Dental Plans
- Eligible employees
- include full-time Faculty, full-time and part-time: Classified, Managerial, Academic Professionals, Confidentials.
Three dental plans are available which include a traditional fee for service plan and two dental maintenance organization (DMO) plans with low co-pays per visit. Orthodontia benefits are available through one of the plans.
New employees who are benefits eligible must enroll in their choice of dental plan on the first of the month following an initial 30-day waiting period. Changes to dental insurance elections can be made during the fall open enrollment period of each year. These changes become effective on October 1st of each year. Certain “qualifying events” permit enrollment in dental plans mid-year. Consult with a benefits specialist for details.
The three dental plans available to PCC employees with benefits and their families are listed and compared below. The column headings are links to each vendor's web site. To receive more information on any or all of these plans, please fill out this Benefit Materials Request form. To enroll, please use the Benefits Enrollment form.
These dental plans will be replaced in October. All employees must reapply for coverage. Please see the 2008-09 Open Enrollment information.| Regence BlueCross BlueShield Plan 1 | Regence BlueCross BlueShield Dentacare Plan | Kaiser | |
|---|---|---|---|
| Where to receive services | May see any licensed dentist. Participating Providers (PAR) will not charge for any balances beyond any deductible and coinsurance amount for covered expenses. Non-participating providers may charge for any balance above usual and customary charges. See the Regence website for provider information. |
Services are provided only through Willamette Dental Group (see Dentacare provider list available in Human Resources). | Services must be provided by a Kaiser dentist. (see Kaiser website for provider information) |
| Annual benefit limit per calendar year | $1,500 per person | None | None |
| Preventative and Basic Services | |||
| Exams, cleanings, fluoride, x-rays, fillings, minor surgery, simple extractions, root canal therapy | 70%/80%/90%/100% Benefits increase 10% each calendar year only if a dentist is seen for covered services. |
Fully covered after $10 visit charge | 100% after a $5 copay per visit |
| Prosthetics | |||
| Deductible per calendar year |
|
None | None |
| Dentures, bridges, inlays, crowns, denture reline, space maintainers | 50% after deductible | Fully covered after $10 visit charge | $45 copay each tooth Denture copays vary -- $25 to $95 |
| Orthodontia | |||
| Waiting period | No coverage | 6 months | No coverage |
| Lifetime Maximum | 100% after visit charge plus $1,500 copayment | ||
| Deductible | None | ||
| Age Limit | None | ||
Note: This is a brief summary of plan highlights. Refer to the plan booklets and the master contract for details.
| Employee Only | Employee + 1 | Employee + Family | |
|---|---|---|---|
| Regence BCBS - Plan 1 | $34.10 | $67.20 | $122.70 |
| Regence BCBS - Dentacare | $32.35 | $61.35 | $128.15 |
| Kaiser Permanente | $83.72 | $167.44 | $226.04 |