Broker blog from Delta Dental

Tag: DeltaCare USA

What drives buyers of individual Delta Dental plans?

As you’re probably well aware, attracting new clients and pinpointing their needs can be challenging. To help you, Delta Dental recently explored the characteristics of people who buy individual dental plans.

PPO versus DHMO dental plans: What’s the difference?

A PPO plan, or fee-for-service plan, is a network-based plan in which enrollees can visit any licensed dentist, although they’ll save more by visiting an in-network dentist. These plans usually have annual deductibles and plan maximums.

A DHMO plan is a prepaid dental benefits product in which enrollees usually must visit their selected primary care general dentist to receive benefits. These plans have no annual deductibles or plan maximums — enrollees pay a fixed copayment amount for covered procedures.

Who buys individual dental insurance?

Anyone who has either had an employer-sponsored dental plan or bought an individual dental plan in the past is a potential client. Even clients who currently have individual dental insurance may be willing to change or update their coverage to get better rates or richer benefits.

DHMO buyers are more likely than PPO buyers to be switching from one individual dental plan to another. PPO buyers are usually transitioning to an individual plan from employer-based group dental coverage. Not surprisingly, the most common reason for this is because they retired from a job and lost their coverage.

What are some major drivers for dental insurance buyers?

Clients shopping for individual dental insurance obviously care about their dental health. That’s why for both PPO and DMHO buyers, having coverage for preventive care and being able to maintain the appearance of their teeth are the two most important factors in their decision to buy.

For PPO buyers, key factors include a dentist network that allows them to keep their current dentist. Consider suggesting plans that offer a large dentist network, which increases the likelihood that their dentist participates in the plan. PPO buyers also like to stick with what they know — we find that familiarity with a brand is an important factor in choosing a dental plan.

Among DHMO buyers, cost and value are more important. Key factors for purchase include low out-of-pocket costs, lowest price and the best coverage for the price.

Income may help you determine which products to consider for your clients. For clients with higher incomes, consider PPO plans, because we’ve found that these clients usually want the flexibility to see the dentist of their choice. Brand recognition is also important.

For clients who earn less, a DHMO plan may be a better option. Both cost and the ability to meet dental care needs are important to these clients, so knowing ahead of time how much a procedure will cost — and being able to plan and prioritize care accordingly — could be a plus.

For all clients, consider bundling offerings. Dental insurance buyers may also be interested in medical and vision insurance. However, they tend to be less interested in other types of insurance, such as life, disability, accident or pet insurance.

How do buyers like to shop?

According to a recent survey, the broker channel is a preferred method among American insurance buyers, with 43% selecting a broker or agent as a favorite option. That rate was higher among baby boomer and Generation X buyers, 61% of whom purchased insurance from a broker. Among millennials, 23% said they used an agent or broker to buy insurance.

The most popular shopping method overall was online, and most of the buyers surveyed said they used more than one channel to shop.

Among the most influential factors when shopping were an easy application process, followed by trust in the brand.

Is there anything else about buyers that I should be aware of?

Our research indicates that all buyers have a similar perception about value of dental insurance. They believe that dental insurance saves money on unexpected costs and makes visiting a dentist more affordable. Both direct PPO and DHMO buyers agree — dental insurance is a smart financial choice.

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.

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!

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 organization, nearly 87% of 2017 commercial group enrollment was in a Delta Dental PPO™ 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.

People smiling in a circle

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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