Providence dental plans
Providence dental plans provide comprehensive benefits that help promote good health, and are available when paired with a Providence medical plan. With Providence Dental, members have access to more than 2,300 in-network dental provider listings in Oregon and southwest Washington and more than 270,000 in-network provider listings nationwide. Searching for a dentist is easy; visit our provider directory.
Plan features
- Eight dental plan options (four plans with orthodontia coverage and four without)
- Plus Plan options offer the same comprehensive benefits with a $1,500 lifetime maximum for orthodontia services
- Robust coverage for services received both in and outside the network
- Access to our national network of dental providers with over 270,000 dentist listings
- No waiting periods
- No deductible for in-network diagnostic and preventive services
- In-network diagnostic and preventive services covered in full
- Diagnostic and preventive services do not apply toward calendar year benefit maximum
Dental plan options
- Essential
- Essential Plus
- Essential Access
- Essential Access Plus
- Advantage Access 1500
- Advantage Access 1500 Plus
- Advantage Access 2000
- Advantage Access 2000 Plus
Providence dental plan comparison
|
Essential |
Essential Access |
Advantage Access 2000 |
Advantage Access 1500 |
| Deductible* |
$50/person
$150/family |
$50/person
$150/family |
$25/person
$75/family |
$25/person
$75/family |
| Benefit maximum* |
$1,000 |
$1,000 |
$2,000 |
$1,500 |
| Preventive /Diagnostic Services |
In-network |
Out-of-network† |
In-network |
Out-of-network† |
In-network |
Out-of-network† |
In-network |
Out-of-network† |
| Diagnostic & preventive care (exams, cleanings, bitewing X-rays) |
Covered in full° |
10%° |
Covered in full° |
10%° |
Covered in full° |
Covered in full° |
Covered in full° |
Covered in full° |
| Fluoride |
Covered in full° |
10%° |
Covered in full° |
10%° |
Covered in full° |
Covered in full° |
Covered in full° |
Covered in full° |
| Sealants |
Covered in full° |
10%° |
Covered in full° |
10%° |
Covered in full° |
Covered in full° |
Covered in full° |
Covered in full° |
| Space maintainers |
Covered in full° |
10%° |
Covered in full° |
10%° |
Covered in full° |
Covered in full° |
Covered in full° |
Covered in full° |
| Other X-rays (diagnostic) |
Covered in full° |
10%° |
Covered in full° |
10%° |
Covered in full° |
Covered in full° |
Covered in full° |
Covered in full° |
| Basic |
| Restorative fillings |
20% |
30% |
20% |
30% |
20% |
20% |
20% |
20% |
| Endodontics (root canals) |
20% |
30% |
20% |
30% |
20% |
20% |
20% |
20% |
| Periodontics |
20% |
30% |
20% |
30% |
20% |
20% |
20% |
20% |
| Oral surgery |
20% |
30% |
20% |
30% |
20% |
20% |
20% |
20% |
Major
|
| Crowns |
50% |
60% |
50% |
50% |
50% |
50% |
50% |
50% |
| Bridges |
50% |
60% |
50% |
50% |
50% |
50% |
50% |
50% |
| Dentures |
50% |
60% |
50% |
50% |
50% |
50% |
50% |
50% |
Plus Plans
All plans have a Plus Plan option that adds orthodontia coverage for adults and children. In addition to the benefits above, Plus Plans offer the following orthodontia benefits:
|
Essential Plus |
Essential Access Plus |
Advantage Access 2000 Plus |
Advantage Access 1500 Plus |
|
In-network |
Out-of-network |
In-network |
Out-of-network |
In-network |
Out-of-network |
In-network |
Out-of-network |
| Orthodontics (optional) |
50% up to $1,500 |
50% up to $1,500 |
50% up to $1,500 |
50% up to $1,500 |
50% up to $1,500 |
50% up to $1,500 |
50% up to $1,500 |
50% up to $1,500 |
| Reimbursement |
--- |
MAC** |
--- |
UCR |
--- |
UCR |
--- |
UCR |
* Based on a calendar year
° Deductible does not apply.
** Reimbursement is based on MAC – the Maximum Allowable Charge – the negotiated fee the plan pays to providers.
† Balance billing may apply to out-of-network services.
For more information
Contact us to learn more about Providence dental plans or request a quote.
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