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ODS Health Plans of
Oregon
Index | Dental
Rates | Premier Benefits | Preferred PPO Benefits | Download Application
Delta Dental Premier Rates
| |
Individual |
Individual &
Spouse |
Individual & Child (ren) |
Individual & Spouse & Child (ren) |
| 0 - 19 |
$42.00 |
$84.00 |
$82.00 |
$122.00 |
| 20 - 24 |
$44.00 |
$89.00 |
$89.00 |
$130.00 |
| 25 - 29 |
$44.00 |
$89.00 |
$89.00 |
$130.00 |
| 30 - 34 |
$44.00 |
$89.00 |
$89.00 |
$130.00 |
| 35 - 39 |
$54.00 |
$110.00 |
$106.00 |
$165.00 |
| 40 - 44 |
$54.00 |
$110.00 |
$106.00 |
$165.00 |
| 45 - 49 |
$56.00 |
$113.00 |
$113.00 |
$168.00 |
| 50 - 54 |
$56.00 |
$113.00 |
$113.00 |
$168.00 |
| 55 - 59 |
$56.00 |
$113.00 |
$113.00 |
$168.00 |
| 60+ |
$56.00 |
$113.00 |
$113.00 |
$168.00 |
Delta Dental PPO Rates
| |
Individual |
Individual &
Spouse |
Individual & Child (ren) |
Individual & Spouse & Child (ren) |
| 0 - 19 |
$38.00 |
$48.00 |
$75.00 |
$117.00 |
| 20 - 24 |
$42.00 |
$82.00 |
$82.00 |
$125.00 |
| 25 - 29 |
$42.00 |
$82.00 |
$82.00 |
$125.00 |
| 30 - 34 |
$42.00 |
$82.00 |
$82.00 |
$125.00 |
| 35 - 39 |
$48.00 |
$93.00 |
$93.00 |
$139.00 |
| 40 - 44 |
$48.00 |
$93.00 |
$93.00 |
$139.00 |
| 45 - 49 |
$53.00 |
$103.00 |
$102.00 |
$153.00 |
| 50 - 54 |
$53.00 |
$103.00 |
$102.00 |
$153.00 |
| 55 - 59 |
$53.00 |
$103.00 |
$102.00 |
$153.00 |
| 60+ |
$53.00 |
$103.00 |
$102.00 |
$153.00 |
Monthly rates effective January 1, 2010 through October 31, 2010
Monthly family rates are based on the age of primary applicant
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HealthNet
Oregon 