Benefits administrator blog from Delta Dental

Tag: dental insurance (Page 1 of 4)

Dental implants are coming to DeltaCare USA

A new kind of DeltaCare® USA plan is available to you in 2021. Effective January 1, 2021, DeltaCare USA i‑series plans will be available with comprehensive coverage for dental implants. Once i‑series plan rollouts are complete (there will be nine in total), they will be available in all 50 states and Washington, D.C.

These plans are designed to address the growing demand for more affordable access to dental implants. Coverage for dental implants is a valuable benefit that employees ask for, so offering an i‑series plan makes dental insurance a more compelling choice for more employees. You’ll be able to offer a plan that fits more budgets than ever before but still offers cost savings, more choices in treatment options and coverage for procedures like teeth whitening.

These new plans will expand the coverage available to employees looking for more affordable dental insurance. For more information, please contact your account manager.

Check enrollee notices off your year-end to-do list

1‑minute read

With the holiday season in full swing, sometimes our daily to-do lists seem never-ending. That’s why we’re helping you cross one thing off your list: Educating new enrollees — and reminding current enrollees — about their rights.

Federal and state laws require groups to notify enrollees about enrollee rights and privacy practices.1 The good news is, we’ve made it easy for you to share this information.

You can learn more about the notices on our administrator web pages. Enrollees can also view and download each notice on our website. Additionally, during open enrollment we provide groups with an enrollee flyer summarizing the notices.

Please share the notices with current enrollees annually and with all new enrollees within 30 days of eligibility.

Not sure how to share? Here are some tips:

  • Post the notices on your company Intranet
  • Email employees a link to the notices
  • Place copies of the notices in common areas, or in the HR area
  • Include copies of the notices in your next company mailing

If you or enrollees have any questions about the notices, you can call 866–530-9675.

Now, take a deep breath and get back to the rest of your to-do list.

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1 Self-funded groups are not required to share Delta Dental’s enrollee notices and may opt to use their own notices; however, these notices cannot be in conflict with Delta Dental’s practices. If you have questions about your notices, please contact your account manager.

4 ways to create a motivating workspace

2‑minute read

Earlier this year, we shared how celebrating your employees can boost happiness and productivity. While showing appreciation for your employees is key, it’s not the only way to inspire your workforce. Designing the right work environment — from paint colors to plants — can also help motivate your employees. Check out our tips below to learn how the right office décor can uplift and encourage your team.

1. Don’t fear color. What color are the walls in your workplace? Are you surrounded by neutral tones or bold color? Research suggests that certain colors can affect a person’s productivity. If you want to spark some creativity in the office, try incorporating the color purple. If a laid-back vibe is what you want to evoke, try adding more blue and green to your surroundings. If you don’t want to saturate your entire workplace in color, consider painting a couple rooms to match the energy you’re after.1

2. Bring the outside in. You know how we just said green is a calming color? This is great news if your workplace has a view — nature is full of it! Try arranging your employees’ desks in a way that maximizes their view of the outdoors. What if your windows look out to a concrete jungle? Create your own lush landscape by decorating the office with plants and hanging artwork inspired by nature.

 3. Let there be (sun)light. While we all know too much sunlight can be harmful, sunlight in moderation can have mood-lifting benefits and may even help your employees stay focused.

“Exposure to sunlight is thought to increase the brain’s release of a hormone called serotonin. Serotonin is associated with boosting mood and helping a person feel calm and focused.” – Healthline Media2  

Keep the blinds open to let as much natural light in as possible. If your workplace lacks natural light, resist the urge to crank up the overhead lights, which can be a nightmare for migraine sufferers. Instead, try providing individual desk lamps so your employees can adjust lighting to meet their own preferences.

4. Live your brand. A great way to get your employees excited about your business is to put it right in front of them. Why not display your mission statement on the wall? What about painting accent walls or providing office supplies in your brand colors? By immersing your employees in your brand, you’re helping them become invested in the business, its goals and its success.

 

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1 http://www.arttherapyblog.com/online/color-psychology-psychologica-effects-of-colors/#.W4Qt5cJry01

2 https://www.healthline.com/health/depression/benefits-sunlight

Benefit tips for enrollees to pack for vacation

2‑minute read

With summer vacation season heating up, you may worry about the impact this could have on managing your group’s dental benefits. We’ve got good news — with these packing tips you can also relax knowing that Delta Dental benefits have your enrollees covered.

Travel to the dentist first
Dental emergencies are hard enough when your enrollees are home — dealing with one during vacation can be even more unpleasant. That’s why it’s so important to encourage your enrollees to receive dental checkups regularly.

A minor toothache now might seem like it can wait, but what if it becomes excruciating during a once-in-a-lifetime gondola ride on the Grand Canal? Ouch! Taking care of minor oral health issues before traveling can help decrease the chance of costly problems while enrollees are out of town.

Packing tip:  Encourage enrollees to visit the emergency care section on our SmileWay® website to help them prepare for any dental issues that arise when they’re away from home.

 

Map out providers
If an oral health emergency occurs, your enrollees shouldn’t wait until after vacation to seek treatment. From coast to coast, your Delta Dental PPOTM1 enrollees can visit any licensed dentist to receive care without preauthorization.2 DeltaCare® USA1 enrollees are also covered with an out-of-area emergency benefit.3

Packing tips: Enrollees can visit our website to find a network dentist by location or specialty, and even compare Yelp ratings. And for more information on receiving care away from home, enrollees can check out this helpful guide.


