1.855.4DENTALschedule an appointmentfind a dentist near youFirst in Proactive Dental Care

 

 

PLAN FEATURES

 

  • No Annual Maximum
  • No Deductibles
  • Predictable, low copayments for routine & preventive services
  • Major services covered following 6-month waiting period*
  • Orthodontic treatment for all ages after a 6-month waiting period*
  • No Claim forms - as an enrollee, you simply schedule your appointments, see the dentist and pay copayments at that visit.
  • Dental care provided by Willamette Dental Group, P.C. dentists at Willamette Dental Group offices. Click here to find your nearest office location.

*The waiting periods do not apply to major services for enrollees under age 19 or orthodontic treatment of cleft lip and/or cleft palate for enrollees under age 19.

 

PLAN BENEFITS

 

2019 Plan Year

 

PLAN RATES

 

Premiums are paid on a monthly basis. Payment may be made by personal or cashier’s check, money order, Auto Pay (checking account deduction) or credit card (Visa, Mastercard, Discover). If you select Auto Pay, we process payments by checking account on the 5th of each month and payment by credit card on the 6th of each month.

  

2019 Plan Year***

 
  Plan 1  Plan 2
Per Enrollee Age 18 and Under $27.49 $32.38
Per Enrollee Age 19 and Above $47.51 $54.65

 ***Rates are effective January 1, 2019 through December 31, 2019

 

HOW TO APPLY

 

You can purchase a ProCare Oregon plan through HealthCare.gov or directly from Willamette Dental Group at the same rates and with the same benefits.

 

Through HealthCare.gov:

Open Enrollment through the Marketplace for coverage in 2018 ended on December 15, 2017. Open Enrollment through the Marketplace for coverage in 2019 begins November 1, 2018 and goes through December 15, 2018.

To enroll through the Marketplace, visit HealthCare.gov by clicking the button below.

If your application is completed and submitted through HealthCare.gov by the 15th of the month, generally, your coverage will be effective on the first of the following month.

 

Direct with Willamette Dental Group:

To enroll in one of the ProCare Oregon plans direct with Willamette Dental Group, complete both sides of the application form linked below, including your plan selection and signature on the back, and submit it along with your premium payment.

  

For 2019 Plan Year
(beginning with 1/1/19 effective date)

 

If the application and premium payment is received by the 25th of the month, your coverage will be effective on the first of the following month.

If submitting your application via email, please use our secure email by clicking here. Click here for instructions on how to use our secure email.

To fill out the application on your computer, please download the latest version of Adobe Reader for free at www.Adobe.com.

 

WHO IS ELIGIBLE?

 

You are eligible to enroll in ProCare Oregon plans if you are an Oregon resident living within our service area. When enrolling through HealthCare.gov, the Marketplace will determine you and your dependents' eligibility for coverage. Your eligible dependents may include your spouse or domestic partner, child, and spouse's or domestic partner's child.

Our services area includes the following counties: Benton, Clackamas, Columbia, Deschutes, Douglas, Jackson, Jefferson, Josephine, Lane, Lincoln, Linn, Marion, Multnomah, Polk, Tillamook, Washington, and Yamhill.

The following counties are not within our service area: Baker, Clatsop, Coos, Crook, Curry, Gilliam, Grant, Harney, Hood River, Klamath, Lake, Malheur, Morrow, Sherman, Umatilla, Union, Wallowa, Wasco, and Wheeler.

Members may not be enrolled under Willamette Dental Group's TrueCare or Dental Plus individual plans. If you enroll in a ProCare Oregon plan, your other Willamette Dental Group individual policy will be terminated.

 

QUESTIONS?

 

Through HealthCare.gov:

  • For questions related to eligibility and enrollment, please call the Marketplace directly at 1-800-318-2596 (TTY 1-855-889-4325 or 711)
  • To request changes to your coverage (such as changing or terminating plans, adding/removing dependents, please call the Marketplace directly at 1-800-318-2596 (TTY 1-855-889-4325 or 711).
  • To pay your bill or ask a question about your bill, please call 1-855-998-2273, Option 1.
  • If you are not yet a member and have questions about the plan or need help selecting a plan, please contact our Sales team at 1-855-998-2273, Option 2.
  • To schedule an appointment, please call 1-855-433-6825, Option 1.
  • If you are a current member with questions about your plan or benefits, please call 1-855-433-6825 to speak to Member Services.

Direct with Willamette Dental Group:

  • To pay your bill or ask a question about your bill, please call 1-855-998-2273, Option 1 or email pco@willamettedental.com. (do not email sensitive information via this link). To email personal, sensitive information to the Billing & Eligibility team, please use our secure email by clicking here. Click here to download instructions on how to use our secure email.
  • To change or cancel your coverage, please fill out this form. See further instructions below.
  • If you are not yet a member and have questions about the plan or need help selecting a plan, please contact our Sales team at 1-855-998-2273, Option 2.
  • To schedule an appointment, please call 1-855-433-6825.
  • If you are a current member with questions about your plan or benefits, please call 1-855-433-6825 to speak to Member Services.

 

TO CHANGE OR CANCEL YOUR POLICY

 

If you are enrolled through HealthCare.gov:

If you enrolled through HealthCare.gov, you must contact the Marketplace directly to cancel coverage. To request changes to your coverage (such as changing or terminating plans, adding/removing dependents), please call the Marketplace directly at 1-800-318-2596 (TTY 1-855-889-4325 or 711).

