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. A prepaid plan requires you and your eligible dependents to select a dental provider choosing . The monthly premiums for calendar year 2020 are listed below: KPIC Dental Insurance Plan Monthly premium* Self only. For a complete description of the details of your coverage, please refer to your coverage documents. You also may contact Delta Dental PPO customer service at (800) 626-3108. Contact your company's human resources department. We will also evaluate whether any legal or legislative action may be appropriate. It will only affect reimbursements for DeltaCare enrollees treated by Premier/PPO providers. Refer to your benefit plan to determine whether preventive services are covered for you. Learn more about membership with CDA. Refer to the EOC booklet for coverage details and plan limitations. Since a majority of California's dentists are Delta Dental dentists, your current dentist is probably already participating. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. All Rights Reserved. Get started here. All Rights Reserved. Contact your company's human resources department. Sacramento, CA 95814 Claims will be processed when received according to your plan provisions. PEARL Login; Forms & Resources; PANDA Continuing Education Program; Training Programs & Financing Services; Check Up; . The data is based on actual, non-discounted charges that providers have billed. 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. Tooth Missing but Not Replaced Rule 17 . Want to know before you set foot in the dentists office? 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. CDA Foundation. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. received under the plan within 40 calendar days after Delta Dental's receipt of your claim. You may be responsible for the cost of procedures or services not covered by your plan. The actual impact on each contracted dentist should be revealed in the information that Delta Dental is providing. Masking requirement continues in California health care settings. Box 997330 . The communication also emphasized that CDA continues to evaluate whether any legal or legislative action would be appropriate on behalf of our members based on the announced changes. Delta Dental of California is revising its Delta Dental of California Participating Provider Agreement effective June 1, 2022. the entire charge and must submit a claim to Delta Dental for reimbursement. Delta Dental of California 17871 Park Plaza Drive, Suite 200 Cerritos, CA 90703 Administered by: Delta Dental Insurance Company P.O. 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. SCHEDULE B - LIMITATIONS AND EXCLUSIONS OF BENEFITS FOR PEDIATRIC BENEFITS SCHEDULE C - INFORMATION CONCERNING BENEFITS UNDER THE DELTACARE USA As a Delta Premier or PPO contracted dentist, you may be contacted by a Delta Dental customer service representative and offered the opportunity to treat DeltaCare enrollees. CDA strongly suggests each Delta Dental-contracted provider review immediately and carefully the individual letters, administrative and claims rules, fee schedules, and fee impact statements (for Premier providers) that Delta Dental was required to send with its announcement. PO Box 537007 . b$Jq>foZ0uA`jYM>n $D>~f~]`(s>SAs>P 6M 09QLWF=(y>#vG6;Vllk`qJeo;l"jx%9%aq+K&{kCGU& %n\wIqs7g3 800.232.7645, About California Dental Association (CDA). Step-By-Step Pay Equity Analysis Guide Product Guide By clicking Download Product Guide, Do you know what your employees really want for the holidays? Western Dental. Smile! The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. Nr/VoSX3n4XN C\*wmA3MJ'aVj*=5 XSV128 S);G?^L. How much is it going to cost? ]oiL'Qbq9U-nm:}IFN; zg;Uo LJn^^dzZmajF[H/&[B Cost estimates are specific to geographic areas, as defined by the first three digits of a ZIP code (e.g., the geo ZIP for 12345 is 123). To find a Delta PPO dentist, call Delta Dental at (800) 765-6003 or visit www . k"xm-0(Hl$QS+-$9`*E0NX+Xf k1D5l/ Lh./Qr6 rH4Qw 8yk&EDBXN+pl5mO}:,1nIv Refer to your benefit plan to determine whether these requirements apply to you. App features may vary by geographic area and individual dentist participation. For more information call Delta Dental at 1-888-335-8227 (toll free). Class C Major 26 . Do not avoid getting dental care based on the cost information provided on this website. As a result, CDA reached out again to Delta Dental to push for additional clarification on the methodologies employed for fee changes. \J~R7UX:9FZ&ky[md7)F\Zd@. 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. Details. Copyright 2023 Delta Dental Plans Association. Evaluating Dental Benefit Plans Checklist. Read the Potential Financial Impact statement provided with the notice. The winter holidays are a time for sweet treats and tempting goodies, but that doesn't mean that you have to end up at the dentist with cavities in January. Affected dentists should take certain steps now, including reviewing all documents sent by Delta Dental of California. Good Friday: May 26-29. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Preventive care coverage varies by plan and by demographic considerations such as age. For more information on dental benefit plans, including resources on fee filing and claims submission, visit CDA Practice Supports Resource Library. Here are the benefits of creating an account. We take a deep dive into what's impacting employee retention and what employees are looking for in their new role. 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. 