Dental Plans

Delta Dental Plans
Exclusive PPO – Incentive Plan
Under Delta Dental Plans 1 and 5, and Exclusive PPO - Incentive Plan benefits start at 70% the first plan year then increase by 10% each plan year (up to a maximum of 100%) provided the individual has visited the dentist at least once during the previous plan year.
Kaiser Permanente Dental Plan
Willamette Dental Group Plan
Download the Dental Benefits 2025-26 PDF
This page is for comparison purposes only. It does not fully describe the benefits of each plan. Refer to the plan documents for more details. If there is a conflict between this comparison and the plan documents, the plan documents will prevail.
- Delta Dental Premier Plan 1 and 5
- Delta Dental Premier Plan 6
- Delta Dental Exclusive PPO – Incentive Plan and Exclusive PPO Plan
- Kaiser Dental Plan and Willamette Dental Plan
Delta Dental Premier Plan 1 and 5
Delta Dental Premier Plan 1
Benefits start at 70% the first plan year then increase by 10% each plan year (up to a maximum of 100%) provided the individual has visited the dentist at least once during the previous plan year
| Delta Dental Premier Plan 1: Restorative Services | Plan pays |
|---|---|
| Routine fillings, inlays and stainless-steel crowns | 70% + 10%1 each Plan Year |
| Delta Dental Premier Plan 1: Simple Extraction | Plan pays |
|---|---|
| Simple tooth extractions | 70% + 10% each Plan Year |
| Delta Dental Premier Plan 1: Oral Surgery | Plan pays |
|---|---|
| Surgical tooth extractions, including diagnosis and evaluation | 70% + 10% each Plan Year |
| Delta Dental Premier Plan 1: Periodontics | Plan pays |
|---|---|
| Diagnosis, evaluation, and treatment of gum disease including scaling and root planing | 70% + 10% each Plan Year |
| Delta Dental Premier Plan 1: Endodontics | Plan pays |
|---|---|
| Root canal and related therapy including diagnosis and evaluation | 70% + 10% each Plan Year |
| Delta Dental Premier Plan 1: Major Restorative Services | Plan pays |
|---|---|
| Gold or porcelain crowns and onlays | 70% + 10% each Plan Year |
| Implants | 70% + 10% each Plan Year |
| Delta Dental Premier Plan 1: Other covered services | Plan pays |
|---|---|
| Occlusal guards (night guards) | 50% up to $250 max, once every 5 years |
| Athletic mouth guards | 50% |
| Nitrous Oxide | 50% |
| Delta Dental Premier Plan 1: Fixed and Removable Prosthetic Services | Plan pays |
|---|---|
| Full and partial dentures, relines, rebases | 70% + 10% each Plan Year |
| Bridge retainers and pontics | 70% + 10% each Plan Year |
| Delta Dental Premier Plan 1: Orthodontics | Plan pays |
|---|---|
| Surgical tooth extractions, including diagnosis and evaluation | 80% to $1,800 lifetime max |
Delta Dental Premier Plan 5
Benefits start at 70% the first plan year then increase by 10% each plan year (up to a maximum of 100%) provided the individual has visited the dentist at least once during the previous plan year
| Delta Dental Premier Plan 5: Restorative Services | Plan pays |
|---|---|
| Routine fillings, inlays and stainless-steel crowns | 70% + 10%1 each Plan Year |
| Delta Dental Premier Plan 5: Simple Extraction | Plan pays |
|---|---|
| Simple tooth extractions | 70% + 10% each Plan Year |
| Delta Dental Premier Plan 5: Oral Surgery | Plan pays |
|---|---|
| Surgical tooth extractions, including diagnosis and evaluation | 70% + 10% each Plan Year |
| Delta Dental Premier Plan 5: Periodontics | Plan pays |
|---|---|
| Diagnosis, evaluation, and treatment of gum disease including scaling and root planing | 70% + 10% each Plan Year |
| Delta Dental Premier Plan 5: Endodontics | Plan pays |
|---|---|
| Root canal and related therapy including diagnosis and evaluation | 70% + 10% each Plan Year |
| Delta Dental Premier Plan 5: Major Restorative Services | Plan pays |
|---|---|
| Gold or porcelain crowns and onlays | 70% |
| Implants | 50% |
| Delta Dental Premier Plan 5 - Other covered services | Plan pays |
|---|---|
| Occlusal guards (night guards) | 50% up to $250 max, once every 5 years |
| Athletic mouth guards | 50% |
| Nitrous Oxide | 50% |
| Delta Dental Premier Plan 5: Fixed and Removable Prosthetic Services | Plan pays |
|---|---|
| Full and partial dentures, relines, rebases | 50% |
| Bridge retainers and pontics | 50% |
| Delta Dental Premier Plan 5: Orthodontics | Plan pays |
|---|---|
| Surgical tooth extractions, including diagnosis and evaluation | 80% to $1,800 lifetime max |
Delta Dental Premier Plan 6
Delta Dental Premier Plan 6
| Delta Dental Premier Plan 6 | Amount Paid Out |
|---|---|
| Network | Delta Dental Premier |
| Dental Office Visit Copay | N/A |
| Benefit Maximum | $1200 |
| Deductible | $50 |
| Delta Dental Premier Plan 6: Restorative Services | Plan pays |
|---|---|
| Routine fillings, inlays and stainless-steel crowns | 80%1 |
| Delta Dental Premier Plan 6: Simple Extraction | Plan pays |
|---|---|
