Print this pageWhere Are the Plans Offered?
Is a Managed-Care Dental Plan Right for You?
Special Note for Retirees
Where Are the Plans Offered?
- The Uniform Dental Plan (UDP), a preferred provider plan administered by Washington Dental Service (WDS), allows you the freedom to choose any dentist. However, it provides a higher level of reimbursement if your dentist is a WDS participating provider. The UDP offers services in every county of Washington State. Outside of Washington, services are reimbursed at a higher level than for services provided by non-PPO dentists in Washington. You can verify your dentist’s participation by calling Uniform Dental Plan at 1-800-537-3406. Note: UDP does not issue I.D. cards.
- DeltaCare (Group #3100), administered by WDS, you select a primary care dentist from the DeltaCare network, and you must receive care from your selected dentist. Because WDS administers several dental plans, each with its own provider network, be sure to verify that your dentist is in the DeltaCare network. This is important, as you could be responsible for costs if you receive care from a provider who is not in the DeltaCare network. Providers are located in:
- Willamette Dental requires
that you receive care from Willamette Dental dentists or specialists. Their dental offices are
located in:
Bellevue
Bellingham
Everett
Federal Way
Kennewick
Kent
Lakewood
Longview
Lynnwood
Olympia
Pullman
PuyallupRenton
Richland
Seattle
Silverdale
Spokane
Tacoma
Tumwater
Vancouver
Wenatchee
Yakima
Portland metro area (Oregon)
Please note: Because dentist and clinic participation with the dental plans can change, please contact the dental plans to verify dentists and clinic locations.
Is a Managed-Care Dental Plan Right for You?
The benefits comparison table compares the features of the UDP and the managed-care dental plans. Before enrolling in a managed-care dental plan, it is important to answer the following questions:
- Is the dentist I have chosen accepting new patients? (Remember to identify yourself as a PEBB member.)
- Am I willing to travel for services if I select a dentist in another service area?
- Do I understand that all dental care is managed through my primary care dentist or network provider, and I cannot self-refer for specialty care?
If your answer to these questions is yes, you may want to consider enrolling in a managed-care dental plan.
For full coverage provisions, including limitations and exclusions, refer to a PEBB certificate of coverage (available through the dental plans).
Please note: Benefits for emergency care received out of the plan’s service area; missed appointment charges; and the number of exams, x-rays, cleanings, and other procedures allowed in a certain time period vary by plan. Contact the plans directly for details.
If you are receiving continuous dental treatment (such as orthodontia) and are considering changing plans, contact the plans directly to find out if they cover your continuous dental treatment if you enroll in their plan.
