2019 Providence dental plan comparison

Learn more about Providence dental plans ›

Preventive Dental  Essential Essential Access Advantage Access 2000 Advantage Access 1500
Deductible*  
None
$50/person
$150/family
$50/person
$150/family
$25/person
$75/family
$25/person
$75/family
Benefit maximum*  
None
$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† In-network Out-of-network†
Diagnostic & preventive care (exams, cleanings, bitewing X-rays) Covered in full°
Covered in full°
Covered in full° 10%° Covered in full° 10%° Covered in full° Covered in full° Covered in full° Covered in full°
Fluoride Covered in full°
Covered in full°
Covered in full° 10%° Covered in full° 10%° Covered in full° Covered in full° Covered in full° Covered in full°
Sealants Covered in full°
Covered in full°  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°
Covered in full°
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°
Covered in full°
Covered in full° 10%° Covered in full° 10%° Covered in full° Covered in full° Covered in full° Covered in full°
Basic
Restorative fillings Not covered 20% 30% 20% 30% 20% 20% 20% 20%
Endodontics (root canals) Not covered 20% 30% 20% 30% 20% 20% 20% 20%
Periodontics Not covered
20% 30% 20% 30% 20% 20% 20% 20%
Oral surgery Not covered
20% 30% 20% 30% 20% 20% 20% 20%
Major
Crowns Not covered
50% 60% 50% 50% 50% 50% 50% 50%
Bridges Not covered
50% 60% 50% 50% 50% 50% 50% 50%
Dentures Not covered
50% 60% 50% 50% 50% 50% 50% 50%
Reimbursement MAC** MAC** MAC** MAC** MAC** UCR MAC** UCR MAC** UCR

Plus Plans

Most 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:

Preventive Dental  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 In-network Out-of-network
Orthodontics (optional) N/A
50% up to $1,500
50% up to $1,500
50% up to $1,500
50% up to $1,500
Reimbursement N/A MAC** MAC** MAC** UCR MAC** UCR MAC** 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.