Dental Wellness Plan February 2015
|
|
|
- Stewart Hodge
- 5 years ago
- Views:
Transcription
1 Dental Wellness Plan February 2015
2 DWP Program Tenets Take a population health management approach to improve the overall oral health of Members by designing care plans to meet specific needs of each member. Use an earned benefits model which offers coverage for basic services, and allows members to complete specific incentives in order to gain access to other enhanced services. Contract with a commercial dental plan to provide competitive reimbursement rates and reduce administrative barriers. Increase dental provider reimbursement and offer pay for performance components if providers meet specific quality measurements linked to plan goals. Page 2 Focus on care coordination and member engagement by linking oral health care to
3 Bring Smiles Improve Lives Exceptional Quality Service One Team Leadership at All Levels Embrace Change Dental Wellness Plan Design
4 Core Benefits Member has Core benefits as soon as they enter the program. Diagnostic and Preventive Services include: Exams and Education, Cleanings, X-rays and Fluoride treatments. Emergency Services primarily to relieve significant pain or to relieve acute infections (unlimited subject to specific criteria) Problem focused exams, extractions/oral surgery, surgical incision and drain, anesthesia, palliative treatment, periapical x-rays, pulpal therapy. Delta Dental Presentation 2015 Page 4
5 Core Benefits Benefits Stabilization Services allows members to maintain basic human functions or prevents a condition from deteriorating in an imminent timeframe to a more serious situation (subject to specific criteria) Restorations for large cavities on the pulp Scaling and root planing Stainless steel (posterior)/resin crowns (anterior) for fractured teeth. Full mouth debridement Denture adjustment and repairs Delta Dental Presentation 2015 Page 5
6 Enhanced Benefits Member must return to their General Dentist for preventive care between 6 and 12 months from 1st visit to be eligible for Enhanced services. All Core benefits are still available plus Enhanced benefits of: Restorations and other restorative services. Root canals, apexification, apiocoectomy and other endodontic services. Non-surgical gum treatment. Denture Delta adjustments, Dental Presentation repairs, relines 2015 Page 6
7 Enhanced Plus Benefits Member must return to their General Dentist for preventive care between 6 and 12 months from 2st visit to be eligible for Enhanced Plus services. All Core and Enhanced benefits are still available plus Enhanced Plus benefits of: Crowns/Onlays for anterior permanent teeth and extensive coronal destruction/broken cusp and posterior teeth with root canal therapy and cracked tooth syndrome. Tooth replacements dentures (complete and partial) and bridges for designated Delta conditions. Dental Presentation 2015 Page 7
8 EPSDT year old members of the DWP program have access to all covered services at time of enrollment, regardless of what tier the fall into since they are covered under EPSDT All services are subject to review especially Emergency and Stabilization services regardless of age Delta Dental Presentation 2015 Page 8
9 Bring Smiles Improve Lives Exceptional Quality Service One Team Leadership at All Levels Risk Assessment Embrace Change
10 Oral Risk Assessment Risk Assessment facilitates data collection to demonstrate population health improvements. The tool for the Oral Risk Assessment (PreViser) provides scores on both periodontal disease and caries. Oral Risk Delta Assessment Dental Presentation will 2015 be completed Page 10
11 Bring Smiles Improve Lives Exceptional Quality Service One Team Leadership at All Levels Provider Recruitment Embrace Change
12 Provider Recruitment Specific contracting for the Dental Wellness Plan and not associated with other Delta Dental networks. Contracting with General Dentists, Specialists, CHC s and University of Iowa. Fee Schedule Reimbursement is similar to Commercial PPO Reimbursement in the state of Iowa. Delta Dental Presentation 2015 Page 12
13 Bring Smiles Improve Lives Exceptional Quality Service One Team Leadership at All Levels Outreach and Referral Plan Embrace Change
14 DWP Outreach and Referral Plan This county will not be a good place for any of us to live in unless we make it a good place for all of us to live in --Theodore Roosevelt
15 DWP Outreach and Referral Plan Request for Proposal released November 2014 Limited to MCH Title V Contractors (already familiar with establishing dental homes for children) Contracts with 19 agencies established Delta Dental Presentation Page 15
16 Create a system that provides coordination of dental homes for adults by linking community partners, dental providers, health care providers (including emergency room departments) and members to achieve Scope of Work Increase member and community understanding and awareness of the DWP, in addition to making the program successful with collaboration from community partners.
