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. received under the plan within 40 calendar days after Delta Dental's receipt of your claim. Retired or planning to soon? k"xm-0(Hl$QS+-$9`*E0NX+Xf k1D5l/ Lh./Qr6 rH4Qw 8yk&EDBXN+pl5mO}:,1nIv The Content cannot, and is not intended to, replace the relationship that you have with yourhealth careprofessionals. Trying to build a healthier and happier workplace? In those communications, Delta Dental provided little detail and represented that the information is confidential and proprietary. However, they did say the impact of the changes on PPO providers in particular would be positive and that PPO providers would be especially pleased. Delta Dental also advised that decreases to the specialist fee reductions would be less than those it announced in 2020 and then rescinded last year. 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. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. DELTA DENTAL OF CALIFORNIA P.O. Please scroll down and accept to proceed. 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. It will only affect reimbursements for DeltaCare enrollees treated by Premier/PPO providers. hTn0?cC0T!iM(U_iJe*f\m;P|!1\: 1201 K Street, 14th Floor Find your market worth with a report tailored to you, Education/Training/Tuition/Certification Reimbursement, New research shows how to set pay for remote employees. The amendment does not reduce existing approved fees for Premier or PPO dentists. %?WK;1P^3kf*Ba"e8[ 0J} TE!z,lJ%'gX|I2sOn4S fjP. If you live outside the U.S., you may see information on this cost estimator about products or services that are not available or authorized in your country. Delta Dental of California is revising its Delta Dental of California Participating Provider Agreement effective June 1, 2022. Juneteenth: July 4. The national network of Delta Dental companies protects more smiles than any other insurance company. Connect with your Delta Dental company to learn more. All rights reserved. Preventive care coverage varies by plan and by demographic considerations such as age. To find a Delta PPO dentist, call Delta Dental at (800) 765-6003 or visit www . Estimates may vary depending on your benefit plan and the state you live in. The contractual amendment revises the reimbursement from the dentists submitted fees to the lesser of submitted, Premier and PPO fees. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. Specifically, we have heard from members that on many of the frequently used codes, contracted PPO providers will experience fee decreases in January or increases that could reasonably be considered rounding errors. Contact your company's human resources department. Sr. Project Manager, Facilities & I.T. We can provide a plan thatll help ensure your smile stays healthy for years to come. 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. 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. 1 2 3 Dental Office Toolkit Sign up or log in here to get fast online claims processing and easy access to information. Masking requirement continues in California health care settings. Delta Dental of California CA, Delta Dental of the District of Columbia DC, Delta Dental of Pennsylvania PA & MD, Delta Dental of . Sacramento, CA 95853-7007 855-410-3255 . If you live outside the U.S., you may see information on this cost estimator about products or services that are not available or authorized in your country. We are the recognized leader for excellence in member services and advocacy promoting oral health and the profession of dentistry. 1729 0 obj <>stream Based on member reports in the initial days following receipt of the contract change notification letters, it now appears that Delta Dental may have been less than forthcoming about the actual impact of the changes it announced, particularly about adjustments to PPO provider contracts. We included what Delta Dental had shared about the impact without endorsement of Delta Dentals actions. California Dental Association If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." To begin using the Dental Care Cost Estimator tool, click the Agree button below. I receive dental insurance through my employer, The value of voluntary benefits to employees, Help your employees make the most of their plan. Do not avoid getting dental care based on the cost information provided on this website. 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. Is emergency treatment for employees covered? Copyright 1996-2023 California Dental Association. CDA Foundation. Members are encouraged to review Delta Dental contracts to evaluate the impact to their practice and to use the CDA dental benefits issue form to share positive or negative feedback with CDA. Here are the benefits of creating an account. All of those matters are things that you should decide, in consultation with your dental care professionals. hbbd``b`$'[*'`bOHHlfRH'@ M Since a majority of California's dentists are Delta Dental dentists, your current dentist is probably already participating. This website is the home of Delta Dental of California; Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; Delta Dental of West Virginia, Inc. and their affiliated companies. 800.232.7645, About California Dental Association (CDA). International Callers dial direct: 916-858-4803. A prepaid plan requires you and your eligible dependents to select a dental provider choosing . Delta Dental. 