Dental Plans 2024-25

Delta Dental Plans

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

Kaiser Dental Plan

Willamette Dental Group Plan

Willamette Dental Plan

Download the Dental Benefits 2024-25 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 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 ¹	Amount Paid Out
Network	Delta Dental Premier
Dental Office Visit Copay	N/A
Benefit Maximum	$2,200 ⁴
Deductible	$50

Delta Dental Premier Plan 1: Preventative ⁶	Plan pays
Oral exams, X-rays, cleaning (prophylaxis), fluoride treatments, and space maintainers	70% + 10% each Plan Year ⁶

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 5¹	Amount Paid Out
Network	Delta Dental Premier
Dental Office Visit Copay	N/A
Benefit Maximum	$1700 ⁴
Deductible	$50

Delta Dental Premier Plan 5: Preventative ⁶	Plan pays
Oral exams, X-rays, cleaning (prophylaxis), fluoride treatments, and space maintainers	70% + 10% each Plan Year ⁶

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	Amount Paid Out
Network	Delta Dental Premier
Dental Office Visit Copay	N/A
Benefit Maximum	$1200
Deductible	$50

Delta Dental Premier Plan 6: Preventative ⁶	Plan pays
Oral exams, X-rays, cleaning (prophylaxis), fluoride treatments, and space maintainers	100% ⁶

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 ²	Amount Paid Out
Network	Limited Network Plan - Delta Dental PPO
Dental Office Visit Copay	N/A
Benefit Maximum	$2,300 ⁴
Deductible	$50

Delta Dental Exclusive PPO – Incentive Plan: Preventative ⁶	Plan pays
Oral exams, X-rays, cleaning (prophylaxis), fluoride treatments, and space maintainers	100% ⁶

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 ²	Amount Paid Out
Network	Limited Network Plan - Delta Dental PPO
Dental Office Visit Copay	N/A
Benefit Maximum	$1,500 ⁴
Deductible	$50

Delta Dental Exclusive PPO: Preventative ⁶	Plan pays
Oral exams, X-rays, cleaning (prophylaxis), fluoride treatments, and space maintainers	100% ⁶

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 Plan ²	Amount Paid Out
Network	Limited Network Plan – Kaiser Permanente Facilities
Dental Office Visit Copay	$20 ³
Benefit Maximum	$4,000 ⁴
Deductible	N/A

Kaiser Dental: Preventative ⁶	Plan pays
Oral exams, X-rays, cleaning (prophylaxis), fluoride treatments, and space maintainers	100% ⁶

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: Major Restorative Services	Plan pays
Gold or porcelain crowns and onlays	$250 Copay ³
Implants	50% 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: Fixed and Removable Prosthetic Services	Plan pays
Full and partial dentures, relines, rebases	$100 Copay ³
Bridge retainers and pontics	$250 Copay ³

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 Plan ²	Amount Paid Out
Network	Limited Network Plan – Willamette Dental Group Facilities
Dental Office Visit Copay	$20 ³
Benefit Maximum	N/A
Deductible	N/A

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: Major Restorative Services	Plan pays
Gold or porcelain crowns and onlays	$250 Copay ³, ⁵
Implants	Implant surgery up to $1,500 calendar year maximum ⁵

Willamette Dental: Other covered services	Plan pays
Occlusal guards (night guards)	100% once every 2 years
Athletic mouth guards	$100 Copay ³
Nitrous Oxide	$15 Copay ³

Willamette Dental: Fixed and Removable Prosthetic Services	Plan pays
Full and partial dentures, relines, rebases	$100 Copay ³, ⁵
Bridge retainers and pontics	$250 Copay ³, ⁵

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.

Site Search

Quicklinks

Language Selection

In This Section

Dental Plans 2024-25

Delta Dental Plans

Kaiser Permanente Dental Plan

Willamette Dental Group Plan

Delta Dental Premier Plan 1 and 5

Delta Dental Premier Plan 1

Delta Dental Premier Plan 5

Delta Dental Premier Plan 6

Delta Dental Premier Plan 6

Delta Dental Exclusive PPO – Incentive Plan and Exclusive PPO Plan

Delta Dental Exclusive PPO
– Incentive Plan

Delta Dental Exclusive PPO Plan

Kaiser Dental Plan and Willamette Dental Plan

Kaiser Dental Plan

Willamette Dental Group

Notes