17 Member Experience
18 Member Outreach DWP Coordinator Role Locate members who would otherwise remain unserved Engage members to understand the importance of continued oral health care and the plan design Assess members oral health needs Link members to a network provider and/or other support services they may need to remove barriers to accessing dental care Follow members through the dental system until a
19 Member Outreach Goals Outcomes: Members become independent consumers Members develop health beliefs, attitudes and behaviors Members make informed health care choices Members improve overall health and physical being
20 Community Outreach DWP Coordinator Role Establish relationships with community partners who also serve the DWP population (in any capacity) Provide knowledge of the DWP design and the target population Provide contact information as a referral source Compile a list of community resources to help DWP members overcome barriers to accessing dental care
21 Community Outreach Goals Outcomes: Enhance community awareness Increase the visibility of the DWP Program within a community Broaden community support Engage new community partners/stakeholders Improve knowledge, attitudes and health behaviors of community partners which can be passed onto members
22 Performance Measures 20% increase in DWP members receiving a preventive dental service 15% increase in DWP members return for a follow up visit following their initial exam By December 15, 2015 work with ER facilities to develop and implement a referral protocol for all non-emergent dental issues
23 DWP Coordinator Calibration Training Date: April 30, 2015 Time: 9:00 4:00 Location: DMACC Campus in Ankeny (FFA Enrichment Center Building)
24 Bring Smiles Improve Lives Exceptional Quality Service One Team Leadership at All Levels Eligibility Embrace Change
25 Eligibility Verification of eligibility and annual renewal Retro eligibility Delta Dental Presentation 2015 Page 25
26 Bring Smiles Improve Lives Exceptional Quality Service One Team Leadership at All Levels Data Embrace Change
27 DWP Data 64 percent of the services provided are Diagnosis and Prevention Services 23 percent of the services provided are Stabilization Services 13 percent of the services provided are Emergency Services Delta Dental Presentation 2015 Page 27
28 DWP Data Members Enrolled 128,688 Members that have Received a Service 40,442 Services Provided 299,324 Dentist Providing Services 994 Claims Processed YTD 126,273 Claims Turn Around Time 8.0 days PreViser Risk Assessments 17,861 Customer Service Calls YTD 43,681 Delta Dental Presentation 2015 Page 28
29 Questions?
Dental Benefits Options For State, Education & Local Government Employees
2016 2017 Dental Benefits Options For State, Education & Local Government Employees Option 1: Delta Dental PPO* Benefit Plan Delta Dental PPO Network Delta Dental Premier Network OR Non-Participating Dentist
Michael Kanellis, DDS, MS ADEA BFACA Mid Year Meeting October 17, 2014
Michael Kanellis, DDS, MS ADEA BFACA Mid Year Meeting October 17, 2014 Michael Kanellis, DDS, MS ADEA BFACA Mid Year Meeting October 17, 2014 Implemented May 1, 2014 100,000+ low-income adults not eligible
Annual Deductible, Payment Provisions and Annual Maximum
Dental Plan Dental Benefits are available only to those Participants and their eligible dependents where the Participant Group has opted for this coverage and completed an enrollment form requesting coverage
Re: Health and Dental Insurance
Five Colleges, Inc. ~ Memorandum To: All Benefited s From: Barbara Lucey Date: November, 2017 Re: Health and Dental Insurance We are staying with Harvard Pilgrim as our health insurance carrier this year.
Dental POS Benefit Summary
Dental POS Benefit Summary PFG HC Dental 13 Predetermination of Benefits: Before treatment begins for inlays, onlays, single crowns, prosthetics, periodontics and oral surgery, you may file a dental treatment
Dental Benefit Summary MetLife Preferred Dentist Program (PDP)
