Benefits administrator blog from Delta Dental

Tag: employee benefits (Page 1 of 2)

This campaign reminds employees to use preventive care

One of the best things your employees can do to keep their smile bright and healthy is to make good use of their diagnostic and preventive benefits. Regular trips to the dentist can help catch little problems before they become big ones, thus avoiding potentially costly and painful dental problems.

When employees make use of diagnostic and preventive benefits, it’s also good for your organization. For example, if an employee has to take sick leave to get a root canal, that represents a loss of time and money for everyone involved (especially if the issue could have been caught when a filling would have sufficed).

Enter the preventive care reminder campaign

You can use the preventive care reminder campaign to help employees of self-insured groups make the most of their benefits. This is an email campaign for employees who haven’t generated any dental claims in the past seven months. As part of this campaign, employees will receive a series of three emails. These are:

  1. An email reminding them to schedule an appoint for a cleaning and exam.
  2. A congratulatory email after their visit applauding them for taking charge of their oral health. This email will also encourage them to set a reminder to return to the dentist in six months.
  3. A reminder email to schedule another exam and cleaning (if they chose to set one).

Does this campaign really work?

Absolutely. Comparing claims data across different groups, we’ve found a substantial increase in preventive care utilization rates among employees who receive and open preventive care reminder emails compared to those who don’t.

The more employees who make use of their diagnostic and preventive benefits, the better it will be for both workers and your organization. Healthier smiles for your employees and more savings for your company. That’s what we call win-win.

Are you the benefits administrator of a self-insured group and ready to join the preventive care reminder campaign? Contact your Account Manager to sign up!

3 ways to rethink your employee benefits communication strategy

During your open enrollment period, you probably receive a flood of questions from your employees about their health benefits. But questions and confusion about benefits don’t begin and end with open enrollment. And for most companies, confusion about benefits is a major problem.

  • Only 39% of employees fully understood their company health insurance policies, according to a recent survey.
  • Nearly 20% of employees said they weren’t sure they understood the benefits they signed up for.
  • Almost half weren’t sure what their annual health coverage costs were.

The same survey found that this confusion about benefits can overwhelm employees, to the point that they often give up trying to understand them.

  • Nearly 20% of surveyed employees said they didn’t do any research before choosing their health benefits.
  • More than 90% of employees said they simply sign up for the same benefits year after year.

As a result, your employees may be spending too much to over-insure themselves, or conversely might be compromising their health by passing on important benefits to try to cut costs.

This confusion can be bad for your company’s bottom line as well, wasting available benefits and contributing to rising health care costs.

With is in mind, it might be time to rethink your benefits communication game.

Benefits communication: It’s not just for open enrollment anymore

Certainly, reaching out to employees about their benefits during open enrollment is always a good idea. But remember that your employees probably have questions and concerns about benefits throughout the year, and particularly when they have to use them. 

Look for opportunities to educate employees while benefits are on their mind.

  • At the beginning of the calendar or plan year, you can remind employees about new benefits available to them or that their new deductibles and maximums have reset
  • At the end of the calendar or plan year, you can encourage them to use their benefits before their deductibles and maximums reset
  • During the summer, you can suggest that employees with children take their kids to the dentist before they return to school
  • When employees move, or their office moves to a new area, you can offer them tips on how to find a nearby in-network dentist
  • When they experience a qualifying life event, such as getting married or having a baby, you can explain how to add a dependent to their dental plans

Help your employees help themselves

A single 20-something employee with a pet iguana is going to have very different health care needs than a married 50-year-old with a large family. What they might have in common, though, is their understanding of health care plans and their lingo — next to none.

So rather than simply mailing out printed plan guides that most employees don’t read anyway, find resources that target your employees and their unique dental plan needs to help them choose a plan that right for them.

  • For example, Delta Dental offers answers to frequently asked questions, which includes information about dental plans, such as the difference between PPO and DHMO-type plans, explanations of networks and orthodontic benefits and many other topics.
  • Delta Dental also offers helpful videos that explain Delta Dental plans, networks and more.

And be as transparent as possible with costs. If you haven’t already, share specifically how much employees will pay when they enroll in different plans.

Make benefits a two-way street

As you strive to better educate employees about their benefits, don’t miss the opportunity to have them educate you as well. Given the chance, employees might provide you with valuable information about what they want — and don’t want — in their benefits. Give employees multiple forums to provide you with feedback. A few possibilities include:

  • Q&A sessions
  • Polls
  • Surveys

The questions and comments you receive can help you tailor your benefits communication strategies by uncovering new issues, such questions about virtual dental care options.

Remember, benefits communication is about more than open enrollment. Building a strong communications strategy is important for the health of both your employees and your company. By creating effective, personalized and tech-friendly communications, you’ll potentially save money and time, and ensure that your employees get the benefits they want and need.

