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

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Presentation on theme: "Delta Dental benefits for University of California Santa Barbara Student Health Insurance Plan."— Presentation transcript:

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

2 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

3 3 Delta Dental Overview The 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

4 Delta Dental PPO SM Dual Network Offering  Two contracted networks for the price of one  Students can visit:  A Delta Dental PPO SM 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

5 Cost Protections for Students The Delta Dental Difference ® is a set of advantages that differentiate us from other carriers and help us keep down the costs of our plans:  Guaranteed coinsurance amounts  No balance billing  No unbundling 5

6 Delta Dental’s Plan Design for UC GSHIP Delta Dental PPO SM Benefits PPO In- Network Non 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 Deductible Per patient / Plan year (Fall 2011 to Fall 2012) $25$50 Maximums Per patient / Plan year (Fall 2011 to Fall 2012 $1,000$750 6

7 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 PPO SM  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

8 Find a Dentist Map with Directions

9 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

10 Student Online Services  Secure login for benefits, eligibility and claim status  Access to dental health information  Searchable directory of national and international dentists 10

11 Fee Finder Students can find the average fee for highly utilized procedures. 11

12 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

13 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

14 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

15 Customer Service for Students 800-765-6003  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

16 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.

17 New Benefits Statement Our benefits statement for students has been redesigned to be friendlier and easier to use. Available electronically 17

18 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

19 19 We keep you smiling ®


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