Voluntary Dental
Moda Health voluntary dental plans allow individual employees the opportunity to enjoy a comprehensive dental plan. They do not require every employee in the company to participate. The plans offer long-term rate stability for members and make it easier for employers to offer a quality dental benefit.
Provider network
The plans use our Delta Dental Premier Network, the largest contracted network of dentists in Oregon. For companies with employees working in other states, Moda Health offers access to more than 114,000 dentists nationwide through our affiliation with the Delta Dental Plans. We are the only local dental plan offering a national network solution.
Enrollment and administration
Moda Health voluntary dental plans are easy to administer. Groups simply collect subscriber payments through their regular payroll deductions and submit payment and eligibility information to us. We do everything else.
Plan requirements
- Moda Health reserves the right to review these rates if the census of eligible individuals varies by more than 10 percent from the census provided with the quote request.
- Groups must meet minimum enrollment:
- Moda Health groups with 40 or more employees: requires a minimum of 25 percent participation; at least 10 employees must enroll
- Willamette Dental groups with 20 or more employees: requires a minimum of 25 percent participation; at least five employees must enroll
- The employer must set up payroll deductions and submit premiums on behalf of their employees.
- Moda Health voluntary dental plans cannot coexist with another dental plan offered by another carrier.
- Employees participating in the Moda Health voluntary dental program are required to contribute to their plan’s monthly premium. Employee contributions may be up to 100 percent of the premium.
Plan designs
Below is a list of standard plan designs. We know that every group has unique needs. That’s why we can provide specialized plan designs for groups with 100 or more enrolled subscribers. Please contact your Moda Health Sales & Account Service Representative for more information about specially designed dental plans.
| Plan # | Ded. (3x Fam.) | Max. | Prevent | Basic | Major |
|---|---|---|---|---|---|
| 1The preventive and basic benefits on this incentive dental plan increases to 10% 2Deductible waived for preventive services |
|||||
| Delta Dental Premier | |||||
| 1 | $0 | $1,500 to $2,5001 | 70-100%2 | 70-100%2 | 50% |
| 2 | $25 | $1,500 to $2,5001 | 100% | 80% | 50% |
| 3 | $50 | $1,000 or $2,5001 | 100% | 80% | 50% |
| 4 | $25 | $1,500 to $2,5001 | 80% | 80% | 50% |
| 5 | $50 | $1,000 or $2,5001 | 80% | 80% | 50% |
| 6 | $25 | $1,500 to $2,5001 | 80% | 50% | 50% |
| 7 | $50 | $1,000 or $2,5001 | 80% | 50% | 50% |
| Delta Dental PPO Plans | |||||
| 8 | $25 | $1,500 to $2,5001 | In=100% | In=80% | In=50% |
| Out=80% | Out=60% | Out=50% | |||
| 9 | $50 | $1,000 or $2,5001 | In=100% | In=80% | In=50% |
| Out=80% | Out=60% | Out=50% | |||
| Plan# | Ded. (3x Fam.) | Max. | Prevent | Basic | Major | |
|---|---|---|---|---|---|---|
| 1The preventive and basic benefits on this incentive dental plan increases in 10% increments every year as long as the member visits the dentist at least once annually 2Deductible waived for preventive services 312-month waiting period | Premier | |||||
| 1 | VA01 | $0 | $1,000 | 70- 100%1 |
70- 100%1 |
50%3 |
| VA0 | $1,500 | |||||
| 2 | VB3X501 | $50 | $1,000 | 100%2 | 80% | 50%3 |
| VB3X50 | $1,500 | |||||
| 3 | VC3X501 | $50 | $1,000 | 80% | 80% | 50%3 |
| VC3X50 | $1,500 | |||||
| 4 | VD3X501 | $50 | $1,000 | In=80% Out=80% |
In=50% Out=50% |
In=50%3 Out=50%3 |
| VD3X50 | $1,500 | |||||
| PPO | ||||||
| 5 | VBP3X501 | $50 | $1,000 | In=100% 2 Out=80%2 |
In=80% Out=60% |
In=50%3 Out=50%3 |
| VBP3X50 | $1,500 | |||||
| Direct Option | ||||||
| Plan# | Copay | Max. | Prevent | Crown copay | Orthodontia copay | |
| 6 | VD1b | $15 | Unlimited | 100% | $375 | $2,200 |
| 7 | VD2b | $25 | Unlimited | 100% | $375 | $2,200 |
Orthodontic rider
Members can enhance their Premier or PPO voluntary dental plan with an orthodontic rider (an 18-month exclusion period applies).
Child only
Coinsurance: 50%
Lifetime maximum options: $1,000 VCO1000 or $1,500 VCO1500
Questions?
If you can't find an answer, please feel free to contact our Customer Service Customer Service Customer Service
Questions?
If you can't find an answer, please feel free to contact our Customer Service
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