|
ODS Health Plans of
Oregon
Index | Dental
Rates | Premier Benefits |
Preferred PPO Benefits |
Exclusions
| Brochure
& Application
ODS Premier Dental Plan
| |
Insured
Only |
Insured &
Spouse |
Insured & Spouse & Child (ren) |
Insured & Child (ren) |
| 0 - 19 |
$34.00 |
$69.00 |
$100.00 |
$67.00 |
| 20 - 24 |
$36.00 |
$73.00 |
$106.00 |
$73.00 |
| 25 - 29 |
$36.00 |
$73.00 |
$106.00 |
$73.00 |
| 30 - 34 |
$36.00 |
$73.00 |
$106.00 |
$73.00 |
| 35 - 39 |
$44.00 |
$90.00 |
$135.00 |
$87.00 |
| 40 - 44 |
$44.00 |
$90.00 |
$135.00 |
$87.00 |
| 45 - 49 |
$46.00 |
$92.00 |
$137.00 |
$92.00 |
| 50 - 54 |
$46.00 |
$92.00 |
$137.00 |
$92.00 |
| 55 - 59 |
$46.00 |
$92.00 |
$137.00 |
$92.00 |
| 60 - 64 |
$46.00 |
$92.00 |
$137.00 |
$92.00 |
ODS Preferred PPO Dental
Plan
| |
Insured
Only |
Insured &
Spouse |
Insured & Spouse & Child (ren) |
Insured & Child (ren) |
| 0 - 19 |
$31.00 |
$64.00 |
$100.00 |
$61.00 |
| 20 - 24 |
$34.00 |
$69.00 |
$102.00 |
$67.00 |
| 25 - 29 |
$34.00 |
$69.00 |
$102.00 |
$67.00 |
| 30 - 34 |
$34.00 |
$69.00 |
$102.00 |
$67.00 |
| 35 - 39 |
$39.00 |
$77.00 |
$114.00 |
$76.00 |
| 40 - 44 |
$39.00 |
$77.00 |
$114.00 |
$76.00 |
| 45 - 49 |
$43.00 |
$84.00 |
$125.00 |
$83.00 |
| 50 - 54 |
$43.00 |
$84.00 |
$125.00 |
$83.00 |
| 55 - 59 |
$43.00 |
$84.00 |
$125.00 |
$83.00 |
| 60 - 64 |
$43.00 |
$84.00 |
$125.00 |
$83.00 |
Monthly rates effective July 1, 2007
Monthly family rates are based on the age of primary
applicant
|
Plan Updates 