Orthodontics are becoming a more important benefit for employees

Brace yourself — National Orthodontic Health Month is here! When it comes to choosing dental benefits to attract and maintain top-tier talent, orthodontic coverage is essential. Here’s a deeper dive into orthodontic coverage and the value it brings to you and your employees.

More people are interested in braces

Braces do more than give people a pretty smile. By ensuring proper alignment of the teeth, orthodontics can make it easier to bite, chew and speak. Misaligned teeth are also harder to clean and can wear in unusual ways. Minor untreated issues can lead to more serious problems further down the road, and that can mean increased utilization costs for your business. Far from being a luxury, orthodontic treatment can be essential to proper dental health.

When you imagine your average person with braces, you probably picture a teenager whose parents want them to have a beautiful smile. While most of the over 4 million people in the United States who are currently undergoing orthodontic treatment are teens, over 25% of current patients are adults, and these numbers are expected to grow. The number of adults seeing orthodontists is at an all-time high, according to the American Association of Orthodontists, and that means the pool of prospective ortho patients is wider than it’s ever been. Even childless adults may be interested in these benefits, such as the young professionals in the job market.

Employees expect to see dental insurance among their benefits, and orthodontic coverage can help your plans stand out from competitors. Fortunately, Delta Dental plans offer such coverage at affordable price points.

What kind of coverage does Delta Dental offer?

Without insurance, prospective orthodontic patients can expect to pay between $3,000 and 6,000 dollars depending on their age. Delta Dental plans can help cut these costs in half. That’s why Delta Dental’s been recognized as the best overall dental insurance for braces in 2021.

Orthodontic coverage is available under both Delta Dental PPO™ and DeltaCare® USA:

  • Delta Dental PPO plans vary by group and may include orthodontic coverage. You can choose to limit orthodontic coverage to children under 19 or cover orthodontics for both children and adults. Coverage is usually subject to a lifetime orthodontic maximum per person.
  • All DeltaCare USA plans cover orthodontics at set copayments, with no maximums or deductibles.

While specifics vary depending on your plan, coverage usually includes:

  • Pre-orthodontic treatment visits
  • Exam and start-up records
  • X‑rays
  • Orthodontist-recommended tooth extractions
  • Comprehensive orthodontic treatment
  • Post-treatment records
  • Orthodontic takeover for treatment that’s already in progress

Plans generally don’t cover the following:

  • Orthodontic treatment for children delivered in two phases
  • Appliances to correct harmful habits (like thumb-sucking)
  • Jaw surgery to facilitate orthodontic treatment
  • Treatment to prepare for other non-covered surgical procedures

Alternative appliances like Invisalign, mail-order appliances and teleorthodontistry generally aren’t, but Delta Dental usually still covers some of the orthodontic treatment costs, such as x‑rays and exams.

Want to help your employees understand their out-of-pocket costs? For PPO plans, encourage your employees to ask their orthodontist for a pre-treatment estimate. DeltaCare USA members can check their plan booklet for their copayments.

From children to adults, the interest in orthodontics is only growing, especially among adults. You won’t want to miss out on delivering benefits that employees love — and expect. Consider adding orthodontic coverage to your plan — or expanding the orthodontic coverage you currently offer.

With Delta Dental’s plans, your employees can find the orthodontic coverage they’re looking for at a price point they can afford, and that’s a great reason to smile.

Open enrollment: Resources and what’s new

Open enrollment can be difficult for employees to navigate, but they won’t have to go it alone. Flyers, videos and more are available to help your employees understand their coverage options, choose the right plans for their needs and make the most of their benefits.

What’s new

New initiatives and resources available for this year’s open enrollment season.

Virtual booths

If your company has virtual open enrollment software, you can get all the benefits of having an in-person event virtually. With flyers, presentations and more, a virtual booth session is the perfect educational source for employees who can’t make it into the office. (Virtual booth sessions with a live Delta Dental representative require a minimum of 100 attendees.)

Quality ratings for dentists

Choosing the right dentist can be tricky. The new DentaQual rating system provides a simple and objective rating system based on a dentist’s past performance. That makes it easy for employees to find dentists that deliver effective, appropriate and fairly priced service.

Virtual dentistry

Two options are available for employees who are looking for teledentistry tools: Delta Dental – Virtual Consult (PDF) is a video-based app for members to consult with a Delta Dental dentist live, and Toothpic (PDF) is a photo-based app that lets members submit photos of problem areas for professional analysis.

Get check-ups remotely

Callback assist

When your employees contact Delta Dental’s Customer Service, they can now get a convenient callback instead of having to wait on the line.

