2015 Value Added Orthodontia Program For Oregon & Washington Preferred Employees Preferred Employee Value Added Getting Started If your employer offers a Willamette Dental Group plan but you are enrolled with another dental plan, Willamette Dental Group, P.C., considers you a Preferred Employee. Under the Value Added Orthodontia program, Preferred Employees are eligible to receive orthodontic treatment from Willamette Dental Group, P.C., at reduced fees that are lower than our regular fees and much lower than fees charged by fee-for-service orthodontic providers. To determine if you are a candidate for orthodontic treatment, call 1.855.4DENTAL (433-6825) to schedule an appointment with a Willamette Dental Group general dentist to receive an evaluation and referral to a Willamette Dental Group orthodontist for a pre-orthodontic consultation. Willamette Dental Group, P.C., is committed to providing you with the quality care necessary for orthodontic treatment. Each of our providers meet and maintain high credentialing standards. Our providers practice a proactive approach to dentistry, which means you will receive the most appropriate care based on your individual needs. During the course of treatment, your providers will collaborate and perform in clinical teams to oversee your dental care. Willamette Dental Group providers utilize today’s proven technology and techniques to help you reach your oral health goals. Willamette Dental Group has more than 50 dental offices throughout the states of Oregon, Washington and Idaho that provide orthodontic treatment. We are able to provide your care at a lower operating cost than most independent providers and, as a result, we can provide Preferred Employees high-quality care at a reasonable price. Th e P r e f e r r e d E m p l oye e Va l u e A d d e d Orthodontia program is not insurance. The patient is responsible for all fees. This program is offered by Willamette Dental Group, P.C. Form No. 023-WDG(1/15) When you receive your referral, schedule an appointment with a Willamette Dental Group orthodontist for your pre-orthodontic consultation. This consultation includes an initial exam, as well as X-rays, study models and an extensive oral evaluation. The cost for this service is a total of $150. These non-refundable fees are credited toward the total fees if you proceed with orthodontia treatment. The Willamette Dental Group, P.C., value-added orthodontia rates are only available when Willamette Dental Group providers perform the entire treatment. For more information about preferred employee orthodontia, call 1.855.4DENTAL, Option 3 and ask for Member Services. 2015 Value Added Orthodontia Program For Oregon & Washington Preferred Employees Pre-Orthodontia Consultation Fees Initial Orthodontic Exam: $25 Study Models and X-rays: $125 Case Presentation: $0 These non-refundable, pre-orthodontia consultation fees are credited toward the patient’s cost of treatment if the patient proceeds with treatment. Visit us on the Web at www.WillametteDental.com 2015 Fees Schedule & Savings Banding Level A B C D E F G Usual & Fee Under This Customary Fee Program $6,000 $4,440 $6,500 $4,750 $6,800 $4,960 $7,200 $5,350 $7,500 $5,510 $7,700 $6,160 $7,800 $6,500 Banding level is based on the extent of treatment, which is determined by the treating Willamette Dental Group orthodontist. Fees may be adjusted periodically without notice. Patients are not subject to subsequent fee increases after treatment has begun or if treatment begins within 120 days from the pre-orthodontia consultation. More Questions? Call 1.855.4DENTAL Form No. 023-WDG(1/15) (433-6825)