Dental Benefit Summary MetLife Preferred Dentist Program (PDP) CORE and BUY-UP Dental Options Note: MetLife Dental Plans require that any dental election, including declining coverage, can only be changed
Dental POS Benefit Summary
Policyholder: UC Postdoctoral Scholar Dental POS Benefit Summary Effective date: 01/01/2019 This chart provides you a brief summary of the key benefits of the dental coverage available from Principal Life
DENTAL FOR EVERYONE DIAMOND PLAN PPO & PREMIER SUMMARY OF BENEFITS, LIMITATIONS AND EXCLUSIONS
DENTAL FOR EVERYONE DIAMOND PLAN PPO & PREMIER SUMMARY OF BENEFITS, LIMITATIONS AND EXCLUSIONS DEDUCTIBLE Your dental plan features a deductible. This is an amount you must pay out of pocket before Benefits
2017 Dental Options BALTIMORE CITY PUBLIC SCHOOLS. Baltimore City Public Schools 2017 Dental Options C1
2017 Dental Options BALTIMORE CITY PUBLIC SCHOOLS Baltimore City Public Schools 2017 Dental Options C1 Table of Contents Important Information for 2017... 1 Dental HMO (DHMO)... 2 Preferred Dental PPO
Dental Plans for All Employers
Delta Dental of Nebraska 2018 Plans: Delta Dental PPO plus Premier - Dental Access Delta Dental PPO plus Premier - Millennium Choice Delta Dental PPO plus Premier - Dental Flex Delta Dental PPO plus Premier
SHL Dental PPO Plan 29 - SB Adult Only Coverage
SHL Dental PPO Plan 29 - SB Adult Only Coverage Attachment A Benefit Schedule Please read the definition of Eligible Dental Expenses ( EDE ) and SHL Reimbursement Schedule in the Certificate. When accessing
Five Colleges, Inc. ~ Memorandum
Five Colleges, Inc. ~ Memorandum To: All Benefited s From: Barbara Lucey Date: October, 2017 Re: Health and Dental Insurance Health Plan Good news, we are staying with Harvard Pilgrim this year for both
DENTAL PLAN INFORMATION
County of Kern DENTAL PLAN INFORMATION FOR PERMANENT EMPLOYEES Independence PPO Dental LIBERTY Cobalt Plus DHMO Dental Administered by LIBERTY Dental Plan of California 1(888) 273-3179 www.libertydentalplan.com/countyofkern
Blue Edge Dental SCHEDULE OF BENEFITS, EXCLUSIONS AND LIMITATIONS - HIGH A. BENEFITS
Blue Edge Dental SCHEDULE OF BENEFITS, EXCLUSIONS AND LIMITATIONS - HIGH A. BENEFITS Annual Deductible Per Insured Person Annual Deductible Per Insured Family $100 Per Calendar Year $300 Per Calendar Year
Anthem Blue Dental PPO Voluntary Option 2V Summary of Benefits
Anthem Blue Dental PPO Voluntary Option 2V Summary of Benefits Annual Benefit Limit: $1500 Annual Member Deductible: $50 PPO Dentist $50 Non-PPO Dentist Family Coverage Deductible Limit 3 times Annual
Dental EPO Benefit Summary
Dental EPO Benefit Summary PFG HC Dental 12 Predetermination of Benefits: Before treatment begins for inlays, onlays, single crowns, prosthetics, periodontics and oral surgery, you may file a dental treatment
Exclusive Panel Option (EPO 1-B) a feature of the Delta Dental PPO Denver Public Schools- Group #
Exclusive Panel Option (EPO 1-B) a feature of the Delta Dental PPO Denver Public Schools- Group #6694 7.2011 MAXIMUM BENEFIT Calendar Year Orthodontic Lifetime CALENDAR YEAR DEDUCTIBLE WHO CAN BE COVERED
Lincoln County School District
Lincoln County School District Delta Dental will be your new dental benefits provider effective July 1, 2016. Delta Dental has two networks of participating providers: Delta PPO & Delta Premier. Please
BASS PRO, INC. / CABELA S
PPO BASE PLAN - Features BASS PRO, INC. / CABELA S BASE PLAN 2019 PPO Dentist Based on PPO reduced maximum plan allowance Premier Dentist Based on Premiermaximum plan allowance Non-Participating Dentist
Baltimore City Public Schools 2013 Dental Options
Baltimore City Public Schools 2013 Dental Options Baltimore City Public Schools Important Phone Numbers for 2013 DHMO Customer Service (410) 847-9060 or (888) 833-8464 DHMO Mailing Address The Dental Network
Delta Dental EPO City & County of Denver Group #6791 EPO
MAXIMUM BENEFIT - Calendar Year Maximum Delta Dental EPO City & County of Denver Group #6791 EPO Unlimited See copayment schedule for additional details. Orthodontic Lifetime Unlimited See copayment schedule
Dental Plans for All Employers
