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 ͞Plus͟ 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.

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