Broker blog from Delta Dental

Category: Delta Dental plans and features

Learn more about the dental plans and features that Delta Dental offers.

New videos help explain Delta Dental’s networks and online tools

With a new series of educational videos, it’s easy to help your clients make the most of their plans. Whether your clients offer Delta Dental PPO™, DeltaCare® USA or both, you’ll find useful resources to showcase Delta Dental’s networks and online tools.

Get to know Delta Dental’s online tools

Encourage members to sign up for an online account. This video walks members through the robust online tools Delta Dental offers, including plan details, claim history, personalized cost estimates, the online dentist directory and a wealth of wellness resources.

What if your client’s plan doesn’t include the Cost Estimator? No worries. This shorter version of the same video touches on the same helpful features, minus the personalized cost estimate.

Understand the Delta Dental networks

A PPO plan offers savings, quality assurance and simplicity. This video explains the advantages of this plan and how your clients’ enrollees can find a PPO dentist online.

Want to include the Delta Dental Premier® network to offer a wider selection of dentists? This video introduces both the PPO and Premier networks and explain how to search for both in our dentist directory.

For clients that offer a DeltaCare USA plan, this video covers the basics of this prepaid plan and shows how to select a primary care dentist.

Ensure accessibility

These videos were designed with accessibility in mind. While the vibrant visuals support the narration, all key messages are conveyed in the audio, which can also be accessed through closed captioning.

Share the videos easily

To share these videos on your website or intranet, just click on the videos to navigate to YouTube. Below the video you wish to share, click on Share > Embed. Then copy and paste the code into your webpage or intranet site.

New teledentistry options: Toothpic and Virtual Consult

Two new teledentistry options have come to Delta Dental PPO™ and Delta Dental Premier® plans. Say hello to Toothpic and Delta Dental – Virtual Consult.

Utilizing these options doesn’t require any changes to the way members use or pay for their benefits. Instead, it’s a new way for members to use existing plan benefits — remotely. These new tools are an ongoing covered benefit and have no additional administrative costs or access fees for Delta Dental clients or members.1 When members use either of these tools, they can rest easy knowing that they’ll be connected with a licensed Delta Dental dentist they can trust.

Toothpic

Toothpic is a secure HIPAA-compliant app that provides a photo-based virtual dental screening from anywhere you have a smart device and an internet connection. It’s perfect for those who want a dental checkup with a Delta Dental dentist without an appointment. Toothpic lets members:

  • Get evaluations on their own schedule by submitting pictures of their mouth, teeth and gums
  • Receive a personalized in-depth report from a Delta Dental dentist within 24 hours
  • Check in for diagnoses on areas of concern and get info about their next steps 

Virtual Consult

Virtual Consult is a secure HIPAA-compliant video-based tool for having a virtual appointment with a dentist. It’s ideal for those who have urgent oral care needs, like pain or a cracked or chipped tooth, and want to speak directly with a Delta Dental dentist. With Virtual Consult, members can:

  • Schedule and have a video appointment with a Delta Dental dentist without leaving home
  • Have quick, real-time consultations on urgent issues even if they don’t have a dentist they see regularly
  • Get an e‑prescription and aftercare instructions for pain or infection

Virtual dentistry allows members to receive a diagnosis from the comfort of their own home. Whether they’re just looking for a quick check-in or have an urgent concern, these teledentistry options can help them meet their needs with all the ease telehealth offers.

1. Members who have 100% coverage for oral evaluations and who have not exceeded their frequency limitations for office visits or limited oral evaluations are eligible to use Toothpic and Virtual Consult. Using Toothpic to receive a diagnostic report or using Virtual Consult for a remote visit each count as one office visit/oral evaluation for the purpose of frequency limitations.

Dental implants are coming to DeltaCare USA

A new kind of large group plan is coming to DeltaCare® USA plans 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 dental implants. The same outstanding features that DeltaCare USA plans are known for, like affordable prices, coverage for orthodontics and coverage for teeth whitening are all still here, too. With this updated value proposition of enhanced benefits and consistent coverage, offering DeltaCare USA is a more attractive proposition than ever before.

For more information, please contact your account manager.

2021 Small Business Program changes: Overview

The end of 2020 is right around the corner, and that can mean only one thing: updates to plan portfolios for 2021! In particular, big changes are coming to the Small Business Program (SBP) portfolio.