2018 Plans: Delta Dental PPO plus Premier - Dental Access Delta Dental PPO plus Premier - Millennium Choice Delta Dental PPO plus Premier - Dental Flex Dental Access 5-99 Enrolled Employees Service Description
Individual Dental Insurance Plans & Delta Dental Patient Direct
20 13 Individual Dental Insurance Plans & Delta Dental Patient Direct Our dental insurance and discount card programs offer Illinois individuals, couples and families without an employer-sponsored dental
Blue Edge Dental SCHEDULE OF BENEFITS, EXCLUSIONS AND LIMITATIONS - HIGH
Blue Edge Dental A. BENEFITS SCHEDULE OF BENEFITS, EXCLUSIONS AND LIMITATIONS - HIGH Annual Deductible Per Insured Person $50 Per Calendar Year Annual Maximum Per Insured Person $1,000 Covered Services:
III. Dental Program Table of Contents
III. Dental Program Table of Contents About This Section...1 An Overview of Your Dental Program Options...2 Delta Dental...3 Preventive/Diagnostic Care...3 Basic Restorative Care...3 Major Restorative
Delta Dental EPO City & County of Denver Group #6791 EPO
MAXIMUM BENEFIT - Calendar Year Maximum Delta Dental EPO City & County of Denver Group #6791 EPO Unlimited See copayment schedule for additional details. Orthodontic Lifetime Unlimited See copayment schedule
Aetna Dental Inc. One Prudential Circle Sugar Land, TX SUMMARY OF COVERAGE
Aetna Dental Inc. One Prudential Circle Sugar Land, TX 77478 1-877-238-6200 SUMMARY OF COVERAGE CONTRACT HOLDER: BNSF Railway Company GROUP AGREEMENT: 727796 PLAN EFFECTIVE: January 1, 2016 The benefits
FEE SCHEDULE. Complete Dental Plan is a discount plan offered and administered by our organization at:
FEE SCHEDULE Complete Dental Plan is a discount plan offered and administered by our organization at: 7801 CORAL WAY SUITE # 106, MIAMI, FL 33144 (786) 326-6873 F (305) 6979785 COMPLETE DENTAL PLAN HIGHLIGHTS
Delta Dental PPO Dentist
DENTAL COVERAGE HOW DENTAL COVERAGE WORKS The Trust provides dental coverage to you and your eligible Dependents. Delta Dental of Michigan, whose contact information is listed in your Schedule of Benefits,
PLANS FOR FAMILIES AND ADULTS 2018 Features & Benefit Details
PLANS FOR FAMILIES AND ADULTS 2018 Features & Details Plans with Comprehensive Coverage PLAN NETWORK Participating Dentists EPO Participating Dentists EPO and EPO Is this a smaller network? No No Yes No
An Overview of Your. Dental Benefits. Educators Health Alliance
An Overview of Your Dental Benefits Educators Health Alliance 2 \ DENTAL BENEFITS OVERVIEW \ 5 A Dental Plan Exclusively for Educators Health Alliance Members Something to Smile About... The EHA makes
DELTA DENTAL PPO SUMMARY OF BENEFITS FOR COVERED EMPLOYEES OF: County of Dane. (See Dental Benefit Handbook for definitions of capitalized terms.
DELTA DENTAL PPO SUMMARY OF BENEFITS FOR COVERED EMPLOYEES OF: County of Dane (See Dental Benefit Handbook for definitions of capitalized terms.) GROUP NUMBER: 00704-00000 EFFECTIVE DATE OF PROGRAM: January
HumanaDental PPO 09 (High Option)
HumanaDental PPO 09 (High Option) FLORIDA ICUBA If you use IN-NETWORK provider If you use OUT-OF-NETWORK provider Plan-year deductible Annual maximum Preventive services Oral examinations X-rays Cleanings
DENTAL FOR EVERYONE SUMMARY OF BENEFITS, LIMITATIONS AND EXCLUSIONS
DENTAL FOR EVERYONE SUMMARY OF BENEFITS, LIMITATIONS AND EXCLUSIONS DEDUCTIBLE The dental plan features a deductible. This is an amount the Enrollee must pay out-of-pocket before Benefits are paid. The
Aetna Dental Inc. One Prudential Circle Sugar Land, TX SUMMARY OF COVERAGE
Aetna Dental Inc. One Prudential Circle Sugar Land, TX 77478 1-877-238-6200 SUMMARY OF COVERAGE CONTRACT HOLDER: Clear Creek ISD GROUP AGREEMENT: 620318 PLAN EFFECTIVE: September 1, 2014 The benefits shown
PLANS FOR FAMILIES AND ADULTS Features & Benefit Details
Page 1 of 7 s with comprehensive coverage s with basic coverage PLAN NETWORK Premier EPO EPO Altus Dental Participating Dentists Premier EPO EPO Altus Dental Participating Dentists **Premium child under
The following chart provides an illustration of the dental coverage provided under the Plan. Summary of Dental Care Benefits
