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Welcome to Delta Dental of Oregon

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Welcome to Delta Dental of Oregon

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Small Group Benefit Summaries Oregon


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Quickly and easily download everything you and your employees need for enrolling in a Delta Dental plan, filing claims and administering benefits.

View Benefit Summaries for:

  • 2020
  • 2019

Plan Deductible Annual Max Exams and cleanings
Premier Plans
Delta Dental Premier®, 1000, 100*/80/50, 25 $25 $1,000 0%
Delta Dental Premier®, 1000, 100*/80/50, 50 $50 $1,000 0%
Delta Dental Premier®, 1000, 80/80/50, 50 $50 $1,000 20% after deductible
Delta Dental Premier®, 1500, 100*/80/50, 25 $25 $1,500 0%
Delta Dental Premier®, 1500, 100*/80/50, 50 $50 $1,500 0%
Delta Dental Premier®, 2000, 100*/80/50, 50 $50 $2,000 0%
Delta Dental Premier® Shining Smiles $50 N/A Not covered
Premier Preventative First Plans
Delta Dental Premier® PF, 1000, 100*/80/50, 50 $50 $1,000 0%
Delta Dental Premier® PF, 1500, 100*/80/50, 50 $50 $1,500 0%
Premier Voluntary Plans
Delta Dental Premier®, Voluntary, 1000, 100*/80/50, 50 $50 $1,000 0%
Delta Dental Premier®, Voluntary, 1000, 80/80/50, 50 $50 $1,000 20% after deductible
Delta Dental Premier®, Voluntary, 1500, 100*/80/50, 50 $50 $1,500 0%
Delta Dental Premier®, Voluntary, 1500, 80/80/50, 50 $50 $1,500 20% after deductible
PPO Plans
Delta Dental PPOSM, 1000, 100*/80/50, 50 $50 $1,000 0%
Delta Dental PPOSM, 1000A, 100*/90/50, 50 $50 $1,000 0%
Delta Dental PPOSM, 1000B, 100*/80/50, 50 $50 $1,000 0%
Delta Dental PPOSM, 1500, 100*/80/50, 50 $50 $1,500 0%
Delta Dental PPOSM, 1500A, 100*/90/50, 25 $25 $1,500 0%
Delta Dental PPOSM, 1500A, 100*/90/50, 50 $50 $1,500 0%
Delta Dental PPOSM, 1500B, 100*/80/50, 25 $25 $1,500 0%
Delta Dental PPOSM, 1500B, 100*/80/50, 50 $50 $1,500 0%
Delta Dental PPOSM, 2000B, 100*/80/50, 50 $50 $2,000 0%
PPO Preventive First Plans
Delta Dental PPOSM, PF, 1000, 100*/80/50, 50 $50 $1,000 0%
Delta Dental PPOSM, PF, 1000A, 100*/90/50, 50 $50 $1,000 0%
Delta Dental PPOSM, PF, 1000B, 100*/80/50, 50 $50 $1,000 0%
Delta Dental PPOSM, PF, 1500, 100*/80/50, 50 $50 $1,500 0%
Delta Dental PPOSM, PF, 1500A, 100*/90/50, 50 $50 $1,500 0%
Delta Dental PPOSM, PF, 1500B, 100*/80/50, 50 $50 $1,500 0%
PPO Voluntary Plans
Delta Dental PPOSM, Voluntary, 1000, 100*/90/50, 50 $50 $1,000 0%
Delta Dental PPOSM, Voluntary, 1000, 100*/80/50, 50 $50 $1,000 0%
Delta Dental PPOSM, Voluntary, 1500, 100*/90/50, 50 $50 $1,500 0%
Delta Dental PPOSM, Voluntary, 1500, 100*/80/50, 50 $50 $1,500 0%
Delta Dental EPO Plans
Delta Dental EPO,1000, 100*/80/50, 50 $50 $1,000 0%
Delta Dental EPO,1500, 100*/80/50, 50 $50 $1,500 0%
* Deductible waived for Class 1 services
PF means Class 1 does not apply to annual maximum

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