Optional dental plans

Providence dental plans provide comprehensive benefits that help promote good health. Through the plan, you have access to more than 2,300 in-network dental providers in Oregon and southwest Washington and more than 270,000 in-network providers nationwide. Searching for a dentist is easy. Just visit ProvidenceHealthPlan.com/findaprovider.

With Providence dental plans, you get:

  • Three dental plan choices to meet your employees’ needs and your budget
  • Robust coverage for services received both in and outside the network
  • No waiting periods
  • In-network diagnostic and preventive care services, such as exams, cleanings and X-rays covered in full
  • Coverage for more extensive services, such as root canals, crowns, bridges and dentures

Diagnostic and preventive services do not count toward the annual maximum.

 Note: A dental plan must be paired with a medical plan, and medical and dental enrollment must match.

After meeting the deductible, the member pays the following amounts for covered services. The deductible does not apply to some covered services. The are marked with †.

  Providence
Essential
Providence
Essential Access
Providence
Advantage Access
Coverage Type In-network Out-of-network In-network Out-of-network In-network Out-of-network
Network Providence  All other providers Providence All other providers Providence All other providers
Deductible $50 $50 $25
Annual maximum $1,000 $1,000 $1,500
Waiting period None None None
Diagnostic and preventive services1 Covered in full† 10%† Covered in full† 10%† Covered in full† Covered in full†
Basic services2 20% 30% 20% 30% 20% 20%
Major services3 50% 60% 50% 50% 50% 50%
Out-of-network**   MAC*   UCR 90th percentile   UCR 90th percentile
2017 Rates
Subscriber only $26.18 $31.32 $34.84
Subscriber and spouse $52.37 $62.65 $69.68
Subscriber and child(ren) $43.12 $51.19 $55.86
Subscriber, spouse and child(ren) $70.77 $84.21 $92.40

Orthodontics/orthodontia are not available.
*Maximum allowable charge by the provider
**Balance billing may apply for out-of-network services
1Includes routine exams, cleanings, bitewing X-rays, topical fluoride (age 16 and younger), space maintainers
2Includes restorative fillings, oral surgery, endodontics, periodontics
3Includes crowns, dentures, bridge work

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