| Simple tooth extractions | 80% |
| Delta Dental Premier Plan 6: Oral Surgery | Plan pays |
|---|---|
| Surgical tooth extractions, including diagnosis and evaluation | 80% |
| Delta Dental Premier Plan 6: Periodontics | Plan pays |
|---|---|
| Diagnosis, evaluation, and treatment of gum disease including scaling and root planing | 80% |
| Delta Dental Premier Plan 6: Endodontics | Plan pays |
|---|---|
| Root canal and related therapy including diagnosis and evaluation | 80% |
| Delta Dental Premier Plan 6: Major Restorative Services | Plan pays |
|---|---|
| Gold or porcelain crowns and onlays | 50% |
| Implants | 50% |
| Delta Dental Premier Plan 6: Other covered services | Plan pays |
|---|---|
| Occlusal guards (night guards) | 50% up to $250 max, once every 5 years |
| Athletic mouth guards | 50% |
| Nitrous Oxide | 50% |
| Delta Dental Premier Plan 6: Fixed and Removable Prosthetic Services | Plan pays |
|---|---|
| Full and partial dentures, relines, rebases | 50% |
| Bridge retainers and pontics | 50% |
| Delta Dental Premier Plan 61 Orthodontics | Plan pays |
|---|---|
| Surgical tooth extractions, including diagnosis and evaluation | NO ORTHO COVERAGE on this plan |
Delta Dental Exclusive PPO – Incentive Plan and Exclusive PPO Plan
Delta Dental Exclusive PPO
– Incentive Plan
Benefits start at 70% the first plan year then increase by 10% each plan year (up to a maximum of 100%) provided the individual has visited the dentist at least once during the previous plan year
| Delta Dental Exclusive PPO – Incentive Plan: Restorative Services | Plan pays |
|---|---|
| Routine fillings, inlays and stainless-steel crowns | 70% + 10% each Plan Year |
| Delta Dental Exclusive PPO – Incentive Plan: Simple Extraction | Plan pays |
|---|---|
| Simple tooth extractions | 70% + 10% each Plan Year |
| Delta Dental Exclusive PPO – Incentive Plan: Oral Surgery | Plan pays |
|---|---|
| Surgical tooth extractions, including diagnosis and evaluation | 70% + 10% each Plan Year |
| Delta Dental Exclusive PPO - Incentive Plan: Periodontics | Plan pays |
|---|---|
| Diagnosis, evaluation, and treatment of gum disease including scaling and root planing | 70% + 10% each Plan Year |
| Delta Dental Exclusive PPO - Incentive Plan: Endodontics | Plan pays |
|---|---|
| Root canal and related therapy including diagnosis and evaluation | 70% + 10% each Plan Year |
| Delta Dental Exclusive PPO - Incentive Plan: Major Restorative Services | Plan pays |
|---|---|
| Gold or porcelain crowns and onlays | 70% + 10% each Plan Year |
| Implants | 70% + 10% each Plan Year |
| Delta Dental Exclusive PPO - Incentive Plan: Other covered services | Plan pays |
|---|---|
| Occlusal guards (night guards) | 50% up to $250 max, once every 5 years |
| Athletic mouth guards | 50% |
| Nitrous Oxide | 50% |
| Delta Dental Exclusive PPO - Incentive Plan: Fixed and Removable Prosthetic Services | Plan pays |
|---|---|
| Full and partial dentures, relines, rebases | 70% + 10% each Plan Year |
| Bridge retainers and pontics | 70% + 10% each Plan Year |
| Delta Dental Exclusive PPO - Incentive Plan: Orthodontics | Plan pays |
|---|---|
| Surgical tooth extractions, including diagnosis and evaluation | 80% to $1,800 lifetime max |
Delta Dental Exclusive PPO Plan
| Delta Dental Exclusive PPO Plan: Restorative Services | Plan pays |
|---|---|
| Routine fillings, inlays and stainless-steel crowns | 90%1 |
| Delta Dental Exclusive PPO: Simple Extraction | Plan pays |
|---|---|
| Simple tooth extractions | 90% |
| Delta Dental Exclusive PPO: Oral Surgery | Plan pays |
|---|---|
| Surgical tooth extractions, including diagnosis and evaluation | 90% |
| Delta Dental Exclusive PPO: Periodontics | Plan pays |
|---|---|
| Diagnosis, evaluation, and treatment of gum disease including scaling and root planing | 90% |
| Delta Dental Exlusive PPO: Endodontics | Plan pays |
|---|---|
| Root canal and related therapy including diagnosis and evaluation | 90% |
| Delta Dental Exlusive PPO: Major Restorative Services | Plan pays |
|---|---|
| Gold or porcelain crowns and onlays | 80% |
| Implants | 80% |
| Delta Dental Exclusive PPO: Other covered services | Plan pays |
|---|---|
| Occlusal guards (night guards) | 50% up to $250 max, once every 5 years |
| Athletic mouth guards | 50% |
| Nitrous Oxide | 50% |
| Delta Dental Exclusive PPO: Fixed and Removable Prosthetic Services | Plan pays |
|---|---|
| Full and partial dentures, relines, rebases | 80% |
| Bridge retainers and pontics | 80% |
| Delta Dental Exclusive PPO: Orthodontics | Plan pays |
|---|---|
| Surgical tooth extractions, including diagnosis and evaluation | 80% to $1,800 lifetime max |
Kaiser Dental Plan and Willamette Dental Plan
Kaiser Dental Plan
Services performed by providers outside the limited network are not covered unless for a dental emergency. Emergency services include limited exam and palliative treatment only.