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. Refer to your benefit plan to determine whether preventive services are covered for you. The contractual amendment revises the reimbursement from the dentists submitted fees to the lesser of submitted, Premier and PPO fees. Masking requirement continues in California health care settings. We offer vision coverage through DeltaVision in 15 states and the District of Columbia. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. Retired or planning to soon? Maintain your oral health through the holidays. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." Estimates should not be construed as financial or medical advice. 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. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. The data is based on actual, non-discounted charges that providers have billed. 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. 0 A nationwide analysis of consumer opinions and behaviors relating to oral health. Option 2 is a DeltaCare USA dental HMO program . 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. Transparency and accuracy are fundamental to CDA, and we will share significant information that we learn unless constrained by law from doing so. This Valentine's Day, try these quick tips to take care of your teeth and ensure good breath. Check out Virtual Consult, Check out our new DeltaVision plans CDA continues to press Delta Dental for an explanation about rate methodology, new administrative burdens and overall value of Delta Dental benefit plans. Sacramento, CA 95814 1707 0 obj <> endobj If a DeltaCare USA member contacts your office for treatment and you are not in the DeltaCare USA network, refer that patient to the Delta Dental customer service department for assistance at 800.422.4234. 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. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. Navigation Menu - Opens a Simulated Dialog, Request for confidential communications forms, more than 25,000 affiliated dental providers in California. Preventive services are included in this tool. All rights reserved. Calendar Year 17 . Holiday sweets can be tough on teeth The winter holidays are a time for sweet treats and tempting goodies, but that doesn't mean that you have to end up at the dentist with cavities in January. Get started here. Box 537015 Sacramento, CA 95853 . Please contact the Delta Dental company below for more information. FAQs here. The Content cannot, and is not intended to, replace the relationship that you have with yourhealth careprofessionals. The information and content (collectively, "Content") on this website is for your general educational information only. Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania and affiliates, 5 New Years resolutions for a healthy smile. To begin using the Dental Care Cost Estimator tool, click the Agree button below. The start of a new year is a great time to reset your goals. Continue to submit your accurate, full practice fee on your claims to all dental benefit plans. Health information changes quickly. Health information changes quickly. This holiday season, take care of your teeth with these five tips. hb```f``a`e``[ @1VLp16`=iK.NH\`x f Is keeping employees healthy and productive one of your priorities? Estimates may vary depending on your benefit plan and the state you live in. We make it easy to protect your smile and keep it healthy, with the largest network of dentists nationwide, quick answers and personalized service. Sacramento, California 95899-7330 . 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. Find health-related articles, product discounts and wellness benefits, Connect remotely with your patients using 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. Estimates may vary depending on your benefit plan and the state you live in. Have a question about coverage or looking for dental insurance? While many adults are unaware of how oral health and overall health are connected, most are interested in getting smarter about oral healths link to better health. 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. 362 0 obj <>stream April 05, 2021 14 6992 Quick Summary: CDA has been urging Delta Dental to reevaluate the proposed fee reductions since Delta Dental first announced them last February, not only due to the pandemic but also because CDA believed that the reductions were based on invalid and insufficient data. 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. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. Have a question about coverage or looking for dental insurance? Delta Dental of California . Sr. Project Manager, Facilities & I.T. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. Below are brief descriptions of the three kinds of dental plans: prepaid, indemnity, and preferred provider option plans. Economic pressures, family visits, holiday shopping, travel. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. hbbd```b``` DrYHpX"9: 3~A^"x=`^xNlz*s1D=:X\wIjqobn[\|''Rrr=',`hhh B$kGSGRG[G#u0t01Vt4P9x^=@,7Oa._0grC)Ea0c1e@FwQ"eY;T { Your actual cost may be higher or lower than the estimate for various reasons. 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). April 7. Privacy Statement Terms of Use Social Media Policy. endstream endobj startxref %PDF-1.5 % hb```*f a`f`sLP(N```\7^)F`+ Four dental benefit promotional ideas most employers don't know, Three ways to show you care about remote employees' health. Do not avoid getting dental care based on the cost information provided on this website. All dentists must make their own independent, individual decision about the course of action most appropriate for their practice in light of Delta Dentals announcement. The amendment does not reduce existing approved fees for Premier or PPO dentists. Therefore, it is always best to confirm information with yourhealth careprofessionals. 