Changes from 2026:
Moda Delta Dental – Benefit Changes
- Coverage for additional cleaning while pregnant no longer needs to occur during the 3rd trimester. The additional cleaning can be performed any time during the pregnancy.
Plans with No Changes
- Kaiser Dental
- Willamette Dental
Looking for the Medical Comparison Chart?
- 2027 Medical Plan Comparison Chart (226.29 KB) Edit file
| Plan: | Delta Dental 50 | Kaiser Dental 15 | Willamette Dental |
|---|---|---|---|
| Annual Deductible | $50 per individual; $150 per family | None | None |
| Annual Maximum Benefit | $2,000 per person | None | None |
| Network | Any dentist operating within scope of license; Delta PPO Providers = least expensive Premier Providers = higher fees than PPO Out-of-Network Providers = most expensive and subject to balance-billing | Services must be provided, prescribed, referred or authorized by Kaiser Providers | Services must be provided, prescribed, referred or authorized by Willamette Dental Providers |
| Preventive & Diagnostic Services | |||
| Preventative Oral exam; X-rays; Teeth cleaning; Space maintainers | No charge | $15 copay | $10 copay |
| Basic Restorative Services | |||
| Routine fillings; Crowns (plastic/acrylic & steel); Simple extractions | 20% after deductible | $15 copay | $10 copay |
| Oral Surgery | |||
| Surgical tooth extractions including diagnosis & evaluation | 20% after deductible | $15 copay | $10 copay or $30 copay for specialist |
| Periodontics/Endodontics | |||
| Diagnosis & evaluation; Treatment of gum disease; Root canal; Related therapy | 20% after deductible | $15 copay | $10 copay or $30 copay for specialist |
| Major Restorative Services | |||
| Gold or porcelain crowns; Inlays; Bridge abutments; Pontics | 50% after deductible | $45 copay for each crown, inlay, bridge abutment or pontic | $10 copay |
| Orthodontic Care | |||
| Maximum lifetime orthodontia benefit per member (separate from dental annual max) | $3,000 | $3,000 | N/A |
| Orthodontics | You pay 50% of the first $6,000 in treatment costs; 100% of charges thereafter | You pay 50% of the first $6,000 in treatment costs and 100% of charges thereafter; $15 Office Visit copay applies to all visits | Pre-Orthodontia Treatment: $150 copay (applies toward $1,500 treatment copay); Orthodontia Treatment: You pay $1,500, Office Visit copay applies to all visits |
| Removable Prosthetic Services | |||
| Full & partial dentures | 50% after deductible | $65 copay for each full denture; $95 for each partial denture | $10 copay |
| Relines; Rebases | 50% after deductible | $25 copay for each reline or rebase | $25 copay for each reline or rebase |
| Emergency Services | |||
| In-plan providers | No special benefit Varies by service | No special benefit Varies by service | You pay $20 for visits outside regular office hours |
| Out-of-plan providers | You pay any coinsurance that normally applies plus all of amount exceeding reasonable & customary charges for eligible claims. | For KP Emergency dental services from a nonparticipating provider, you pay the normal nonemergency cost share, plus amounts that exceed the usual and customary for qualifying claims outside the service area. | You pay the balance after you are reimbursed up to $100 for qualifying claims outside the service area. |
| Other Benefits | |||
| Implants | Up to the annual max of $2,000 that applies to all dental services. Deductible applies. | Up to $2,000 annually toward an implant, which can cost approximately $5,000$6,000. | Up to $1,500 annually toward implant surgery, limit one surgery per year. Total cost is approximately $4,500. |
| Nightguards | 50% after deductible to annual maximum | 35% of full price for custom guard or $20 OTC option | Covered with office visit copay- $10/$30 |
| Nitrous oxide | Not Covered | $25 copay | $40 copay |
These comparisons are not intended to provide comprehensive plan information. All benefits and coverage are subject to plan limitations and definitions. This summary should not be considered a guarantee of coverage. Please consult the Summary Plan Description, Evidence of Coverage, or applicable health plan for specific coverage information.