DENTAL CARE You or your eligible dependents may incur reasonable and customary charges for services and supplies provided by or under the supervision of a licensed, certified or registered oral surgeon
An Overview of Your Dental Benefits
An Overview of Your Dental Benefits Educators Health Alliance ii \ DENTAL BENEFITS PPO Dental Plan Options OPTION 1 Maintenance Dentistry OPTION 2 (STANDARD PLAN) IN-NETWORK OUT-OF-NETWORK 30% of allowable
III. Dental Program Table of Contents
III. Dental Program Table of Contents About This Section...1 An Overview of Your Dental Program Options...2 MetLife and Delta Dental Options...2 Preventive/Diagnostic Care...3 Basic Restorative Care...3
BENEFIT OUTLINE. For COUNTY OF ONONDAGA ONONDAGA COUNTY DENTAL BENEFITS PLAN. Dental Claims Administration By EFFECTIVE: JANUARY 1, 2010
BENEFIT OUTLINE For COUNTY OF ONONDAGA ONONDAGA COUNTY DENTAL BENEFITS PLAN Dental Claims Administration By EFFECTIVE: JANUARY 1, 2010 This benefit outline is not a Summary Plan Description and should
Florida Medicaid. Dental Services Coverage Policy. Agency for Health Care Administration
Florida Medicaid Agency for Health Care Administration Table of Contents 1.0 Introduction... 1 1.1 Description... 1 1.2 Legal Authority... 1 1.3 Definitions... 1 2.0 Eligible Recipient... 2 2.1 General
SECTION 8 DENTAL BENEFITS SCHEDULE OF DENTAL BENEFITS
SECTION 8 DENTAL BENEFITS The Fund pays up to a maximum of $2,000 per year for Dental expenses incurred by Participants and/or Dependents age 19 or over in accordance with the Schedule of Dental benefits;
EPSDT PROCEDURE CODES
EPSDT PROCEDURE CODES Provided in the tables on the following pages are the procedure codes for EPSDT Dental Services. All procedure codes designated as non-specific are meant to cover procedures not specifically
SECTION XVI. EssentialSmile Ped 111, ST, INN, Pediatric Dental SCHEDULE OF BENEFITS
SECTION XVI. EssentialSmile Ped 111, ST, INN, Pediatric Dental SCHEDULE OF BENEFITS COST-SHARING PEDIATRIC DENTAL CARE ESSENTIAL HEALTH BENEFIT Deductible One (1) Member under age 19 Two (2) or more Members
2009 Summary of Covered Dental Services
2009 Summary of Covered Dental Services 2009 Summary of Covered Dental Services This summary shows the coverage details for the dental options offered by Xerox. It is not an all-inclusive summary of plan
For a Correction Captains Association Dental Claim Form please follow this link CCA Dental Claim form.pdf
Correction Captains Association Retiree Security Benefit Fund Group #132 Summary of Benefit for Retired members: Annual maximum $3,500.00 individual Individual Ortho Lifetime max $3,500 Appliance $600,
Aetna Dental presents A Dental Benefit Summary for Michigan Voluntary Option 2; Freedom-of-Choice; No Ortho DMO
Aetna Dental presents A Dental Benefit Summary for Michigan Voluntary Option 2; Freedom-of-Choice; No Ortho DMO PPO Max Annual Deductible* Individual None $75 Family None $225 Preventive Service Covered
Aetna Dental presents A Dental Benefit Summary for Florida Option 3; Freedom-of-Choice; w/ortho DMO
Aetna Dental presents A Dental Benefit Summary for Florida Option 3; Freedom-of-Choice; w/ortho DMO PPO Annual Deductible* Individual None $50 Family None $150 Preventive Service Covered Percent 100% 100%
23XX2293 R3/08 Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company
www.bcbsla.com 23XX2293 R3/08 Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company 1 Blue Cross and Blue Shield of Louisiana and HMO Louisiana, Inc. are
Senior dental insurance for strong teeth and healthy bodies
SUMMARY OF BENEFITS Senior dental insurance for strong teeth and healthy bodies HealthPartners Senior Personal Dental Plans Senior dental plans to smile about Keeping your teeth healthy as you age is
A Dental Benefits Program For Individuals and Families Group #2525. HDS. A plan that puts a smile on your face.
A Dental Benefits Program For Individuals and Families Group #2525 HDS. A plan that puts a smile on your face. Your Dental Benefits The health of your teeth and gums directly affects your overall health.
