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ODS Health Plan

Founded in 1955, The ODS Companies (ODS) is a multi-faceted organization that provides dental, medical, and professional liability insurance products, along with a variety of business services including dental practice management software and benefits administration.

ODS Health Plan believes strongly in the importance of helping others, and this extends beyond our delivery of healthcare and business services. We support a wide variety of community organizations, and our employees contribute countless hours of volunteer assistance annually.

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About ODS Health Plan

ODS is an independent Oregon corporation that provides a full range of medical and dental plans for employers and individuals. Founded in 1955, the company is Oregon's oldest dental insurer and a fast growing medical insurer. ODS currently serves over 600,000 Oregonians with dental or medical insurance.

ODS offers medical and dental plan options to employers and individuals. Employers can choose from a wide variety of Preferred Provider Organization (PPO) and Point-of-Service (POS) plans with an exceptional range of options. Individual plans and Medicare supplement coverage are also available.

ODS Health Plan, Inc.

Corporate Headquarters:
601 SW Second Avenue
Portland, Oregon 97204
(503) 228-6554
CEO:
Robert Gootee
Employee Number:
900
2008 Revenue:
$218 Million

Product Types Offered

Individuals

All of ODS Medical plan designs give you the freedom to see any licensed provider you choose, but with a better benefit if you access a preferred provider. A provider contracted within a network. By choosing a preferred provider, the member's out-of-pocket expenses will be less than if he or she chooses a physician outside the network. from our statewide network. Coverage varies from plan to plan, so look for the features that best fit your healthcare preferences.

Maximizer (PPO)
The Maximizer plan is ideal for individuals who want broad coverage for a range of services, including pharmacy benefits.

Beneficial Rx (PPO)
The Beneficial Rx plan is best for those looking for a higher level of benefits and a lower total out-of-pocketA specified amount of applicable claims expenses in a plan year that must be met before benefits are paid in full. Once the member has met his or her out-ofpocket maximum, the plan begins covering eligible expenses at 100 percent. The out-of-pocket maximum starts over every plan year. cost.

Beneficial Value (PPO)
The Beneficial Value plan is suited to individuals shopping for a lower premium cost.

Health Savings Account (HSA) Choice
HSA plans offer lower insurance premiums through a high deductibleThe portion of an individual's applicable healthcare expenses that must be paid by the member in a given year before the insurance plan will start paying for treatment. health plan coupled with a bank account in which you accumulate tax-advantaged savings through your contributions to pay for qualified medical expenses until your deductible is met.

Health Savings Account (HSA) Value
HSA plans offer lower insurance premiums through a high deductibleThe portion of an individual's applicable healthcare expenses that must be paid by the member in a given year before the insurance plan will start paying for treatment. health plan coupled with a bank account in which you accumulate tax-advantaged savings through your contributions to pay for qualified medical expenses until your deductible is met.

Employers

ODS Health Plan offers plans for four basic employer groups: plans for National accounts (companies with more than 3000 eligible employees), plans for small groups (2-50 eligible employees), medium groups (51-3000 employees) and Labor (for Taft Hartley Labor Unions).

Medical Plans
  • Indemnity
    Complete flexibility in provider choice.
  • Preferred Provider (PPO)
    Freedom in provider selection at a reasonable monthly rate.
  • Point of Service (POS)
    Low out-of-pocket expenses when receiving primary care services.
  • Health Savings Account
    Tax free high deductible health plan that covers large healthcare bills.
Dental Plans
  • Delta Dental Premier
    The highest level of benefits and provider choice.
  • Delta Dental PPO
    Financial savings by using contracted dentists.
  • Voluntary Dental
    Individuals enjoy benefits of a comprehensive plan
  • SELECTChoice & Direct Reimbursement
    Self-funding employee benefits.

Medicare Plans

Medicare is the nation’s largest health insurance program, covering 40 million Americans. It was designed to provide high-quality health care to people 65 and over, as well as to others with disabilities.

ODS Health Plan offers three basic plans:

ODS Advantage PPO (2009) - a PPO with a Medicare Contract
This plan does not include prescription drug coverage. ODS Advantage PPO has a $1500 maximum out-of-pocket limit every year for all plan services when received in-network and out of network. You can go to Medicare doctors, specialists and hospitals in or out of the network.

ODS Advantage PPORX (2009)
 A PPO and Prescription drug plan with a Medicare contract. This is a Medicare Advantage local PPO plan that includes Prescription Drug benefits serving the state of Oregon.

ODS Advantage PPORX Select (2009)
A PPO and enhanced Prescription drug plan with a Medicare contract The ODS Advantage PPORX Select is a Medicare Advantage local PPO plan that includes enhanced Prescription Drug benefits serving the state of Oregon.

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Provider Network

ODS Health Plan has a very strong provider network. You can use ODS Health Plan’s online provider directory to learn more about doctors, hospitals, other medical services, dentists, vision care providers and pharmacies that work with your ODS Health Plan.

The providers accessed through this online service represent the standard ODS networks.

Click Here to Access ODS Heath Plan’s Provider Directory

Network Facts

Health Care Networks:
  • ODS covers over 600,000 Oregonians with medical and/or dental coverage.
  • Over 1,800 of Oregon's dentists are contracted with ODS. Multi-state employers have access to over 100,000 dentists through Delta Dental Plans Association.
  • ODS is the Delta Dental Plan of Oregon.

Recent News

Here are some of the most recent news regarding ODS Health Plan:

ODS food drive fills shelves for in-need Oregonians

ODS employees donated more than 1,500 pounds of food during a company-wide food drive that ended in March. The food will be donated to local food banks including the Oregon Food Bank in Portland, NeighborImpact in Bend and the Union County Food Bank in La Grande.

“We called the food drive ‘Fill our shelves, so we can fill their shelves,’ and wow —our employees responded beyond any expectations,” said Katie Paullin, ODS Community Relations Specialist. “The donations were amazing! We filled shelves, we filled cubicles, and the donations just kept coming. We even had departments challenge each other to see who could bring in the most food.”(Continue Reading)

Rating

ODS Health Plan’s rating, as rated by A.M. Best Company. A.M. Best Company is a full-service credit rating organization dedicated to serving the financial services industries, including the banking and insurance sectors.

Financial Strength Rating
Rating: B+ (Good)
Financial Size Category: VI ($25 Million to $50 Million)
Outlook: Stable
Action: Affirmed
Effective Date: June 09, 2009

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