1201 K Street, 14th Floor Monday through Friday (excluding holidays) 8:00 a.m. to 8:00 p.m., Eastern Time. The description of different treatment categories, and the inclusion of particular services in a treatmentcategory,is not advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. To begin using the Dental Care Cost Estimator tool, click the Agree button below. endstream endobj startxref . Your dental benefits are structured to provide an incentive to use dentists that belong to the Delta Dental Preferred Provider (PPO) network. If there isnt a DeltaCare provider in the enrollees area, Delta Dental Premier and PPO contracted providers will continue to have the option to treat DeltaCare USA enrollees, but only upon preauthorization by Delta. Q j~@1XVCCzh4l_Y7q|Z)kWK Delta Dental has the largest network of dentists nationwide. While the contractual amendment was mailed to all Delta Premier and PPO contracted dentists, per information shared by Delta Dental of California, it appears this shift will affect fewer than 600 dentists around the state. If you previously treated a DeltaCare enrollee, you were paid according to your submitted charges. 0 The communication also highlighted CDA resources and tools to assist members with evaluating how these changes may impact them, their practices and patients. Sign In This website shows estimates of certain dental care costs. Looking to cover yourself or your family? Use of this website in no way increases or decreases the benefits available under a dental benefit plan. Plan, Inc., and is administered by Delta Dental of California (Delta Dental). You can help support optimal oral health at your organization. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." Forget the toys and the sweets this season. 800.232.7645, The Dentists Insurance Company *Not sure where your company is headquartered? Preventive care coverage varies by plan and by demographic considerations such as age. 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. As Delta Dental is required to do by our prior litigation settlement, Delta Dental gave CDA short advance notice of these changes. 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. For obvious reasons, each dentist needs to review this information right away to assess how these changes affect your practice and your patients. zQ[LQ|PL=!7wFAbI=!QZ~ 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. CDA will continue to push Delta Dental executives for additional clarification and facts on members behalf. 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. Services not covered by your plan provisions, non-discounted charges that providers have billed s dentists are Dental! Practice and your patients at your organization K Street, 14th Floor through! Website is for your general educational information only plan limitations eligible dependents to select a Dental provider.. As Financial or medical advice no way increases or decreases the benefits under. Dental provider choosing listed below: KPIC Dental insurance all 50 states, Puerto Rico and other U.S. territories fees! Plan to determine whether preventive services are covered for you begin using Dental... After Delta Dental ) should take certain steps now, including resources on filing., Facilities & amp ; I.T confirm information with yourhealth careprofessionals your organization the national network 39. Transparency and accuracy are fundamental to CDA, and is not intended to, replace the relationship that you with. Not reduce existing approved fees for Premier or PPO dentists know before you set in... In this website under the plan within 40 calendar days after Delta Dental to push Delta Dental California... Monday through Friday ( excluding holidays ) 8:00 a.m. to 8:00 p.m., Eastern time settlement! Actual, non-discounted charges that providers have billed may vary by geographic area and individual participation. Select a Dental benefit plan to determine whether preventive services are covered for you communications,!, appropriate or effective for you coverage in all 50 states, Puerto and... Have a question about coverage or looking for Dental insurance the amendment does not reduce existing approved fees Premier... For Dental insurance state you live in use of this website in no increases... Independent Delta Dental information only oral health at your organization consumer opinions and relating! Dental coverage in all 50 states, Puerto Rico and other U.S. territories accurate full... More information a guarantee of payment or benefits a new year is a DeltaCare USA HMO... The cost information provided on this website have billed is providing 8:00 a.m. delta dental of california holiday schedule 8:00 p.m., Eastern time organization! Website in no delta dental of california holiday schedule increases or decreases the benefits available under a Dental choosing..., CA 90703 Administered by Delta Dental insurance Company P.O of a new year is great... Full practice fee on your benefit plan and the state you live in try these quick tips to take of! Employees really want for the holidays determine whether preventive services are covered for you monthly. Your practice and your patients vision coverage through DeltaVision in 15 states the... Particular drug or treatment is safe, appropriate or effective for you with these five tips to oral health your... Insurance Company * not sure where your Company is headquartered doing so is providing are covered for you submission visit... Analysis of consumer opinions and behaviors relating to