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ProCare Idaho


ProCare Idaho is an individual dental insurance plan certified to provide coverage of the pediatric dental essential health benefit, in addition to adult dental coverage and orthodontia coverage for all ages.

There are two ProCare Idaho plans available – Plan 1 and Plan 2. You can purchase a ProCare Idaho plan through Your Health Idaho or directly from Willamette Dental Group at the same rates and with the same benefits.


ProCare Idaho benefits include:

  • No Annual Maximum
  • No Deductibles
  • Low Predictable Copays for Preventive Services
  • Orthodontia for All Ages
  • No Claim Forms

Quicklinks:


2017 Plan Year Information

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.



To Apply

Through Your Health Idaho:

Open Enrollment through the Marketplace for coverage in 2017 ended on January 31, 2017. Open Enrollment through the Marketplace for coverage in 2018 begins November 1, 2017 and goes through December 15, 2017.

To apply, visit YourHealthIdaho.org.

Direct with Willamette Dental Group:

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

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.

Who is Eligible?

Through Your Health Idaho:

Your Health Idaho will determine you and your dependents' eligibility to enroll through Your Health Idaho. Once you are determined eligible to purchase coverage through Your Health Idaho, you may select the ProCare Idaho Plan 1 or Plan 2, if you live within our service area.

Members may not be enrolled under any other insurance policy or contract issued or offered by Willamette Dental Group or its affiliates. If you enroll in a ProCare Idaho plan, your other Willamette Dental Group policy will be terminated.

Our service area includes the following counties: Ada, Benewah, Bingham, Boise, Bonner, Bonneville, Canyon, Cassia, Clark, Elmore, Fremont, Gem, Gooding, Jefferson, Jerome, Kootenai, Latah, Lincoln, Madison, Minidoka, Nez Perce, Owyhee, Payette, Shoshone, Twin Falls.

The following counties are not within our service area and are not eligible for the ProCare Idaho plans: Adams, Bannock, Bear Lake, Blaine, Boundary, Butte, Camas, Caribou, Clearwater, Custer, Franklin, Idaho, Lemhi, Lewis, Oneida, Power, Teton, Valley, Washington.

Direct with Willamette Dental Group:

You are eligible for individual coverage under the ProCare Idaho plans if you are an Idaho resident within our service area. Your eligible dependents include your spouse or domestic partner, child, and spouse's or domestic partner's child. Members may not be enrolled under any other insurance policy or contract issued or offered by Willamette Dental Group or its affiliates. If you enroll in a ProCare Idaho plan, your other Willamette Dental Group policy will be terminated.

Questions?

On the Marketplace:

  • For questions related to eligibility and enrollment, please call Your Health Idaho directly through the consumer resource center via phone at 1-855-YHIdaho (1-855-944-3246) or customerservice@yourhealthidaho.org
  • To request changes to your coverage (such as changing or terminating plans, adding/removing dependents, please call Your Health Idaho directly at 1-855-YHIdaho (1-855-944-3246) or customerservice@yourhealthidaho.org.
  • For questions related to billing and to confirm coverage, please call 1-855-998-2273.
  • To schedule an appointment, please call 1-855-433-6825.
  • For all other questions, please contact our Sales team at 1-855-998-2273.

Direct from Willamette Dental Group:

  • For questions related to billing and enrollment, please call 1-855-998-2273 or email pci@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.
  • For questions related to benefits or plan information, please call 1-855-998-2273.
  • To schedule an appointment, please call 1-855-433-6825.

Find your local Willamette Dental Group office

With more than 50 dental office locations conveniently located throughout Idaho, Washington, and Oregon, there is probably a Willamette Dental Group office near your work or home. Click here to find the dental office closest to you.


Frequently Asked Questions

How are premium payments made for ProCare Idaho?

Through Your Health Idaho:

After you have submitted your application for ProCare Idaho through Your Health Idaho, please wait to receive your premium billing statement to make your first payment.

You have three payment method options:

  1. Via AutoPay – You may elect to have your premiums deducted each month from a checking account. 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 or Discover. If paying by credit card, please call 1-855-998-2273 to process your 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 of Idaho, Inc.
ProCare Idaho
6950 NE Campus Way
Hillsboro, OR 97124

Direct with Willamette Dental Group:

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

  1. Via AutoPay – if you are paying by AutoPay, fill out the account information portion of the application form. When paying by AutoPay, 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 of Idaho, Inc.
ProCare Idaho
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 pci@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 hereClick 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 Idaho and still go to my own dentist?

To receive the maximum benefits of the ProCare Idaho plans, you should 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 Idaho, Washington, and Oregon. 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

What can I expect at my first visit?

During your first visit to our office, you will receive a thorough dental examination that includes X-rays and comprehensive risk assessments. Your dentist will develop a Proactive Dental Care Plan based upon your immediate needs, current dental health and long-term oral health goals. This individual plan will include recommendations for cleanings, restorations and preventive treatments. Most patients will receive a cleaning at their first visit, based on the assessment and recommendation from your dentist.

When can I start using my ProCare Idaho coverage?

Through Your Health Idaho:

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

Direct 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 Idaho 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.

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).

How do I cancel my ProCare Idaho policy?

Through Your Health Idaho:

You must contact Your Health Idaho directly to cancel your ProCare Idaho policy if it was purchased through Your Health Idaho. To request changes to your coverage (such as changing or terminating plans, adding/removing dependents), please call Your Health Idaho directly at 1-855-YHIdaho (1-855-944-3246) or customerservice@yourhealthidaho.org.

Direct 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 Idaho policy, please fill out this form 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.

  • via mail to:
  • Willamette Dental of Idaho, Inc.
    ProCare Idaho
    6950 NE Campus Way
    Hillsboro, OR 97124
  • via secure email to pci@willamettedental.comClick here to download instructions on how to use our secure email.
  • via fax to 503-952-2679

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.

Who can I contact for more information on the ProCare Idaho plans?

Through Your Health Idaho:

  • For questions related to eligibility and enrollment, please call Your Health Idaho directly through the consumer resource center via phone at 1-855-YHIdaho (1-855-944-3246) or customerservice@yourhealthidaho.org.
  • To request changes to your coverage (such as changing or terminating plans, adding/removing dependents, please call Your Health Idaho directly at 1-855-YHIdaho (1-855-944-3246) or customerservice@yourhealthidaho.org.
  • For questions related to billing and to confirm coverage, please call 1-855-998-2273.
  • To schedule an appointment, please call 1-855-433-6825.
  • For all other questions, please contact our Sales team at 1-855-998-2273.

Direct with Willamette Dental Group:

  • For questions related to billing and eligibility, please call 1-855-998-2273 or email pci@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 hereClick here to download instructions on how to use our secure email.
  • For questions related to benefits or plan information, please call 1-855-998-2273.
  • To schedule an appointment, please call 1-855-433-6825.

 
Meaningful Access:

1.     English

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6950 NE Campus Way
Hillsboro, OR 97124

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