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ODS Health Insurance
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ODS Health Insurance


ODS Health Plans of Oregon

Index | Dental Rates | Premier Benefits | Preferred PPO Benefits | Exclusions | Brochure & Application

ODS Preferred PPO Dental Plan Benefits

Plan year maximum, per member
First year benefit maximum
$750
Second year benefit maximum
$1,000
Third year benefit maximum
$1,250
Plan year deductible, per member $50
Service Benefit
Class 1 (deductible waived*)
    Examinations/x-rays (routine exam & bitewing x-rays once every six months)
    Prophylaxis (cleanings once every six months)
    Fissure sealants
    Fluoride
PPO
Network
Non-PPO
Network
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 & certain minor surgical procedures)
    Endodontic (pulp therapy and root canal filling)
    Periodontics (treatment of tissues supporting the teeth)

    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%
Unique Features
  • PPO Plan
  • Deductible waived for Class 1 services rendered by a participating PPO dentist
  • Largest PPO dental network in the state, with more than 560 participating dentists
  • Premier panel dentists paid at non-PPO level
 

 


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