delta dental benefits for university of california santa barbara student health insurance plan

19
Delta Dental benefits for University of California Santa Barbara Student Health Insurance Plan

Upload: joella-gaines

Post on 23-Dec-2015

220 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Delta Dental benefits for University of California Santa Barbara Student Health Insurance Plan

Delta Dental benefits for

University of California Santa Barbara

Student Health Insurance Plan

Page 2: Delta Dental benefits for University of California Santa Barbara Student Health Insurance Plan

2

Today’s Agenda

Delta Dental Overview Our unique network features

Plan Design How to Find a Dentist

UCSB on campus dental clinic Communication Strategy

Customized website ID Cards with student’s 800 #

Q&A

Page 3: Delta Dental benefits for University of California Santa Barbara Student Health Insurance Plan

3

Delta Dental OverviewThe Dental Expert

1955: Group dental benefits introduced by Delta Dental

Delta Dental builds the first contracted dental network – The Delta Dental Premier® network

Group #1 remains a Delta Dental client today

Today: Delta Dental has been working with University programs and

student plans since the mid-1960s Delta Dental to cover UC GSHIP and UC USHIP for Santa

Barbara in the Fall of 2011

Page 4: Delta Dental benefits for University of California Santa Barbara Student Health Insurance Plan

Delta Dental PPOSM Dual Network Offering

Two contracted networks for the price of one Students can visit:

A Delta Dental PPOSM dentist A Delta Dental Premier® dentist or A dentist who does not participate with Delta Dental

All network dentists agree to contracted fees Reimbursement is based on dentist’s network

participation status

4

Page 5: Delta Dental benefits for University of California Santa Barbara Student Health Insurance Plan

Cost Protections for Students

The Delta Dental Difference® is a set of advantages thatdifferentiate us from other carriers and help us keep down the costs of our plans:

Guaranteed coinsurance amounts No balance billing No unbundling

5

Page 6: Delta Dental benefits for University of California Santa Barbara Student Health Insurance Plan

Delta Dental’s Plan Design for

UC GSHIPDelta Dental PPOSM Benefits PPO In-

NetworkNon PPO Out-

of-Network

Diagnostic/Preventive 100% 80%

Basic(Restorative, Sealants, Oral Surgery, Periodontic, Endodontic)

80% 60%

Major(Prosthodontic, Crowns & Casts) 50% 40%

Orthodontics(Adult & Children) Not covered Not covered

DeductiblePer patient / Plan year (Fall 2011 to Fall 2012)

$25 $50

MaximumsPer patient / Plan year (Fall 2011 to Fall 2012

$1,000 $750

6

Page 7: Delta Dental benefits for University of California Santa Barbara Student Health Insurance Plan

How to Find a Delta Dental Dentist

Go to our web site and select: Find a Dentist Select your plan

Delta Dental Premier®

Delta Dental PPOSM

DeltaCare® USA Enter search criteria (name, address, specialty, special

office features) Link to a map and driving directions Or call our automated phone service (ADD PHONE # ),

which can provide voice information or a faxed list.

7

Page 8: Delta Dental benefits for University of California Santa Barbara Student Health Insurance Plan

Find a Dentist

Map with Directions

Page 9: Delta Dental benefits for University of California Santa Barbara Student Health Insurance Plan

9

Custom Web Capabilities

www.deltadentalins.com/ucuship Printable ID cards Evidence of Coverage Brochures USHIP plan highlights/summaries Campus Corner Secure login for benefits and eligibility

lookup Claims status available to students and

dentists Fee Finder Educational video clips about The Delta

Dental Difference®

Extensive dental health section English and Spanish Customized benefit video

9

Page 10: Delta Dental benefits for University of California Santa Barbara Student Health Insurance Plan

Student Online Services

Secure login for benefits, eligibility and claim status

Access to dental health information

Searchable directory of national and international dentists

10

Page 11: Delta Dental benefits for University of California Santa Barbara Student Health Insurance Plan

Fee Finder

Students can find the average fee for highly utilized procedures.

11

Page 12: Delta Dental benefits for University of California Santa Barbara Student Health Insurance Plan

Free Newsletter for Students

Students can sign up for our free dental health newsletter. Dental Wire is e-mailed 6 times each year, delivering important oral health news and information.

12

Page 13: Delta Dental benefits for University of California Santa Barbara Student Health Insurance Plan

Dental Health Education

Delta Dental added new oral health materials to the Oral Health & Wellness section of our web site www.deltadentalins.com/UCGSHIP Video clips such as:

Preventive care for a healthy smile Avoid gum disease with good oral hygiene The medical-dental connection

Students can download our new dental health booklet for students titled “Healthy smile, healthy you,” our comprehensive guide to good oral health

13

Page 14: Delta Dental benefits for University of California Santa Barbara Student Health Insurance Plan

Promoting Wellness

A variety of resources for promoting good oral health:

Flyers and booklets on dental wellness issues

Free dental health e-newsletter Web site with an extensive

dental health section

Articles on oral health issues to post on intranet or in employee newsletter

Videos and risk assessment quizzes

14

Page 15: Delta Dental benefits for University of California Santa Barbara Student Health Insurance Plan

Customer Service for Students800-765-6003

Multi-lingual representatives all with dental office experience

Regular monitoring of live calls to ensure quality Representatives receive monthly feedback on

performance 100% of calls are digitally recorded No Outsourcing

Operations are located in Rancho Cordova, California Services available through:

Live representatives IVR System Fax back Website

15

Page 16: Delta Dental benefits for University of California Santa Barbara Student Health Insurance Plan

Predetermination/Pre-treatment estimate

Determine costs ahead of time by asking your dentist to submit a predetermination before treatment is provided.

Delta Dental provides an estimate of the cost of treatment and what we will pay.

This free service helps you and your dentist make informed decisions about the cost of treatment.

Page 17: Delta Dental benefits for University of California Santa Barbara Student Health Insurance Plan

New Benefits Statement

Our benefits statement for students has been redesigned to be friendlier and easier to use.

Available electronically

17

Page 18: Delta Dental benefits for University of California Santa Barbara Student Health Insurance Plan

GSHIP Plan Facts

One main Delta Dental group # for UC GSHIP: 4633 UCSB sub-grouped depending on start dates or

program Several categories of students

ID Cards will be issued with an assigned 800 #

18

Page 19: Delta Dental benefits for University of California Santa Barbara Student Health Insurance Plan

19

We keep you smiling®