Introducing the three-level system

The biggest update to the SBP portfolio in 2021 is the new three-level plan structure. Whether Delta Dental PPO™, Delta Dental PPO Plus Premier™ or DeltaCare® USA, all plans will now be classified Deluxe, Advantage or Core.

  • Core plans offer the baseline benefits and value that Delta Dental plans are known for.
  • Advantage plans balance the value offered by Core plans with the expanded benefits and coverage of Deluxe plans.
  • Deluxe plans offer the most coverage and the highest levels of benefits without compromise.

More, more, more

Delta Dental PPO plans are getting more of the benefits and options that brokers’ clients have been asking for. These new features include:

  • More coverage for popular benefits, like white fillings in front and back teeth
  • More dual choice and Core/Buy-Up plans for clients looking for more plan options
  • More voluntary plan choices
  • More plans for groups with 2–4 employees
  • And even more!

It’s all about value

When your clients think about Delta Dental, they think of great benefits and amazing value. The changes coming in 2021 are going to make that even clearer. These plans are going to be easier to understand, feature more of the benefits your clients will love and offer coverage for more groups no matter their size.

Stay tuned for more posts with updates on our 2021 SBP portfolio!

Grin! for Kids: a value-added resource for family dental plans

Educating families about dental care in creative ways raises prospects for buy-in to a Delta Dental plan. The way to engage children in dental care is to give them opportunities to learn about taking care of the teeth, gums and mouth so their smiles are healthy.

Grin! for Kids is a coloring and activity book with fun, educational projects for children in grades K‑5. It is a free resource that adds value to a Delta Dental plan. The book can be printed out at home for easy access, as parents show children about preventive care in taking advantage of plan benefits.

Each issue of Grin! for Kids, available in English and Spanish, contains new ideas and information that families can share as they maintain regular visits to their dentist under their plan.

Big benefits. Big network. DeltaCare USA is kind of a big deal.

3‑minute read

When it comes to dental enrollment, more groups seem to prefer purchasing PPO plans for their enrollees. In fact, our actuarial data shows that within our Delta Dental enterprise, nearly 87% of 2017 commercial group enrollment was in a Delta Dental PPOTM plan. We don’t like to play favorites — all of our plans are designed to keep enrollees happy and healthy. However, we have to brag about our copay plans a little bit.

If you think copay is synonymous with skimpy benefits, we need to set the record straight. Our DeltaCare® USA plans are equipped with plenty of benefits and features to help groups attract top talent and keep enrollees satisfied. Here are a few that we’re particularly proud of:

Coverage as attractive as a healthy smile

Many of our DeltaCare USA plans offer benefits that stand out in the market. Just to name a few, they offer:

  • Teeth whitening
  • No cosmetic exclusions on molars (for resin or porcelain procedures)
  • Extra cleanings and deep cleanings (in addition to twice yearly) at reduced copayments
  • Copayments that include all lab and material fees (noble or high noble metal, porcelain and resin)

And our orthodontic coverage won’t fit in a bulleted list. Our plans1 cover all three types of orthodontics — limited, interceptive and comprehensive. Plus, enrollees in active treatment (banding has occurred) from either a PPO or DHMO group-sponsored plan have the option of keeping their orthodontist and paying only what they owe from their previous plan. This can provide a seamless transition — a true no-loss, no-gain transition as if the enrollee hadn’t switched plans.

Plans that are as easy to use — and easy to understand

Convenience and cost transparency are some of the best features of our copay plans. Each plan includes a full copay schedule that lays out exactly what enrollees can expect to pay at their dental visit.

There are no annual maximums or deductibles to keep track of, and our DeltaCare USA dentists will even coordinate specialty referrals for enrollees. So all they have to worry about is getting the care that they need.

Network access and options that make a difference

DeltaCare USA enrollees are able to select a dentist of their choice from our provider network, which happens to be the nation’s largest with more than 60,0002 locations. With so many dentists to choose from, enrollees can select a different provider for each member of the family. (But seriously, they can. How’s that for freedom of choice?)

And enrollees can select, or change, their DeltaCare USA dentist online or over the phone.

These are just a few things that make our copay product stand out in a crowd. If your clients currently offer enrollees a Delta Dental copay plan (or even if you’re helping a client shop around), check out our website for all things DeltaCare USA, including a more targeted dentist search feature.

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1 Excluding plan D70

2 Dentist Location (Access Points) Report, Delta Dental Plans Association, December 2017

Plan benefits may differ from the general information provided here. Groups should review their contract for specific details regarding coverage under their plan.

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