A redesigned website

In 2020, we rolled out a whole new design for our website and refreshed its content. This new design makes finding answers easier, whether choosing a plan, understanding benefits or just looking for tips on maintaining a healthy smile.

  • Delta Dental members resources. Help members plan visits, know what to expect at the dentist’s office and what to do after they complete their visits. There’s also useful information about value-added benefits, like virtual dentistry and preferred pricing on LASIK and hearing aids, and a wellness library with articles, videos, recipes and more.
  • Delta Dental virtual dentistry. Understand teledentistry and the differences between Virtual Consult and Toothpic.
  • Smile On. If you have employees who may be retiring or ineligible for full-time benefits, Smile On is a great way for them to get affordable coverage that meets their needs.

New video content

These videos provide short and direct explanations of Delta Dental’s plans and features. To share these videos on your website or intranet, just click the videos to navigate to YouTube. Below the video you wish to share, click Share > Embed. Then copy and paste the code into your webpage or intranet site. 

These videos also feature Spanish closed captioning. To turn on Spanish captions, click the settings symbol (the cogwheel icon), then click Subtitles/CC and choose Spanish from the list.

Delta Dental PPO™ network 

All about the Delta Dental PPO network

Delta Dental PPO and Delta Dental Premier® networks

Get to know Delta Dental’s PPO and Premier networks

DeltaCare® USA 

Welcome to your DeltaCare USA plan

Online resources

Your online resources from Delta Dental

Online resources including the Cost Estimator

The Cost Estimator and other tools form Delta Dental

Resources for your employees

Multilingual support

Material in other languages, including Spanish and Chinese, is available on request. Delta Dental members can also get translation and accessibility services through the Language Assistance Program.

Material to share with employees

Check out the open enrollment benefits resources page for flyers that you can download and print to share with employees. These flyers cover:

  • Plan basics
  • Using a Delta Dental plan
  • Understanding dentist networks
  • Accessing online resources
  • Orthodontic coverage (braces)
  • Individual coverage
  • Value-added features

Even if your company hasn’t returned to the office, open enrollment doesn’t need to be a challenge. Online resources make choosing the right plan and making the most of it easier than ever before!

You can now pair VSP vision coverage with your Small Business Program plan

Insurance coverage can be complicated, but Delta Dental is making it simpler. You can now get Delta Dental’s Small Business Program (SBP) dental plans and VSP® vision plans together. That means industry-leading vision and dental coverage are now available conveniently paired together with a single itemized invoice.

These new vision plans feature comprehensive coverage on VSP’s nationwide network. They’re available in the same three-level structure as SBP dental plans (Deluxe, Advantage and Core), so you don’t have to worry about learning a new system and explaining it to your employees. Benefits vary by level, but every vision plan includes:

  • Coverage for an annual eye exam and lenses
  • A frame or contact lens allowance (contact lenses are available in place of lenses and frames)
  • Access to VSP’s nationwide network

When you pair VSP vision coverage with a Delta Dental SBP plan administered by Allied Administrators, you make billing simpler for you and getting care simpler for your employees. If you want to learn more or get a quote, visit our Sales Contact page. It’s easy to see that’s a win-win.

Vision coverage is provided by VSP.

©2021 Vision Service Plan. All rights reserved.

VSP is a registered trademark of Vision Service Plan.

SmileWay Wellness Benefits help employees stay healthy

More people are becoming aware of the way that health issues can manifest in the mouth and oral health issues can exacerbate other medical conditions. With serious issues like heart disease being responsible for so many deaths in the U.S., your employees may be interested in learning how good dental health can improve their overall health. If they have medical conditions that affect their oral health, SmileWay® Wellness Benefits may help meet their needs.

Who’s eligible for SmileWay Wellness Benefits?

Not everyone is eligible for SmileWay Wellness benefits. To claim these benefits, your employees must:

  • Have a Delta Dental PPO™ plan
  • Belong to a group that offers SmileWay Wellness Benefits
  • Have chosen to opt in to the program

If your employees have been diagnosed with any of the following, then they are eligible for expanded coverage:

  • Diabetes
  • Heart disease
  • HIV/AIDS
  • Rheumatoid arthritis
  • Stroke

What are the benefits?

If your plan includes SmileWay Wellness Benefits, then employees are eligible for these added benefits each calendar or contract year:

  • 100% coverage for one scaling and root planning procedure per quadrant (D4341 or D4342)
  • and 100% coverage for four of the following in any combination:
    • Prophylaxis (D1110 or D1120)
    • Periodontal maintenance procedure (D4910)
    • Scaling in the presence of moderate or severe gingival inflammation (D4346)

If your employees have medical issues that necessitate extra dental care, consider adding SmileWay Wellness Benefits to your coverage and letting them know. These benefits can help keep your employees both smiling and healthy, and healthy workers are a win-win for your company!

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