Helping your small business clients find the right insurance coverage can be complicated, but Delta Dental is making it simpler. Delta Dental’s Small Business Program (SBP) dental plans and VSP® vision plans are available paired together through the Allied Benefit Suite. It’s never been simpler to offer your clients comprehensive plans from two industry leaders in a single itemized invoice. Here’s a quick look at answers to common questions.
Where are paired plans available?
Vision plans are available in all states that our SBP dental plans are offered and administered by Allied Administrators. Vision coverage is not available on its own. It must be paired with dental. Vision coverage can also be added to existing SBP plans administered by Allied Administrators.
What kind of coverage do these plans offer?
These new vision plansfeature 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 clients. These levels allow for flexibility based on your clients’ budgets and needs, including voluntary or employer-paid options, and can be paired with any level of SBP dental plan.
What kind of benefits are included?
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
With VSP vision coverage paired with to their Delta Dental SBP plans, your clients will enjoy simpler billing and more care for their employees, and you’ll get to offer a more attractive package to your clients. 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.
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 clients may be interested in learning how good dental health can improve overall health. If your clients’ employees have medical conditions that affect their oral health, SmileWay® Wellness Benefits may be available to help meet their needs.
Who’s eligible for SmileWay Wellness Benefits?
Not everyone is eligible for SmileWay Wellness benefits. To claim these benefits, Delta Dental members must:
Have a Delta Dental PPO™ plan
Belong to a group that offers SmileWay Wellness Benefits
Have chosen to opt in to the program
Additionally, members must have been diagnosed with any of the following to be eligible for expanded coverage:
What are the benefits?
Those whose plans offer SmileWay Wellness Benefits 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 clients have employees whose medical issues necessitate extra dental care, encourage them to consider adding SmileWay Wellness Benefits to their coverage. These benefits can help keep their employees both smiling and healthy!
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.
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.
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 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 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.
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.
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!