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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