Health Benefits

Your Dental Benefits

Active Employees Only

(Retirees do not have dental benefits through the Trust)

Your Dental Plan covers preventive, diagnostic and treatment services that are dentally appropriate and performed by a licensed dentist or provider.

The Bledsoe Health Trust offers two Dental Program options for Active Employees:

  • Dental Program Option 1 is administered by Regence BlueCross BlueShield of Oregon
  • Dental Program Option 2 is administered by Willamette Dental Insurance

In November of each year, you will have an opportunity to change your Dental Program option. You will receive notification of this opportunity. 

  • If you decide to change your Dental Program option, you must complete and submit your enrollment change before the deadline. Your change will take effect on January 1.
  • If you do not want to change your option, you don’t need to do anything. Your current Dental Program option will continue.

Dental Program Option 1

The Dental Program Option 1 is administered by Regence BlueCross BlueShield of Oregon. You’ll get the best benefit coverage when you choose a provider in this network.

  • In-Network (Participating) Dentist: Does not charge more than the Plan’s allowed amount.
  • Out-of-Network (Non-Participating) Dentist: May charge more than the Plan’s allowed amount and bill you for the difference between what the Plan pays and what they charged (this is called balance billing). You are responsible for any amount a Non-Participating Dentist charges over the Plan’s allowed amount, and it can be substantial.

No deductible is required before the Plan pays benefits. The most the Plan will pay is $1,500 per enrolled person per year (does not apply to children through age 18).

To find an in-network provider, go to Regence.com, sign in and click “Find a Doctor.”

Dental Program Option 1: Payment Example
In-Network (Participating) Dentist
Out-of-Network (Non-Participating) Dentist
Office Visit Charge
$150 (Plan’s allowed amount)
$200 (charged amount)
Plan Pays
$120 (80% of the $150 allowed amount)
$120 (80% of the $150 allowed amount)
You Pay
$30 (20% of the allowed amount)
$80 (20% of the allowed amount plus the $50 difference between what was charged and the allowed amount)

Plan payment is based on the Plan’s allowed amount; the participant is responsible for charges exceeding the Plan’s allowed amount.  

Dental Program Option 1: Benefits Overview
Diagnostic and Preventive Care
exams, cleaning, X-rays
You pay 20%; *Plan pays 80%
Basic and Restorative Services
Fillings, extractions, endodontic and periodontal care 
You pay 40%; *Plan pays 60%
Major Services
Dentures, bridges, crowns 
You pay 50%; *Plan pays 50%
Annual maximum
$1,500 (does not apply to children age 18 or under)
Orthodontia
Not covered

*Plan payment is based on the Plan’s allowed amount; an out-of-network provider may charge more, and you pay any amount over the allowed amount. 

This is an overview of commonly used services. For benefit details, please refer to the Active Employees Summary Plan Description.

Dental Program Option 2

The Dental Program Option 2 Plan is administered by Willamette Dental. You must choose a provider in this network for care; the Plan does not cover care received from providers who do not participate in the Willamette Dental provider network.

To find an in-network provider, go to willamettedental.com, then click Locations. 

No deductible is required before the Plan pays benefits. There is no annual maximum.

General Office Visit
Covers lab fees and local anesthesia 
You pay a $20 copay per visit 
Diagnostic and Preventive Care
Exams, cleaning, X-rays 
Covered 100% 
Restorative and Prosthodontics 
Fillings, crowns, dentures 
You pay a $0-$450 copay depending on the service 
Endodontics and Periodontics 
Root canal, root planing, osseous surgery 
You pay a $100-$275 copay depending on the service
Oral Surgery
Routine or surgical extractions 
You pay a $0-$150 copay depending on the service 
Annual Maximum
None
Orthodontia Treatment
Pre-Orthodontia: You pay a $150 copay
Comprehensive Treatment: You pay a $2,800 copay 
Dental Program Option 2: Benefits Overview

This is an overview of commonly used services. For benefit details, please refer to the Active Employees Summary Plan Description.