HealthPartners Dental Distinctions Benefits Chart
HealthPartners Dental Distinctions Benefits Chart Effective Date: The later of the effective date, or most recent anniversary date, of the Master Group Contract and your effective date of coverage under
SPD Dental Plan 08/01/
Dental Plan 08/01/2017 5-1 Delta Dental Plan How the Dental Plan Works The Dental Plans pay benefits for you and your Eligible Dependents for a wide range of dental services and supplies. The Dental Plans:
ADA CODE PROCEDURE PATIENT PAYS ADA CODE PROCEDURE PATIENT PAYS APPOINTMENTS
PRESTIGE 25 Schedule of Benefits and Subscriber Copayments ADA CODE PROCEDURE PATIENT PAYS ADA CODE PROCEDURE PATIENT PAYS APPOINTMENTS 5130 Immediate maxillary (upper)...$300.00 9430 Office visit (normal
APPENDIX A: EPSDT DENTAL PROGRAM FEE SCHEDULE
: EPSDT DENTAL PROGRAM FEE SCHEDULE Provided in the table on the following pages are the reimbursable dental procedure codes and fees for the Medicaid of Louisiana, EPSDT Dental Program. All procedures
Dental Blue Program 2. Summary of Benefits. Amherst College
Dental Blue Program 2 Summary of Benefits Amherst College Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association Dental Blue Program 2 Preventive
Schedule of Benefits (GR-9N S )
Schedule of Benefits (GR-9N S-01-001-01) Employer: Group Policy Number: Roman Catholic Diocese Of Dallas GP-870560-WI Issue Date: February 9, 2015 Effective Date: January 1, 2015 Schedule: 7A Cert Base:
LOUISIANA MEDICAID PROGRAM ISSUED: 08/18/14 REPLACED: 09/15/13 CHAPTER 16: DENTAL SERVICES APPENDIX A: EPSDT DENTAL PROGRAM FEE SCHEDULE PAGE(S) 16
APPENDIX A: FEE SCHEDULE DENTAL PROGRAM FEE SCHEDULE Provided in the table on the following pages are the reimbursable dental procedure codes and fees for the Medicaid of Louisiana, EPSDT Dental Program.
Welcome to Arkansas Blue Cross and Blue Shield Dental Plan
Welcome to Arkansas Blue Cross and Blue Shield Dental Plan University of Arkansas System Dental Program Beginning January 1, 2018, the University of Arkansas System dental plan will be administered by
Plans. Members choose what they Value Most
FLE x Plans Members choose what they Value Most FLE x Plans Members choose what they value most; better coverage or more provider choice Renaissance Dental Your Partner in Success! As a leading dental
LOUISIANA MEDICAID PROGRAM ISSUED: 09/15/13 REPLACED: 03/28/13 CHAPTER 16: DENTAL SERVICES APPENDIX A: EPSDT DENTAL PROGRAM FEE SCHEDULE PAGE(S) 16
APPENDIX A: FEE SCHEDULE DENTAL PROGRAM FEE SCHEDULE Provided in the table on the following pages are the reimbursable dental procedure codes and fees for the Medicaid of Louisiana, EPSDT Dental Program.
SECTION XVI. EssentialSmile Ped 111, ST, INN, Pediatric Dental Schedule of Benefits
COST-SHARING SECTION XVI. EssentialSmile Ped 111, ST, INN, Pediatric Dental Schedule of Benefits Members can search for a Network Provider at www.solsticecare.com/provider-search.aspx Member Services:
Staywell FL Child Medicaid Plan Benefits
The following is a complete list of dental procedures for which benefits are payable under this Plan. For beneficiaries under age 21, additional coverage may be available with documentation of medical
State of New Mexico Group Dental Benefits Plan
State of New Mexico Group Dental Benefits Plan Administered by Delta Dental of New Mexico Plan Year: January 1 December 31, 2018 Dental Networks Overview PPONew Mexico Delta Dental PPO Find a Dentist In
DELTA DENTAL OF OKLAHOMA
DELTA DENTAL OF OKLAHOMA STATE, EDUCATION & LOCAL GOVERNMENT EMPLOYEES DENTAL BENEFITS OPTIONS 2019 OUR STANDARD IS TO EXCEED YOUR EXPECTATIONS WE DELIVER A SUPERIOR CUSTOMER EXPERIENCE DDOK DOES NOT DENY
Your Dental Benefits. The Local Choice Dental Benefits Program
Your Dental Benefits The Local Choice Dental Benefits Program WELCOME to Delta Dental of Virginia In addition to the largest network of dentists in Virginia* and valuable benefits that help keep out-of-pocket
Dental Schedule. Handbook
Your guide to the Alberta Blue Cross Dental Schedule 2017 Dental Schedule Handbook Alberta Blue Cross Dental Schedule: 2017 Helping you keep your healthy smile January 2017 1 2 3 4 5 6 7 8 9 10 11 12 13
Open/Switch Enrollment 2017
State of New Mexico Group Benefits Plan Administered by Delta Dental of New Mexico Open/Switch Enrollment 2017 Plan Year: January 1 December 31, 2017 Dental Networks Overview PPONew Mexico Delta Dental
Delta Dental of Illinois Individual and Family Dental Benefits and Discount Programs
Delta Dental of Illinois Individual and Family Dental Benefits and Discount Programs Our dental benefit and discount card programs offer Illinois individuals, couples and families access to affordable
APPENDIX A: EPSDT DENTAL PROGRAM FEE SCHEDULE
: EPSDT DENTAL PROGRAM FEE SCHEDULE Provided in the table on the following pages are the reimbursable dental procedure codes and fees for the Medicaid of Louisiana, EPSDT Dental Program. All procedures
Pemberton Township BOE Group 86004
www.horizonblue.com Pemberton Township BOE Group 86004 Traditional Plan HDC Plan D Annual Deductible per person NONE Out-of-network Yes No Annual Maximum $1,000 NONE Ortho Maximum $1,000 $1,000 COVERED
DELTA DENTAL OF CALIFORNIA CENTRAL COAST ALLIANCE FOR HEALTH. Covered Dental Services, Benefits and Copayments
DELTA DENTAL OF CALIFORNIA CENTRAL COAST ALLIANCE FOR HEALTH Covered Dental Services, Benefits and Copayments How to Obtain Dental Benefits Your dental benefits are provided through Delta Dental of California.
