Box 1803 Alpharetta, GA 30023 800-422-4234 DeltaCare Your dental benefits are structured to provide an incentive to use dentists that belong to the Delta Dental Preferred Provider (PPO) network. International Callers dial direct: 916-858-4803. %%EOF Box 537015 Sacramento, CA 95853 . Cost estimates for services provided by out-of-network dentists (available in the out-of-network estimator) are based upon submitted claims data for out-of-network providers. 1729 0 obj <>stream !>$\uWj U"sM.8Zo41CF'PD"d. These reports from members raise great concern for CDA regarding the true impact of the Delta Dental changes. Dentists have also reported contracts including more burdensome administrative requirements and restrictions that would detract from patient care and reduce the value of the patients benefit plan. The amendment does not reduce existing approved fees for Premier or PPO dentists. 362 0 obj <>stream The start of a new year is a great time to reset your goals. Please scroll down and accept to proceed. We can provide a plan thatll help ensure your smile stays healthy for years to come. Health information changes quickly. All rights reserved. Maintain your oral health through the holidays. Copyright 1996-2023 California Dental Association. Trying to build a healthier and happier workplace? For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. If you are enrolled in the Delta Dental* plan, features include: * Your dental plan is underwritten by Kaiser Permanente Insurance Company (KPIC), a subsidiary of Kaiser Foundation Health Plan, Inc., and administered by Delta Dental of California. 1201 K Street, 14th Floor For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Labor Day Holiday . The secure version (available only after you sign in) uses procedure costs or cost ranges as reflected in provider fee schedules and aggregated historical cost data. Delta Dental of California . Here is a summary of actions CDA is taking and the steps that CDA urges members to take now: As CDA shared in an email to members last week, Delta Dental of California sent a notice to its participating Premier and PPO providers of upcoming changes to its provider agreements, including fee changes that will be effective Jan. 1, 2023. Forget the toys and the sweets this season. Infrastructure at Delta Dental of California Grass Valley, California, United States 2K followers 500+ connections Looking to cover yourself or your family? California Department of Human Resources Benefits Division - State Dental Program 1515 S Street, North Building, Suite 500 Sacramento, CA 95811-7258 CalHR Statewide Dental Contract Administrator - (916) 322-0300 State Controller's Office Personnel/Payroll Services Division Benefits Unit P. O. Although described as an "enhancement," the contract amendment alters reimbursement for Premier or PPO contracted dentists who treat DeltaCare enrollees (Delta's closed network HMO product) as out-of-network providers. This change will be reflected in the Potential Financial Impact statement provided by Delta Dental with the notice. 0 Customer Service available Monday through Friday from 8:00 a.m. to 8:00 p.m. Eastern Time, excluding holidays. Details. $34.69. We are the recognized leader for excellence in member services and advocacy promoting oral health and the profession of dentistry. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc.,1300 SW 27thSt., Renton, WA 98057, Selecting these linkswill take you away from KP.org. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan. CDA will continue to push Delta Dental executives for additional clarification and facts on members behalf. You should always talk to your health care professionals for information concerning diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you. What do employees misunderstand about dental benefits? hb```*f a`f`sLP(N```\7^)F`+ Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. The communication also highlighted CDA resources and tools to assist members with evaluating how these changes may impact them, their practices and patients. Contact your company's human resources department. 0 Memorial Day Holiday: June 19. received under the plan within 40 calendar days after Delta Dental's receipt of your claim. California Dental Association California Dental Association Estimates may vary depending on your benefit plan and the state you live in. Sign In ]N`. dl&0XUF"9*. E3 %Z` D.{r#(JBo We have dental insurance that empowers you to protect the oral health of you and your loved ones. Here are the benefits of creating an account. CalHR also contracts with Delta Dental (Delta) for an indemnity plan and a preferred provider option plan (PPO). Privacy Statement Terms of Use Social Media Policy. Find health-related articles, product discounts and wellness benefits, Connect remotely with your patients using Retired or planning to soon? %PDF-1.5 % New research on who's asking for raises and who's getting them as well as advice on how to ensure you're getting the salary you deserve. CDA continues to press Delta Dental for an explanation about rate methodology, new administrative burdens and overall value of Delta Dental benefit plans. Pay increases are a top concern for 2022 to attract and retain talent, Temporary employee laws: A guide to hiring contract roles, What to include in a termination letter: Template and examples, How to Manage Your Time and Prioritize Your Workload. w eA$w fe"Ad&Cnp:n@L'jx@ m These stresses may show up in your mouth. Refer to the EOC booklet for coverage details and plan limitations. %%EOF Copyright 1996-2023 California Dental Association. or Economic pressures, family visits, holiday shopping, travel. Privacy Statement Terms of Use Social Media Policy, I receive dental insurance through my employer, I receive dental insurance via my employer, The 2022 State of Americas Oral Health and Wellness Report, Sports mouth guards to protect against dental injuries. Correspondence and Claims Submission Delta Dental of California PHS ADDP P.O. Pay, Whether you are hiring a single employee , or an entire department of, The labor market is a strange place right now. