PEBB 2013 Full Time Dental Plans
(Available to both full time and part time PEBB-eligible employees)
This is a summary only. See plan documents for details.
Click here to download comparisons of full-time medical and dental plans as PDF files
Plan |
ODS Preferred1 |
ODS Traditional |
Willamette |
Kaiser |
Provider |
In-Network |
Out-of-Network |
Participating (Delta Dental) |
Willamette |
Kaiser |
Benefits |
|
|
|
|
|
Annual maximum coverage |
$1,750 |
$1,750 |
$1,750 |
None |
$1,750 |
Deductible per person/family |
$50/$150 |
$50/$150 |
$50/$150 |
None |
None |
Diagnostic, preventive |
0% |
10% |
0% |
$5 |
0% |
Basic, maintenance |
20% |
30% |
20% |
0% |
20% |
Crowns |
50% |
50% |
50% |
$190 |
25% |
Implants |
50% |
50% |
50% |
Varies |
50% |
Dentures |
50% |
50% |
50% |
$190 |
50% |
Orthodontia |
50% |
50% |
50% |
$15002 |
50% to $1500 |
1You have higher savings in the Preferred plan than in the Traditional plan. Preferred plan dentists accept ODS-contracted fees as full payment for services, so you usually pay less for each visit and are protected from balance billing. Plus, your coinsurance for basic services drops from 20% to 10% to 0% over three years when you see a dentist in the Preferred plan at least once a year.
2Not applied to annual maximum coverage.
3Total out of pocket cost.
PEBB 2013 Part Time Dental Plans
(Available only to part time PEBB-eligible employees)
This is a summary only. See plan documents for details.
Click here to download comparisons of part-time medical and dental plans as PDF files
|
Plan |
ODS Part Time |
Kaiser Part Time |
Provider |
Participating (Delta Dental) |
Kaiser |
Benefits |
|
|
Annual maximum coverage |
$1,250 |
$1,250 |
Deductible per person |
$50 |
None |
Diagnostic, preventive |
0%1 |
0%2 |
Basic, maintenance |
50% |
50% |
Crowns |
50% |
50% |
Implants |
Not covered |
Not covered |
Dentures |
50% |
50% |
Orthodontia |
Not covered |
Not covered |
1 After deductible has been met
2 Not applied to annual maximum coverage