Dental Options 2018 BALTIMORE CITY PUBLIC SCHOOLS
Dental Options 2018 BALTIMORE CITY PUBLIC SCHOOLS Contents Important Information for 2018... 1 Dental HMO (DHMO) Dental Plan... 2 Preferred Dental PPO (DPPO) Dental Plan... 3 Summary of Dental PPO Benefits...
Kaiser Permanente and Delta Dental
Kaiser Permanente and Delta Dental Dental Program for Kaiser Permanente FEHBP Enrollees You must be a Kaiser Permanente FEHBP enrollee to participate in the dental plan. Kaiser Permanente and Delta Dental
Keep your smile healthy with affordable plans
Summary of Benefits Keep your smile healthy with affordable plans HealthPartners Personal Dental Plans Dental plans to smile about Your healthy smile is important because it s part of your total health.
DENTAL PLAN QUICK FACTS AND QUICK LINKS
DENTAL PLAN QUICK FACTS AND QUICK LINKS A Quick Look at the Dental Plan Dental Service TakeCare Network Dentists Only Annual Maximum Benefit $1,500 per covered person per calendar year Diagnostic & Preventive
Voluntary Dental PPO (Indemnity Plan)
Voluntary Dental PPO (Indemnity Plan) Good news about your dental benefits Your Dental Plan As a valued employee of Cypress-Fairbanks ISD, you have the opportunity to enroll in a payroll-deduction dental
Schedule of Benefits (GR-9N S )
Schedule of Benefits (GR-9N S-01-001-01) Employer: Group Policy Number: BNSF Railway Company GP-727796 Issue Date: January 1, 2016 Effective Date: January 1, 2016 Schedule: 1A Cert Base: 1 For: DMO - All
Dental Benefits Summary
DMO Annual Deductible Individual Family Preventive Services 100% Basic Services 90% Major Services 60% Annual Benefit Maximum Office Visit Copay $5 Orthodontic Services Orthodontic Deductible Orthodontic
WASHINGTON STATE COUNCIL OF COUNTY AND CITY EMPLOYEES AFSCME AFL-CIO DENTAL PLAN VIII
WASHINGTON STATE COUNCIL OF COUNTY AND CITY EMPLOYEES AFSCME AFL-CIO DENTAL PLAN VIII HOW TO OBTAIN PLAN BENEFITS To obtain benefits see the Payment of Claims provision. Forward Your completed claim form
Aetna Dental presents A Dental Benefit Summary for Florida Voluntary Option 2; Freedom-of-Choice; w/ortho DMO
Aetna Dental presents A Dental Benefit Summary for Florida Voluntary Option 2; Freedom-of-Choice; w/ortho DMO PPO Max Annual Deductible* Individual None $75 Family None $225 Preventive Service Copay/Covered
University of Arkansas System
University of Arkansas System Dental Plan 2018 Welcome University of Arkansas System employees! Beginning January 1, 2018, the University of Arkansas System (UAS) dental plan will be administered by Arkansas
Dental Coverage. Click here to download and print this entire section.
