Download Welcome Delta Dental presentation for

Youngstown State University
and
Delta Dental of Ohio
Effective Date January 1, 2015
Keys to Our Success
• All we do is dental
• We have the most extensive networks of dentists
• We develop long-term partnerships with our groups
– 36% of our groups have been with us at least 10
years
– 21% of our groups have been with us at least 15
years
– 15% of our groups have been with us at least 20
years
– 13% of our groups have been with us at least 25
years
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BENEFIT FEATURES
•
Preventive Services
•
Basic Restorative Services
80%
•
Major Restorative Services
50%
•
Orthodontic Services
50%
•
$50.00 deductible per person on Basic & Major Services
•
$1200.00 Annual Maximum In Network, $1000 .00 Out of
Network
•
$1000.00 Orthodontic Lifetime Maximum
100%
(no age limit)
Benefits are based on a calendar year, January 1st through December 31st
BENEFIT ENHANCEMENTS
• Implant Services
Covered at the Major Services benefit level
•
Annual Maximum increase per person for In Network
$1200.00 per person per calendar year if using a network
provider
Consumer Toolkit®
Secure Online Access 24/7
• Verify eligibility status
• Confirm address
• Benefit overview
• View/print EOBs
• Print personalized ID cards
• Annual maximum used to date
• Valuable oral health
information
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Mobile Smartphone App
• Verify eligibility and benefits
• Find a dentist
• View ID card
• Use the toothbrush timer
CUSTOMER SERVICE
• Toll-free number 800-524-0149 staffed from 8:30am
to 8:00pm est.
• Automated DASI system available 24/7
• Advisors have the capability to:
process adjustments
eligibility updates
request EOB’s
release pended claims
Thank You!
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