Oregon Health Insurance-Independent Health Insurance Agents

Portland (503)231-6399  Toll Free (888)426-9544

ODS DENTAL

 

 

 


Dental coverage can only be added at the time that you apply for individual coverage.

Apply for ODS Insurance OnLine

ODS  Application (paper)

Delta Dental Premier Summary

This popular, traditional fee-for-service product offers members access to the largest dental network available in Oregon and across the nation. Members can save money by seeking care from participating Premier providers.

Benefit Summary

*Waiting period may be waived by creditable prior coverage from a comparable plan.

This is a benefit summary only. For a complete description of benefits, refer to your Policy. Effective July 1, 2007 through June 30, 2008
Plan year maximum, per member $750: 1st year
$1,000: 2nd year
$1,250: 3rd year
Plan year deductible, per member $50
Service Benefit
  Premier Network
Class 1: Examinations/X-rays (routine exam and bitewing X-rays once every six months); prophylaxis (cleanings once every six months); fissure sealants; fluoride 80%
Class 2: Restorative dentistry (treatment of tooth decay with amalgam, synthetic porcelain and plastic materials); space maintainers 80%
Class 3: Oral surgery (surgical extractions and certain minor surgical procedures); endodontics and periodontics; 12-month waiting period on major services*: crowns; cast restorations; dentures and bridge work (construction or repair of fixed bridges, partials and complete dentures) 50%

Delta Dental Premier Rates

Delta Dental Premier
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective July 1, 2007 through June 30, 2008
Monthly family rates are based on the age of primary applicant
2 - 19 $34 $69 $100 $67
20 - 34 36 73 106 73
35 - 44 44 90 135 87
45 - 64 46 92 137 92

 

Delta Dental PPO Summary

Like the Premier plan, this preferred provider option offers access to the largest PPO network in Oregon and across the country. The Delta Dental PPO plan, however, offers a unique feature: it is the only PPO program in the nation with a built-in "safety net" that protects members from balance billing when they seek services outside of the PPO network.

Benefit Summary

*Waiting period may be waived by creditable prior coverage from a comparable plan.

This is a benefit summary only. For a complete description of benefits, refer to your Policy. Effective July 1, 2007 through June 30, 2008
 Plan year maximum, per member $750: 1st year
$1,000: 2nd year
$1,250: 3rd year
Plan year deductible, per member $50
Service Benefit
  PPO Network Non-PPO Network
Class 1: Examinations/X-rays (routine exam and bitewing X-rays once every six months); prophylaxis (cleanings once every six months); fissure sealants; fluoride 100% 80%
Class 2: Restorative dentistry (treatment of tooth decay with amalgam, synthetic porcelain and plastic materials); space maintainers 80% 50%
Class 3: Oral surgery (surgical extractions and certain minor surgical procedures); endodontics and periodontics; 12-month waiting period on major services*: crowns; cast restorations; dentures and bridge work (construction or repair of fixed bridges, partials and complete dentures) 50% 50%

Delta Dental PPO Rates

Delta Dental PPO
Age Insured
Only		 Insured &
Spouse		 Insured & Spouse & Child (ren) Insured & Child (ren)

Monthly rates effective July 1, 2007 through June 30, 2008
Monthly family rates are based on the age of primary applicant
2 - 19 $31 $64 $96 $61
20 - 34 34 69 102 67
35 - 44 39 77 114 76
45 - 64 43 84 125 83

 

 

 

Apply for ODS Insurance OnLine

ODS  Application (paper)

 

Dental coverage can only be added at the time that you apply for individual coverage.
Privacy Statement- This request will be absolutely confidential.  The information will not be sold, given away or used for any other purpose but to mail or email requested information.

Information Request Form

This is not an application for insurance.  In the state of Oregon, Individual Health Insurance plans must be approved in the underwriting stage of the insurance application.  This might take a few weeks to complete.  Please leave your name address and questions and any information that you would like.

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Dental coverage can only be added at the time that you apply for individual coverage.


 

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