Dental Coverage Click here to download and print this entire section. Good dental habits are an important part of safeguarding your general health. They also help you reduce dental bills. The dental coverage
Newport News Public Schools Summary Schedule of Services Delta Dental PPO EPO Plan
Newport News Public Schools Summary of Services Delta Dental PPO EPO Plan Services In-Network Out-of-Network PPO Premier All Other Diagnostic & Preventive Oral Exams & Teeth Cleanings Fluoride Applications
Good news about dental benefits for employees of. LCMC Health
Dental PPO Good news about dental benefits for employees of LCMC Health Why is dental health so important? Regular dental care does more than just improve smiles. Along with good oral hygiene, it can help
APPENDIX A: EPSDT DENTAL PROGRAM FEE SCHEDULE
: EPSDT DENTAL PROGRAM FEE SCHEDULE Provided in the table on the following pages are the reimbursable dental procedure codes and fees for the Medicaid of Louisiana, EPSDT Dental Program. All procedures
Dental Benefits Summary $1,000 Maximum
Annual Deductible* Individual Family Preventive Services Basic Services Major Services Dental Benefits Summary $1,000 Maximum Participating (Negotiated Charge) $50 $100 100% 80% 50% Active PPO With PPO
Definitions. Administrator. Benefits. Client. Contract Dentist. Contract Orthodontist. Contract Specialist. Copayment. Dentist. Eligible Dependent
Definitions Administrator Benefits Client Contract Dentist Contract Orthodontist Contract Specialist Copayment Dentist Eligible Dependent Eligible Employee Emergency Services Enrollee Full-Time Student
THIS PLAN DOES NOT MEET THE MINIMUM ESSENTIAL HEALTH BENEFIT REQUIREMENTS FOR
SCHEDULE OF EXCLUSIONS AND LIMITATIONS THIS PLAN DOES NOT MEET THE MINIMUM ESSENTIAL HEALTH BENEFIT REQUIREMENTS FOR PEDIATRIC ORAL HEALTH AS REQUIRED UNDER THE FEDERAL AFFORDABLE CARE ACT. Exclusions
Dental Benefit Summary
DMO Passive PPO Annual Deductible* Individual None $75 Family None $225 Preventive Service Covered Percent 100% 80% Basic Service Covered Percent 100% 50% Major Service Covered Percent 60% 50% Annual Benefit
Teachers' Dental Plan Maximum Reimbursement Levels
Teachers' Superannuation Commission Dentist Payment Schedule Teachers' Dental Plan Maximum Reimbursement Levels January 1, 2019 Teachers' Teachers' Dental Dental Description Code Plan Description Code
State of Tennessee. Prepaid Plan. Dental Benefit Option. Sponsored by the. State of Tennessee
State of Tennessee Prepaid Plan Dental Benefit Option Sponsored by the State of Tennessee 2011 Products and services marketed by Assurant Employee Benefits are underwritten and/or provided by Union Security
THE CALIFORNIA STATE UNIVERSITY DENTAL PROGRAM OVERVIEW Plan Year: January 1, 2016 December 31, 2016
THE CALIFORNIA STATE UNIVERSITY DENTAL PROGRAM OVERVIEW Plan Year: January 1, 2016 December 31, 2016 The California State University Dental Program consists of two types of plans: Delta Dental PPO and
Delta Dental Web Site
Delta Dental Web Site You can find helpful information about your Delta Dental benefits plan 24 hours a day, 7 days a week at www.consumertoolkit.com. Find A Provider (Quickly and Easily!) Create a customized
Improve your smile and overall well-being with. Dental Health Services. Dental Health Services. Difference today!
Improve your smile and overall well-being with Dental Health Services Great oral health is essential for your overall well-being. With a Dental Health Services plan, you can achieve a healthy smile while
Healthy Option Student Dental Insurance Plan Brochure
2008 2009 Healthy Option Student Dental Insurance Plan Brochure Inside.....Contact Us Your Online Dental Benefit Center Ameritas Group Service Phone Ameritas Group Claims Address/Fax University Health
facts must be given to DDTN or group within 31 days if requested. Proof will not be required more than once a year
Delta Dental of Tennessee 240 Venture Circle Nashville, TN 37228 Phone (800) 223-3104 Fax (615) 244-8108 www.deltadentaltn.com Certificate of Coverage Table of Contents Benefit Summary Page... i Introduction...
Freedom to Choose any Dentist, Including Specialists PPO Options Available 1 Fast and Accurate Claims Service No Referrals Required
Voluntary Dental PPO Good news about dental benefits for employees of Richardson Independent School District Your Dental Plan As a valued employee of Richardson Independent School District, you have the
THE CALIFORNIA STATE UNIVERSITY DENTAL PROGRAM OVERVIEW Plan Year: January 1, 2017 December 31, 2017
THE CALIFORNIA STATE UNIVERSITY DENTAL PROGRAM OVERVIEW Plan Year: January 1, 2017 December 31, 2017 The California State University Dental Program consists of two types of plans: Delta Dental PPO and