WDS Preferred Program

This option allows you to see any licensed dental provider. Search for a dentist using the Washington Dental Service site. Your reimbursement will depend on the dentist’s contract with WDS:

• WDS Preferred (PPO) Providers: Seeing a Preferred Dentist will provide the highest level of benefits and the lowest out of pocket costs.
• WDS Participating Providers: These dentists provide a discount, but your benefits percentage is lower, resulting in higher out of pocket costs vs. a Preferred Dentist.
• Non-WDS Dentist: If your dentist is not Preferred or Participating, your benefits will be lower, and you will have higher out of pocket costs. Reimbursement is made based on maximum allowable fees, which may leave you with higher patient responsibility.

Schedule Plan

This option allows you to see any licensed dental provider. Benefits will be paid according to the schedule of allowances. Dental charges in excess of the schedule will be your responsibility.

DeltaCare Program

DeltaCare is a dental HMO plan. This option requires you to choose from a smaller list of approved dentists and clinics. You MUST choose a DeltaCare primary care dentist who coordinates all off your care, including any referrals to specialists. Under this plan you cannot just see any licensed dentist for treatment. A list of DeltaCare providers can be found at www.deltadentalwa.com. Make sure you have a DeltaCare provider in your area and that they are accepting new patients before enrolling in this option.

Look to your benefits booklets for more information.

Find the details of your dental coverage in your Summary Plan Description booklet (choose the link below based on whether you are in the “Sound” or “SoundPlus” plan). To determine whether you are covered under the “Sound” or “SoundPlus” plan, look at the front of your Sound Health & Wellness Trust ID card. It is printed on the far left-hand side under the Trust logo.

• Sound Plan Group Health Options Summary Plan Description
• SoundPlus Plan Group Health Options Summary Plan Description