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2010 PEBB Full-time & Part-time Dental Plans Comparison
|
Plan Type
|
Kaiser Traditional
|
Willamette
|
ODS
|
FT
|
PT
|
Traditional
|
PT
|
Preferred
|
Type of Providers
|
Kaiser
|
Kaiser
|
Willamette
|
Any
|
Any
|
Preferred
|
Non- preferred
|
Annual/person max
|
$1,750
|
$1,250
|
None
|
$1,750
|
$1,250
|
$1,750
|
$1,750
|
Type of Service – You Pay
|
Annual deductible
(individual; family)
|
None
|
None
|
None
|
$50; $150
|
$50/ind.
|
$50; $150
|
$50; $150
|
Diagnostic & preventive (cleaning, X-ray) 1
|
0%
|
$0
|
$0
|
0%
|
$0
|
0%
|
10%
|
Basic & maintenance
(filling, root canal, oral surgery)
|
20%
|
50%
|
$0
|
20%
|
50%
|
20%2
|
30%
|
Crowns
|
25%
|
50%
|
$1903
|
25%
|
50%
|
25%
|
25%
|
Implants
|
50%
|
Not covered
|
Varies4
|
50%
|
Not covered
|
50%
|
50%
|
Dentures
|
50%
|
50%
|
$190
|
50%
|
50%
|
50%
|
50%
|
Orthodontia
|
50%5
|
Not covered
|
$1,2006
|
50%5
|
Not covered
|
50%5
|
50%5
|
1 Routine cleaning covered once per year for patients with no risks; up two four cleanings per year covered based on dentist’s assessment of patient’s risks and health indicators. X-rays covered on age-based schedule.
2 Decreases by 10% per calendar year if you visit preferred dentist at least once per year.
3 Co-payment per tooth for crowns and bridges, per upper or lower for dentures.
4 See Willamette Web site for details.
5 Limited to lifetime maximum of $1,500/person.
6 Requires $150 co-payment prior to start of treatment; applies to $1,200 total co-pay.
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