ODS Health Plans of Oregon

Index | Dental Rates | Premier Benefits | Preferred PPO Benefits | Download Application

Wherever you go, ODS goes with you—along with the nation’s largest dental network, Delta Dental.with ODS individual plans, you can choose from two Delta Dental plan options: Delta Dental Premier and Delta Dental PPO. You are eligible to enroll in one of our dental plans if you are an Oregon resident and live in Oregon at least 6 months out of the year. This is a stand-alone dental plan that doesn't require that you purchase a medical insurance plan from ODS in order to be eligible...

DELTA DENTAL PREMIER

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 Delta Dental Premier providers.

• Indemnity plan—any licensed dentist is eligible
• Deductible applies to all services
• Delta Dental Premier network includes more than nine out of 10 practicing dentists in Oregon
• More than 2,000 participating providers

DELTA DENTAL PPO

Like the Delta Dental Premier plan, this preferred provider option offers access to the largest PPO network in Oregon and across the country.

• PPO plan—better benefits using PPO network dentists
• Deductible waived for Class I services rendered by a participating PPO dentist
• Largest PPO dental network in the state
• More than 600 participating providers

Eligibility Requirements

1. You must be an Oregon resident and live inOregon at least 6 months out of the year.
2. If you move outside Oregon while on this plan, you will automatically be termed the first of the month following your move.

How do I enroll?

You can enroll by using this Application.

Highlights of the plans

• Freedom to choose any licensed dentist
• No waiting periods for Class 1and Class 2 services
• 12 month waiting period for Class 3 services
• Filed-fee savings from participating dentists
• Increasing maximums
• Pre-determination of benefits if requested in a pre-treatment plan
• Prompt and accurate claims payment
• Superior customer service
• No claim forms

Dental Limitations & Exclusions

• Examination and bitewing X-rays are limited to once every sixmonths.
• Full mouth X-rays are limited to once every three years.
• Prophylaxis (cleaning) is limited to once every sixmonths.
• Fluoride application is limited to once every six months.
• Surgical placement or removal of implants is not covered.
• Orthodontic services are not covered.
• Services for cosmetic reasons are not covered.

Refer to your policy for a complete listing of limitations and exclusions. This is a benefit summary only. For a complete description of benefits, refer to your policy.