For almost 50 years, Willamette Dental Group has

proudly partnered with public employers throughout

the Pacific Northwest, offering high quality dental

care and outstanding insurance coverage to more than

450,000 patients.

Our evidence-based, proactive treatment approach to

dental care focuses on what matters most: providing

quality, individualized care to each patient that educates

for the future rather than only solving the immediate

issues at hand.

No annual maximum, no deductibles

Services covered at predictable, low copays

Most offices open 7AM to 6PM Mon – Fri with Saturday appointments available

Patient satisfaction averages over 92%

2018/19 PLAN CHANGES

Learn more about providers and locations at pebb.willamettedental.com

MORE THAN 50 DENTAL OFFICE LOCATIONS

Albany, OR

Bend, OR

Boise, ID

Corvallis, OR

Eugene, OR

Grants Pass, OR

Lincoln City, OR

Medford, OR

Locations Include:

Affordable orthodontic coverage for adults and children

QUICK FACTS

Form No. 044-OR90(7/18) Underwritten by Willamette Dental Insurance, Inc.

Benefit Current Copay Copay Change Effective 1/1/19

Office Visit Copay

$5 $10

Fillings $0 $20

Crowns & Bridges

$190 $250

Dentures $190 $290

Root Canals (Anterior, Bicuspid & Molar)

$0 $150

Surgical Extractions

$0 $40

Orthodontia* $1,500 $2,500

*Applies to newly banded patients only

Meridian, ID

Portland Metro (multiple locations)

Richland, WA

Roseburg, OR

Salem, OR (2 locations)

Springfield, OR

Tillamook, OR

Vancouver, WA

Benefits

Annual Maximum No Annual Maximum

Deductible No Deductible

Office Visit $10 per visit*

Diagnostic & Preventive Services

Routine & Emergency Exams Covered with the Office Visit Copay

X-rays Covered with the Office Visit Copay

Teeth Cleaning Covered with the Office Visit Copay

Fluoride Treatment Covered with the Office Visit Copay

Sealants (per tooth) Covered with the Office Visit Copay

Periodontal Evaluation Covered with the Office Visit Copay

Restorative Dentistry & Prosthodontics

Fillings $20

Stainless Steel Crown Covered with the Office Visit Copay

Porcelain-Metal Crowns $250

Complete Upper or Lower Denture $290

Bridge (per tooth) $250

Endodontics & Periodontics

Root Canal Therapy $150

Root Planing (per quadrant) Covered with the Office Visit Copay

Oral Surgery

Routine Extraction Covered with the Office Visit Copay

Surgical Extraction $40

Orthodontic Services

Pre-Orthodontic Service $150**

Comprehensive Orthodontia $2,500

Miscellaneous

Nitrous Oxide (per visit) Covered with the Office Visit Copay

Occlusal (Night) Guard Covered with the Office Visit Copay

Athletic Mouth Guard $100

Dental Implants 1 Tooth / 2 Teeth / 3 Teeth $2,745 / $5,060 / $7,210

Out of Area Emergency Care is Reimbursed Up to $150***

WILLAMETTE DENTAL GROUP PLAN BENEFIT SUMMARY

*An office visit copayment applies at each visit in addition to any copayments for services**This amount is credited towards the comprehensive orthodontia service copayment if member accepts treatment plan***Less Copayments

To receive the excellent benefits of the Willamette Dental Group plan, members must use a Willamette Dental Group provider at one of our more than 50 Willamette Dental Group dental office locations.