| Kaiser Dental: Restorative Services | Plan pays |
|---|---|
| Routine fillings, inlays and stainless-steel crowns | 100% 3 |
| Kaiser Dental: Simple Extraction | Plan pays |
|---|---|
| Simple tooth extractions | 100% 3 |
| Kaiser Dental: Oral Surgery | Plan pays |
|---|---|
| Surgical tooth extractions, including diagnosis and evaluation | $50 Copay 3 |
| Kaiser Dental: Periodontics | Plan pays |
|---|---|
| Diagnosis, evaluation, and treatment of gum disease including scaling and root planing | 100% 3 |
| Kaiser Dental: Endodontics | Plan pays |
|---|---|
| Root canal and related therapy including diagnosis and evaluation | $50 Copay 3 |
| Kaiser Dental: Other covered services | Plan pays |
|---|---|
| Occlusal guards (night guards) | 65%, once every 5 years |
| Athletic mouth guards | 65%, once every 12 months |
| Nitrous Oxide | $0 copay (Age 12 & Under) $25 copay (Age 13 & Up) |
| Kaiser Dental: Orthodontics | Plan pays |
|---|---|
| Surgical tooth extractions, including diagnosis and evaluation | $2,500 Copay + $20 per visit |
Willamette Dental Group
Services performed by providers outside the limited network are not covered unless for a dental emergency. Emergency services include limited exam and palliative treatment only.
| Willamette Dental: Preventative 6 | Plan pays |
|---|---|
| Oral exams, X-rays, cleaning (prophylaxis), fluoride treatments, and space maintainers | 100% |
| Willamette Dental: Restorative Services | Plan pays |
|---|---|
| Routine fillings, inlays and stainless-steel crowns | 100% 3 |
| Willamette Dental: Simple Extraction | Plan pays |
|---|---|
| Simple tooth extractions | 100% 3 |
| Willamette Dental: Oral Surgery | Plan pays |
|---|---|
| Surgical tooth extractions, including diagnosis and evaluation | $50 Copay 3 |
| Willamette Dental: Periodontics | Plan pays |
|---|---|
| Diagnosis, evaluation, and treatment of gum disease including scaling and root planing | 100% 3 |
| Willamette Dental: Endodontics | Plan pays |
|---|---|
| Root canal and related therapy including diagnosis and evaluation | $50 Copay 3 |
| Willamette Dental: Orthodontics | Plan pays |
|---|---|
| Surgical tooth extractions, including diagnosis and evaluation | $2,500 Copay + $20 per visit |
Notes
- N/A – Not applicable
- Content on this page is for comparison purposes only. It does not fully describe the benefits of each plan. Refer to the plan documents for more details. If there is a conflict between this comparison and the plan documents, the plan documents will prevail.
- Under Delta Dental Plans 1 and 5, and Exclusive PPO - Incentive Plan benefits start at 70% the first plan year then increase by 10% each plan year (up to a maximum of 100%) provided the individual has visited the dentist at least once during the previous plan year.
- Services performed by providers outside the limited network are not covered unless for a dental emergency. Emergency services include limited exam and palliative treatment only.
- Office visit copayment applies at each visit, in addition to any plan copayments for services.
- Preventive care and orthodontia do not accrue to this maximum.
- Dental implant-supported prosthetics (crowns, bridges, and dentures) are not a covered benefit under the Willamette Dental Group plan.
- Preventive services will not accrue towards the plan benefit maximum.