Compare dental plans

How do dental benefits compare?

Before you enroll in a dental plans, use the Dental Benefits At-a-Glance Comparison to see how benefits compare. For information on specific benefits and exclusions, refer to the dental plan’s certificate of coverage or contact the plan. All dental plans include a nonduplication of benefits clause, which applies when you have dental coverage under more than one account.

How do DeltaCare and Willamette Dental Group plans work?

DeltaCare and Willamette Dental Group are managed-care plans. You must select and receive care from a primary care dental provider in that plan’s network. If you choose one of these plans and seek services from a dentist not in the plan's network, the plan will not pay your dental claims. Before enrolling, call the plan to make sure your dentist is in the plan's network. DeltaCare is administered by Delta Dental of Washington. Willamette Dental is administered by Willamette Dental of Washington, Inc.

Neither plan has an annual deductible. You don’t need to track how much you have paid out-of-pocket before the plan begins covering benefits. You pay a set amount (copay) when you receive dental services. Neither plan has an annual maximum that they pay for covered benefits (some specific exceptions apply).

Referrals are required from your primary care dental provider to see a specialist. You may change providers in your plan’s network at any time.

How does Uniform Dental Plan (UDP) work?

UDP is a preferred-provider organization (PPO) plan. You can choose any dental provider, and change providers at any time. When you see a network provider, your out-of-pocket expenses are generally lower than if you chose a provider who is not part of this network. Under UDP, you pay a percentage of the plan’s allowed amount (coinsurance) for dental services after you have met the annual deductible. UDP pays up to an annual maximum of $1,750 for covered benefits for each enrolled family member, including preventive visits. Uniform Dental Plan is administered by Delta Dental of Washington.

What providers can I see?

DeltaCare

You may only see providers in the DeltaCare (Group 3100) network. You'll have a primary care provider who oversees your care, and authorizes specialist referrals. If the provider you select is not in DeltaCare's Group 3100 network, you will be responsible for the costs.

Uniform Dental Plan

You may see any dental provider, but you'll usually pay less out-of-pocket if you go to a provider in the Delta Dental PPO Group 3000 network.

Willamette Dental Group

You may only see providers in the Willamette Dental Group network. You'll have a primary care provider who oversees your care, and authorizes specialist referrals.

What if I see an out-of-network provider?

DeltaCare

You'll be responsible for the costs.

Uniform Dental Plan

You'll be responsible for having your provider complete and sign a claim form.

Willamette Dental Group

You'll be responsible for the costs.

Preauthorization criteria

Preauthorization is when you seek approval from your health plan for coverage of specific services, supplies, or drugs before receiving them. Some services or treatments (except emergencies) may require preauthorization before the plan pays for them. Preauthorization is not a guarantee, however, that your plan will pay for those services, supplies, or drugs.

• Delta Dental of Washington (for DeltaCare and Uniform Dental Plan)
• Willamette Dental Group

These criteria do not imply or guarantee approval. Please check with your plan to ensure coverage. Preauthorization requirements are only valid for the month published. They may have changed from previous months and may change in future months.