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Your dental benefit plan should meet your oral health needs. That’s why we offer two plans for public employees—the Uniform Dental Plan (PEBB Plan 3000) and DeltaCare® (PEBB Plan 3100). These very different plans are designed to meet specific oral health needs.
The UDP gives you the most freedom to see your favorite dentists while DeltaCare gives you the richest coverage.
We want you to choose the right plan for you. So, before selecting a dental plan you should consider your oral health needs. Look back over the last few years and ask yourself:
- Do I have a favorite dentist?
- Do I need care from specialists?
- Do I already need some specific, non-preventive services?
- Do I want a plan with coinsurance or copays?
With your oral health needs in mind, look at the charts and plan summaries below. They highlight the key differences between the Uniform Dental Plan (UDP) and DeltaCare.
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Important Plan Features
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Uniform Dental Plan
Preferred Provider Plan
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DeltaCare
Managed Care Plan
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Freedom to choose any dentist
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YES
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NO
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Freedom to get specialist care without a referral
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YES
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NO
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Largest dental provider network in the state and nationwide
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YES
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NO
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Coverage for out-of-network care
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YES
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NO
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Unlimited coverage for fillings, root canals, crowns and other restorative services
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NO
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YES
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Coverage with no deductible for fillings, root canals, crowns and other restorative services
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NO
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YES
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Fixed dollar copays
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NO
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YES
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A Primary Care Dentist required
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NO
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YES
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Comparison of Dental Plans
Both the UDP and DeltaCare provide benefits for a wide variety of services, with preventive care covered in full. The plans differ in how they pay their share for the cost of your non-preventive care.
In the UDP, you pay an annual deductible and coinsurance (%) for covered, non-preventive services.
In the DeltaCare plan, there is no deductible and you pay your share of costs in the form of copays, which are pre-set for different types of dental care services.
Click here to see a side-by-side summary comparison of UDP and DeltaCare coverage
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Uniform Dental Plan
Preferred Provider Plan
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DeltaCare
Managed Care Plan
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Annual Deductible
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$50 per eligible person each benefit period; $150 family deductible maximum
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None
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Maximum Annual Plan Payment
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$1,750 per eligible person, each benefit period
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None
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Procedure
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PPO Dentists in Washington State
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Out-of-State Dentists
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Non-PPO Dentists in Washington State
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DeltaCare Dentists in Washington State
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After deductible, you pay:
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You Pay:
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Cleanings and exams
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0%
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10%
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20%
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$0
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Fillings (Restorative)
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20%
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30%
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$10 to $50
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Crowns (Restorative)
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50%
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60%
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$120 to $175
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Orthodontia
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50%
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Up to $1,500 per case
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Tooth extractions
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20%
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30%
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$10 to $50
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Root canals (Endodontics)
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20%
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30%
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$100 to $150
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Treatment of gum disease (Periodontic services)
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20%
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30%
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$15 to $100
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Dentures
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50%
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60%
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$140
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Implants
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50%
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60%
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$2,800
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Nonsurgical TMJ
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30% of costs under $500 for PPO, out of state or non-PPO; then any amount over $500 in member's lifetime
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30% of costs under $500; then any amount over $500 in member's lifetime
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Orthognathic surgery
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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
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30% of costs up to $5,000; then any amount over $5,000 in member's lifetime
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With your Uniform Dental Plan, you can choose from over 3,400 Delta Dental PPO dentists in Washington state. It’s the largest network of dentists, trusted by the most smiles.
UDP—Delta Dental PPO Network Search
If you have a DeltaCare plan, you must select a primary care dentist from within the DeltaCare network when you enroll. If you need care from dental specialists, your PCD will coordinate it for you.
Remember: DeltaCare does not cover care received from non-contracted dentists—except for dental emergencies
DeltaCare Network Search
You can take a closer look at the details for the coverage each plan provides, including specific limitations and exclusions.
Take a few minutes to look over the plan’s certificate of coverage below.
As a Uniform Dental Plan or DeltaCare member, you’ll get coverage designed to meet your needs with excellent service from Delta Dental of Washington. The button below will take you to the PEBB login page so you can enroll.
We want to help you make the best decisions for your oral health. If you have any questions about our plan offerings, don’t hesitate to give us a call.
Our dedicated plan specialists are ready to help.
For UDP, please call (800) 537-3406 For DeltaCare, please call (800) 650-1583
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