Document experiences abroad
Emergency treatment coverage abroad varies by plan type. Encourage enrollees to check their plan details before vacation, and let them know they will need to file their own claim along with a detailed receipt from the treating dentist with the following information to receive reimbursement:

  • Date of service
  • Dentist name and address
  • List of procedures and affected teeth
  • Currency in which to make payment

Packing tip: Share this article with enrollees to give them more details on receiving dental care while outside the U.S.

 

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1Delta Dental PPO is underwritten by Delta Dental Insurance Company in AL, DC, FL, GA, LA, MS, MT, NV and UT and by not-for profit dental service companies in these states: CA – Delta Dental of California; PA, MD – Delta Dental of Pennsylvania; NY – Delta Dental of New York, Inc.; DE – Delta Dental of Delaware, Inc.; WV – Delta Dental of West Virginia, Inc. In Texas, Delta Dental Insurance Company provides a Dental Provider Organization (DPO) plan.

DeltaCare USA is underwritten in these states by these entities: AL — Alpha Dental of Alabama, Inc.; CA — Delta Dental of California; DC, DE, FL, GA, LA, MS, MT, WV — Delta Dental Insurance Company; MD, TX — Alpha Dental Programs, Inc.; NV — Alpha Dental of Nevada, Inc.; UT — Alpha Dental of Utah, Inc.; NY — Delta Dental of New York, Inc.; PA — Delta Dental of Pennsylvania. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. These companies are financially responsible for their own products.

2 Applies to covered services; enrollees should consult their contract before receiving treatment. Enrollees’ out-of-pocket costs are likely to be lower if they receive emergency care from a dentist who is in their network.

3 Authorization for treatment may be required. Enrollees should consult their contract for the specific out-of-area provisions for their plan before receiving treatment.

Calling all Delta Dental clients: How well do you know your benefits?

Have you visited our site for benefits administrators (BAs) lately? It’s got everything you need to administer your Delta Dental plan and support your enrollees all in one place. Whether you’re a seasoned BA with Delta Dental, or you’re just getting to know us, you can test your knowledge of the BA site with a fun scavenger hunt.

Here we go!

Visit our benefits administrator site on your desktop or mobile device. You can also type deltadentalins.com/administrators/ into your browser.

Let’s start with something simple to help you get warmed up.

1. Which two types of dental plans do the BA pages help you manage?

(a) Tri-Delta DentalTM and Copay® USA

(b) Delta Dental PPOTM and DeltaCare® USA

© McDelta® USA and Delta DentalTM Care

(d) DentalCareTM  PPO and SmileWay® USA

Warmed up yet? Let’s dig a little deeper.

2. How do your enrollees get a mobile ID card?

You’re doing great — let’s keep going.

3. Which of the following can you do with our Find a Dentist Tool? (You can pick more than one)

(a) See if a particular dentist is in our networks.

(b) Search for providers by location or specialty.

© Find directions to the center of the earth.

(d) Explore provider Yelp reviews.

Too easy? Here’s a tough one.

4. Do your enrollees need to file a claim when they visit a Delta Dental network dentist?

Last question — you’re in the home stretch.

5. Where can you find our online library of enrollee oral health articles, videos, assessments and more? (Bonus points if you know the name of our wellness program)

 

Awesome job – you made it! Be sure to stay tuned for the answers to the scavenger hunt next week.

 

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What do St. Patrick’s Day and dental insurance have in common?

Probably more than you think …

2‑minute read

While we’re all for responsible celebration, Dr. Page Barden, one of our network dentists, reminds us that “any time you mix alcohol with revelry, your teeth could suffer.” And the data suggests he’s right many dentists see a spike in dental emergencies the day after St. Patrick’s Day.

So what can you do to protect your group’s smiles?
As with the rest of a good oral health care routine, prevention is key. According to Dr. Barden, that means “Drink in moderation. Make sure you have a wingman or wingwoman there to make sure you don’t wind up in my office black and blue.” That’s good advice, as most of the emergencies he sees March 18 have to do with sidewalk faceplants and fists to the teeth.

How should enrollees handle a dental emergency?
While this is something we want to avoid, it’s important to be prepared. Delta Dental PPOSM enrollees can visit any licensed dentist for emergency treatment.1 As for DeltaCare® USA enrollees, if they cannot visit their selected network dentist, they can call customer service for a referral or use their out-of-area emergency benefit.2,3 Share this helpful guide with enrollees if they have further questions.

While being careful is important, so is having fun. So encourage enrollees to have an enjoyable, but responsible St. Patrick’s Day!

For more stories like this, subscribe to Word of Mouth, our newsletter for benefits decision makers, administrators or HR professionals.

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1 Delta Dental PPO is underwritten by Delta Dental Insurance Company in AL, DC, FL, GA, LA, MS, MT, NV and UT and by not-for-profit dental service companies in these states: CA — Delta Dental of California; PA, MD — Delta Dental of Pennsylvania; NY — Delta Dental of New York, Inc.; DE — Delta Dental of Delaware, Inc.; WV — Delta Dental of West Virginia, Inc. In Texas, Delta Dental Insurance Company provides a Dental Provider Organization (DPO) plan. 

2 DeltaCare USA is underwritten in these states by these entities: AL — Alpha Dental of Alabama, Inc.; CA — Delta Dental of California; DC, DE, FL, GA, LA, MS, MT, WV — Delta Dental Insurance Company; MD, TX — Alpha Dental Programs, Inc.; NV — Alpha Dental of Nevada, Inc.; UT — Alpha Dental of Utah, Inc.; NY — Delta Dental of New York, Inc.; PA — Delta Dental of Pennsylvania. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. These companies are financially responsible for their own products.

3 Benefit typically limited to $100 per emergency, subject to standard plan limitations and exclusions; copayments may apply.

 

 

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