 

If you are enrolled directly with Willamette Dental Group:

Change requests, such as adding/deleting a dependent, name and address changes, and cancellation requests, must be made writing. To make a change to your ProCare Oregon policy, please fill out the form linked below and submit via mail, email or fax as noted below. The completed form should be sent at least 30 days in advance of your desired effective date. If you are canceling your policy, your coverage will terminate on the last day of the month following our receipt of your cancellation notice, unless your premiums are past due or you specify a later date.

 

 

Submit completed form:

  • via mail to:
Willamette Dental Insurance, Inc.
ProCare Oregon
6950 NE Campus Way
Hillsboro, OR 97124

Please note that if you cancel your policy, you must wait 12 months before you are eligible to re-enroll in any individual plan offered by Willamette Dental Group.

 

 

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FREQUENTLY ASKED QUESTIONS

 

 

How are premium payments made for ProCare Oregon?

If you are enrolled through HealthCare.gov:

After you have submitted your application for ProCare Oregon through the Marketplace, please wait to receive your premium billing statement to make your first payment.

You have three payment method options:

  1. Via Auto Pay – You may elect to have your premiums deducted from a checking account each month. If paying by AutoPay, please call 1-855-998-2273 to setup your payments.
  2. Via Credit Card – You may elect to have your premiums charged each month to a credit card. We accept Visa, Mastercard and Discover. If paying by credit card, please call 1-855-998-2273 to process your payment or to set up an auto-withdrawal for each month's payment.
  3. Via Check – If you are paying by check, enclose your check with the stub from your premium billing statement and mail to the address below:
Willamette Dental Insurance, Inc.
ProCare Oregon
6950 NE Campus Way
Hillsboro, OR 97124

If you are enrolled directly with Willamette Dental Group:

Your first premium payment should be submitted with your application. You have three payment method options:

  1. Via Auto Pay – You may elect to have your premiums deducted from a checking account each month. If you are paying by Auto Pay, fill out the Auto Pay portion of the application form with your account information. You may submit your completed application via mail, secure email, or fax.
  2. Via Credit Card – if you are paying by credit card, fill out the credit card portion of the application form. When paying by credit card, you may submit your completed application via mail, secure email, or fax.
  3. Via Check – if you are paying by check, enclose a check for your first month's premium payment with your completed application and mail to the address below.
Willamette Dental Insurance, Inc.
ProCare Oregon
6950 NE Campus Way
Hillsboro, OR 97124

If you should have any questions regarding these options, please contact Billing and Eligibility at 1-855-998-2273 or pco@willamettedental.com. (do not email sensitive information via this link). To email personal, sensitive information to the Billing & Eligibility team, please use our secure email by clicking here. Click here to download instructions on how to use our secure email.

 

Can I drop-off my application and premium payment?

Premium payments are accepted via the methods listed above. Please do not remit payment to your Willamette Dental Group dental office. The dental office cannot accept payments from patients for insurance premiums.

 

Can I sign up for ProCare Oregon and still go to my own dentist?

To receive the excellent benefits of ProCare Oregon, you must receive care from a Willamette Dental Group dentist or specialist. Your coverage also extends if you are referred to an outside dentist or specialist by your Willamette Dental Group dentist. If referred to an outside dentist or specialist, your copayments remain the same as shown in your Summary of Benefits.

 

Where are your offices located?

Willamette Dental Group has more than 50 offices in Oregon, Washington, and Idaho. Click here to find the dental office closest to you.

 

How do I schedule an appointment?

To schedule an appointment, please call our Appointment Center toll free at: 1-855-4DENTAL (1-855-433-6825).

The Appointment Center is open:

Monday – Friday from 7am – 6pm PT
Saturday from 7am – 4pm PT

 

When can I start using my ProCare Oregon coverage?

If you are enrolled through HealthCare.gov:

The Marketplace will determine your coverage effective date. The Marketplace will provide us with your coverage effective date after the Marketplace has completed processing your enrollment application. To confirm your coverage effective date, please contact 1-855-998-2273.

If you are enrolled directly with Willamette Dental Group:

If the application and premium payment is received by the 25th of the month, your coverage will be effective on the first of the following month.

 

How do I know how much Willamette Dental Group charges for dental procedures?

After we receive your payment of premium for your ProCare Oregon plan, you will be mailed a printed copy of the plan policy. Please refer to this policy for a list of copayments for covered dental procedures. The costs of many dental services are covered with a reasonable service copayment.

For questions about the costs of specific procedures not covered under the plan, you may contact our Member Services Department at 1-855-433-6825.

For information on the ProCare Oregon transparency of coverage, click here.

 

Are there benefit waiting periods under these plans?

Under both ProCare plans, there is a 6-month waiting period to benefits for permanent crowns, bridges and dentures for enrollees age 19 and over. A 6-month waiting period applies to benefits for orthodontia treatment for all ages (unless for treatment of cleft lip and/or cleft palate in an Enrollee under age 19).

 

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Meaningful Access:

1. English

If you, or someone you’re helping, has questions about ProCare Oregon, you have the right to get help and information in your language at no cost. To talk to an interpreter, call 1.855.433.6825.

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15.French

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16. Thai

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6950 NE Campus Way
Hillsboro, OR 97124

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