risk of tooth decay, gum disease and oral cancer. Based on their risk score, they may qualify for additional cleanings, flouride treatments, sealants and periodontal maintenance.

Questions?

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