Covering Colorado smiles for more than 57 Years TODAYS DISCUSSION Network Highlights and Utilization 2015 Plan Designs Importance of Prevention Online Tools Eyemed Customer Service ID: 672367
Download Presentation The PPT/PDF document "State of Colorado Open Enrollment 2015-..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
State of Colorado
Open Enrollment 2015-2016, Effective July 1Slide2
Covering
Colorado smiles
for more than 57 Years.Slide3
TODAY’S DISCUSSION
Network Highlights and Utilization
2015 Plan
Designs
Importance of Prevention
Online Tools
Eyemed
Customer ServiceSlide4
TODAY’S DISCUSSION
Network Highlights and Utilization
2015 Plan
Designs
Importance of Prevention
Online Tools
Eyemed
Customer ServiceSlide5
Premier
®
PPO
SM
We have
3,175
Premier providers
and
2,097
PPO providers
in Colorado
.
92% of all Colorado dentists are in our network… and we’re growing!
TWO NETWORKS WORKING TOGETHERSlide6
Porcelain Crown
Delta Dental
PPOSM
Delta Dental
Premier®
Non-Participating
Average Submitted
Charge
$1,297.07
$1,297.07
$1,297.07
DDCO Contracted Allowance
$815.00
$1,090.00
$815.00 *
Member
Co-Share50%
50%50%
Balance Billed to Member (Submitted vs. Contracted fee)
$0.00
$0.00
$482.07
Total Member Cost
(Balance
Billed + Co-Share)
$407.50
$545.00
$889.57
* No Contract Exists for Non-Par Dentists
BEST VALUE FOR MEMBERS
Our deeper discounts help you save on out-of-pocket costs Slide7
Visit our website
Call customer service
Use the mobile app
Finding a dentist
is easy
. Slide8
NETWORK UTILIZATION
You
save the most money
when you see a PPO dentist. Slide9
TODAY’S DISCUSSION
Network Highlights and Utilization
2015 Plan
Designs
Importance of Prevention
Online Tools
Eyemed
Customer ServiceSlide10
2015 BASIC PLANSlide11
2015 BASIC PLUS PLANSlide12
Dependents under
age 5 are covered at
no cost to you. Slide13
TODAY’S DISCUSSION
Network Highlights and Utilization
2015 Plan
Designs
Importance of Prevention
Online Tools
Eyemed
Customer ServiceSlide14
Did you know?
90% of systemic disease have signs and symptoms in and around the mouth.
Regular dental cleanings can help catch serious diseases like cancer, heart disease, and diabetes
. Slide15
PREVENTION FIRSTSlide16
TODAY’S DISCUSSION
Network Highlights and Utilization
2015 Plan
Designs
Importance of Prevention
Online Tools
Eyemed
Customer ServiceSlide17
EYEMED
Don’t forget that you have a discount vision plan, included at
no additional cost
.Slide18
TODAY’S DISCUSSION
Network Highlights and Utilization
2015 Plan
Designs
Importance of Prevention
Online Tools
Eyemed
Customer ServiceSlide19
A website built with you in mind.
Cost Estimator
Risk Assessment Tool
Benefits and Claims UpdatesOral Health Flyers
www.deltadentalco.comSlide20
EMPLOYEE TOOLS
The online portal that makes
y
our life easier
View claims and benefits
Electronic EOB
Print an ID card
Oral health and wellness information
Provider SearchSlide21
MOBILE APP
When you need info on the go
Find a dentist
View benefits and claims
Mobile ID card
Toothbrush timer
1
2
3
4Slide22
TODAY’S DISCUSSION
Network Highlights and Utilization
2015 Plan
Designs
Importance of Prevention
Online Tools
Eyemed
Customer ServiceSlide23
LOCAL SERVICE
S
ervice you need when you need it…because we live where you live
Phone:
1-800-610-0201
Email:
customer_service@ddpco.com
Hours:
Monday – Friday
8 a.m. – 6 p.m.
24/7 Automated Call CenterSlide24
W
e are the
champion of your smile.