delta dental benefits for university of california santa barbara student health insurance plan
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Delta Dental benefits for
University of California Santa Barbara
Student Health Insurance Plan
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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
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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
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
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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
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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
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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.
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Find a Dentist
Map with Directions
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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
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Student Online Services
Secure login for benefits, eligibility and claim status
Access to dental health information
Searchable directory of national and international dentists
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Fee Finder
Students can find the average fee for highly utilized procedures.
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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.
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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
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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
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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
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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.
New Benefits Statement
Our benefits statement for students has been redesigned to be friendlier and easier to use.
Available electronically
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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 #
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We keep you smiling®