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. Affected dentists should take certain steps now, including reviewing all documents sent by Delta Dental of California. Sacramento, CA 95853-7007 855-410-3255 . Refer to your benefit plan to determine whether these requirements apply to you. *Not sure where your company is headquartered? Box 537007 Sacramento, CA 95853-7007. Preventive services are included in this tool. 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. Maintain your oral health through the holidays. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. Below are brief descriptions of the three kinds of dental plans: prepaid, indemnity, and preferred provider option plans. 2022 Dental Wellness Calendar Delta Dental's wellness resources let you offer relevant content all year round. . You may be responsible for the cost of procedures or services not covered by your plan. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. !a?(_,)aDOh. The Delta Dental library of resources includes guidance on choosing the best dental insurance for your company and helping employees get the most from their dental benefits. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. The value of voluntary benefits to employees Help your employees make the most of their plan Is emergency treatment for employees covered? Good Friday: May 26-29. Estimates should not be construed as financial or medical advice. To find a Delta PPO dentist, call Delta Dental at (800) 765-6003 or visit www . To begin using the Dental Care Cost Estimator tool, click the Agree button below. See the latest Class C Major 26 . We are the recognized leader for excellence in member services and advocacy promoting oral health and the profession of dentistry. While Delta Dental will always claim that the methodology behind its changes is proprietary, what matters more is the actual impact on each provider. Delta Dental of California employee benefits and perks data. Refer to your benefit plan to determine whether preventive services are covered for you. Sacramento, CA 95814 Delta Dental of New Mexico's new dental plan designs with enhanced preventive benefits can help improve the health of people with specific high-risk medical conditions. Option 2 is a DeltaCare USA dental HMO program . Connect with your Delta Dental to learn more. Cost estimates are specific to geographic areas, as defined by the first three digits of a ZIP code (e.g., the geo ZIP for 12345 is 123). Together, we champion better oral health care for all Californians. Therefore, it is always best to confirm information with yourhealth careprofessionals. 1707 0 obj <> endobj Dental of California ("Delta Dental") and this Summary Plan Description. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. \J~R7UX:9FZ&ky[md7)F\Zd@. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. Delta Dental of California 560 Mission Street, Suite 1300 San Francisco, CA 94105 888-282-8528 deltadentalins.com Administered by: Delta Dental Insurance Company . *Not sure where your company is headquartered? September 14, 2022 54 9971 Quick Summary: As CDA shared in an email to members last week, Delta Dental of California sent a notice to its participating Premier and PPO providers of upcoming changes to its provider agreements, including fee changes that will be effective Jan. 1, 2023. Findings from the Delta Dental-commissioned research of 2,000+ U.S. adults and parents of children ages 12 and younger illuminate what they thought about their oral health and what they did to properly care for it at home and with their dentist during 2021. Your actual cost may be higher or lower than the estimate for various reasons. Therefore, it is always best to confirm information with yourhealth careprofessionals. Sacramento, California 95899-7330 . The Content cannot, and is not intended to, replace the relationship that you have with yourhealth careprofessionals. Since a majority of California's dentists are Delta Dental dentists, your current dentist is probably already participating. See the latest How much is it going to cost? You may be responsible for the cost of procedures or services not covered by your plan. . Monday through Friday (excluding holidays) 8:00 a.m. to 8:00 p.m., Eastern Time. The national network of Delta Dental companies protects more smiles than any other insurance company. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. CDA immediately followed up with Delta Dental executives, asking them for information about the actual impact of the changes and the methodology behind them. You are free to use any licensed dentist but your out-of-pocket costs will be lower if you choose a Delta Dental PPO dentist. Member perks for your smile and beyond Refer to your benefit plan to determine whether these requirements apply to you. New research shows that each woman experiences the disparity of gender pay gap in different ways, depending on her position, age, race and education. All Rights Reserved. t4:Xa/`z,p}6 ]C'Yr!jGkTco*t_lW>Z?p[K:&L%9RZe3y[fkb"25 6c a>d>)Oc9cL-DtnAByaaG How much is it going to cost? Reports from CDA members during the last week on contract change notification letters sent by Delta Dental of California raise additional concerns for CDA about the proposed changes. It will only affect reimbursements for DeltaCare enrollees treated by Premier/PPO providers. 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