Go to:


 
PEBB offers dental plans through: 

  1. Uniform Dental Plan (UDP), administered by Delta Dental of Washington (formerly Washington Dental Service) 
    (preferred-provider plan)
  2. DeltaCare, administered by Delta Dental of Washington (formerly Washington Dental Service)
    (managed-care plan)
  3. Willamette Dental Group Plan
    (managed-care plan)
      

Dental networks

​Preferred-provider plan Managed-care plans​ ​ ​

Uniform Dental Plan (UDP)

(Group 3000 Delta Dental PPO)

DeltaCare

(Group 3100)

​What providers can I see?
​Any dental provider, but you'll usually pay less out of pocket if you go to a provider in the Delta Dental PPO network. ​Only providers in the DeltaCare (Group 3100) network. You'll have a primary care provider who oversees your care, and authorizes specialist referrals. ​Only providers in the Willamette Dental Group network. You'll have a primary care provider who oversees your care, and authorizes specialist referrals.
What if I see an out-of-network provider?
​You'll be responsible for having your provider complete and sign a claim form. ​You'll be responsible for the costs. ​You'll be responsible for the costs.
​Is my provider contracted?
​Use Delta Dental's online search tool, or call their customer service at 1-800-537-3406. ​​Use Delta Dental's online search tool, or call their customer service at 1-800-650-1583. ​See Willamette's online provider listing, or call their customer service at 1-855-4DENTAL (1-855-433-6825).

 

  Is a managed-care plan right for me?

Before you enroll in a managed-care dental plan, consider:

  • Is the provider I want accepting new patients?
    (Remember to identify yourself as a PEBB member.)
  • Am I willing to travel if I pick a provider who isn't nearby?
  • Am I OK with my dental care being managed through my primary care provider 
    (so I can't self-refer for specialty care)?

If you're receiving continuous dental treatment (like orthodontia) and are considering a plan change, contact the plans directly to make sure they'll cover your treatment.

 

Dental benefit comparison 

​Preferred-provider plan ​Managed-care plans ​

 
 Annual costs

Uniform Dental Plan (UDP)

(Group 3000 Delta Dental PPO)

​DeltaCare

(Group 3100)

Deductible $50/person; $150/family​ ​None ​
Plan maximum
(See specific benefits maximums below.)
​You pay amounts over $1,750 ​No general plan maximum ​
 

 Benefits​

 You pay after deductible

​ You pay

Dentures ​50% PPO and out of state; 60% non-PPO ​$140 for complete upper or lower ​
​Endodontics (root canals) ​20% PPO and out of state; 30% non-PPO ​$100 to $150 ​
Nonsurgical TMJ ​30% of costs under $500 for PPO, out of state or non-PPO; then any amount over $500 in member's lifetime DeltaCare:
30% of costs, then any amount after plan pays $1,000 per year, then any amount over $5,000 in member's lifetime

Willamette Dental Group Plan:
Any amount over $1,000 per year and $5,000 in member's lifetime ​
​Oral surgery ​20% PPO and out of state; 30% non-PPO ​$10 to $50 to extract erupted teeth ​
​Orthodontia ​50% of costs under $1,750 for PPO, out of state, or non-PPO, then any amounts over $1,750 in member's lifetime ​Up to $1,500 per case ​
Orthognathic surgery ​30% of costs up to $5,000 for PPO, out of state, or non-PPO; then any amount over $5,000 in member's lifetime ​30% of costs up to $5,000; then any amount over $5,000 in member's lifetime ​
Periodontic services ​20% PPO and out of state; 30% non-PPO ​$15 to $100 ​
Preventive/diagnostic
(deductible doesn't apply)
​$0 PPO; 10% out of state; 20% non-PPO ​$0 ​
Restorative crowns ​50% PPO and out of state; 60% non-PPO ​$100 to $175 ​
Restorative fillings ​20% PPO and out of state; 30% non-PPO ​$10 to $50 ​
  

Benefits booklets (certificates of coverage)