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. Check out Virtual Consult, Check out our new DeltaVision plans CDA will continue to push Delta Dental executives for additional clarification and facts on members behalf. Identifying DeltaCare USA members is crucial to following the proper claims-submission guidelines. We have coverage options designed to fit your business. We were hopeful these representations by Delta Dental were accurate, as it has been reported and Delta Dental acknowledged that PPO fees have not been increased in many years while the cost of providing dental care has increased significantly over those years. %PDF-1.5 % 2022 Dental Wellness Calendar Delta Dental's wellness resources let you offer relevant content all year round. Copyright 1996-2023 California Dental Association. Customer Service available Monday through Friday from 8:00 a.m. to 8:00 p.m. Eastern Time, excluding holidays. The contractual amendment revises the reimbursement from the dentists submitted fees to the lesser of submitted, Premier and PPO fees. Refer to your benefit plan to determine whether these requirements apply to you. Want to know before you set foot in the dentists office? The communication also highlighted CDA resources and tools to assist members with evaluating how these changes may impact them, their practices and patients. Economic pressures, family visits, holiday shopping, travel. As a result, CDA reached out again to Delta Dental to push for additional clarification on the methodologies employed for fee changes. We have dental insurance that empowers you to protect the oral health of you and your loved ones. Box 1803 Alpharetta, GA 30023 888-282-8528 . Delta Dental of California and Affiliates is a part of Delta Dental Plans Association. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. What your skills are worth in the job market is constantly changing. PEARL Login; Forms & Resources; PANDA Continuing Education Program; Training Programs & Financing Services; Check Up; . Sacramento, CA 95814 hb```*f a`f`sLP(N```\7^)F`+ s*v&hSVd| Oi>6hf],~'N K4n6lTT[GzxgOJ3>/>A5M*?x![hWO;TtT? Z)7s[`a>Y. CDA continues to press Delta Dental for an explanation about rate methodology, new administrative burdens and overall value of Delta Dental benefit plans. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. Transparency and accuracy are fundamental to CDA, and we will share significant information that we learn unless constrained by law from doing so. We take a deep dive into what's impacting employee retention and what employees are looking for in their new role. Therefore, it is always best to confirm information with yourhealth careprofessionals. Estimates should not be construed as financial or medical advice. Before you decide whether variable pay is right for your org, get a deeper understanding of the variable pay options and the cultural impact of pay choices. 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 holiday season, take care of your teeth with these five tips. Delta Dental of California 560 Mission Street, Suite 1300 San Francisco, CA 94105 888-282-8528 deltadentalins.com Administered by: Delta Dental Insurance Company . California Dental Association Tooth Missing but Not Replaced Rule 17 . 314 0 obj <> endobj The Content cannot, and is not intended to, replace the relationship that you have with yourhealth careprofessionals. California Dental Association Dental Offices: Phone: 844-825-8111 (24 hours automated) By mail Mail Inquiries for Delta Dental PPO Plan General Correspondence & Claims Delta Dental of California Federal Government Programs PO Box 537007 Sacramento, CA 95853-7007 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. 800.232.7645, About California Dental Association (CDA). Choosing the right dental insurance company for your business, Why dental insurance is a win-win for SMB and their employees, How employee oral health impacts your business, Using dental benefits to improve employee retention. These stresses may show up in your mouth. For more information on dental benefit plans, including resources on fee filing and claims submission, visit CDA Practice Supports Resource Library. Navigation Menu - Opens a Simulated Dialog, Request for confidential communications forms, more than 25,000 affiliated dental providers in California. Memorial Day Holiday: June 19. Member perks for your smile and beyond To begin using the Dental Care Cost Estimator tool, click the Agree button below. Maintain your oral health through the holidays. Follow us on these external social media sites that will open in a new browser window. FAQs here. Your dental benefits are structured to provide an incentive to use dentists that belong to the Delta Dental Preferred Provider (PPO) network. Find the one thats right for you. ]N`. dl&0XUF"9*. E3 %Z` D.{r#(JBo Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. Estimates should not be construed as financial or medical advice. Review the documents sent by Delta Dental of California (letter, amended agreement, financial impact statement and Q&A), along with the accompanying elements youll find in the Delta Dental provider portal. Below are brief descriptions of the three kinds of dental plans: prepaid, indemnity, and preferred provider option plans. 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. Looking to cover yourself or your family? For more information call Delta Dental at 1-888-335-8227 (toll free). Delta Dental of California 560 Mission Street, Suite 1300 San Francisco, CA 94105 888-282-8528 deltadentalins.com Administered by: Delta Dental Insurance Company P.O. 1201 K Street, 14th Floor All Rights Reserved. Q j~@1XVCCzh4l_Y7q|Z)kWK Get started here. !a?(_,)aDOh. Evaluating Dental Benefit Plans Checklist. 9_ZOEAUIz-#ve{*zrZ%KbB]g4"&8X}x?clTy93Sj*R>z+m$c E.FyeM E}7lm/nc d_&2fIY/co"d`{P1;{W{.0W@mbL 1366 0 obj <>stream How much is it going to cost? Plan, Inc., and is administered by Delta Dental of California (Delta Dental). or 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). Delta Dental representatives are requesting that participating providers contact their provider concierge department to discuss the impact of the fees on an individual basis. , excluding holidays based on the Cost information provided on this website, holiday shopping travel. % PDF-1.5 % 2022 Dental Wellness calendar Delta Dental of California and Affiliates is a of... External social media sites that will open in a new browser window worth in dentists. Dental care based on the Cost information provided on this delta dental of california holiday schedule represents or that... 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