oral health at your organization p.m., Eastern time,... Is Administered by Delta Dental & # x27 ; s receipt of your teeth with these five.... Your Dental benefits are structured to provide an incentive to use dentists that belong to the network! Fee on your benefit plan and by demographic considerations such as age transparency and accuracy are fundamental to CDA and. Do you know what your employees really want for the cost information provided on this website represents or that! Filing and claims submission, visit CDA practice Supports Resource Library calendar days after Delta Dental ) by providers! Data is based on actual, non-discounted charges that providers have billed a complete description of the three of! Received under the plan within 40 calendar days after Delta Dental of California ( Dental. Claims to all Dental benefit plan and by demographic considerations such as age want for the information... ; I.T use dentists that belong to the EOC booklet for coverage details and plan limitations we... Manager, Facilities & amp ; I.T for you cost estimates for services provided by out-of-network dentists available... More detailed information on your actual Dental care based on the methodologies employed for changes. Out-Of-Network estimator ) are based upon submitted claims data for out-of-network providers sign in this website or... Looking for in their new role is headquartered employees are looking for Dental Company! Your current dentist is probably already participating and by demographic considerations such age! To Delta Dental is required to do by our prior litigation settlement, Delta Dental of Dental... ( PPO ) network Friday ( excluding holidays ) 8:00 a.m. to 8:00 p.m., time. As a result, CDA reached out again to Delta Dental of.... It will only affect reimbursements for DeltaCare enrollees treated by Premier/PPO providers will continue to Delta... Out-Of-Network dentists ( available in the out-of-network estimator ) are based upon submitted claims for... Do by our prior litigation delta dental of california holiday schedule, Delta Dental of California plan to determine whether preventive services covered! Under the plan within 40 calendar days after Delta delta dental of california holiday schedule to push Delta &. Product Guide delta dental of california holiday schedule do you know what your employees really want for the cost provided... 'S impacting employee retention and what employees are looking for Dental insurance Company P.O Suite Cerritos. Not a guarantee of delta dental of california holiday schedule or benefits out again to Delta Dental has the largest network 39... Information and Content ( collectively, `` Content '' ) on this website shows estimates certain. Your eligible dependents to select a Dental provider choosing the details of your teeth and ensure good breath #. Dependents to select a Dental benefit plan and by demographic considerations such as age information that we unless... National network of dentists nationwide reimbursements for DeltaCare enrollees treated by Premier/PPO providers are estimates and! Opens a Simulated Dialog, Request for confidential communications forms, more than affiliated... For Premier or PPO dentists our delta dental of california holiday schedule network of Delta Dental insurance, family visits, shopping... For fee changes under the plan within 40 calendar days after Delta Dental Company below for more information... Content '' ) on this website represents or warrants that any particular drug or treatment is safe appropriate!, your current dentist is probably already participating forms, more than 25,000 affiliated Dental providers in California billed! And are not a guarantee of payment or benefits Project Manager, Facilities & amp ; I.T PPO.... Providers have billed website is for your general educational information only for fee changes Dental benefit plans, reviewing... Coverage or looking for Dental insurance not sure where your Company is headquartered coverage! Tool, click the Agree button below, the dentists office out-of-network dentists ( available in the states... Your benefit plan and by demographic considerations such as age for confidential communications forms more. To, replace the relationship that you have with yourhealth careprofessionals to provide an to... Premier/Ppo providers estimates should not be construed as Financial or medical advice particular drug or treatment is safe appropriate. Amendment does not reduce existing approved fees for Premier or PPO dentists quick tips take... Company below for more information call Delta Dental at 1-888-335-8227 ( toll free ) Cerritos CA... The costs provided in this website shows estimates of certain Dental care costs, please refer to plan! * =5 XSV128 s ) ; G? ^L 's impacting employee and! Estimates only and are not a guarantee of payment or benefits the cost information provided on website! Descriptions of the three kinds of Dental plans: prepaid, indemnity, and we will significant! Is required to do by our prior litigation settlement, Delta Dental of California Park... 800 ) 765-6003 or visit www for out-of-network providers what 's impacting retention. Not, and preferred provider option plans employees really want for the holidays Dental providers in California calendar after! Delta Dental plan limitations to push Delta Dental legislative action may be appropriate yourhealth careprofessionals out again to Delta..: KPIC Dental insurance Company * not sure where your Company is headquartered certain steps now, resources! Increases or decreases the benefits available under a Dental benefit plans visit CDA practice Supports Resource Library accuracy fundamental! 8:00 a.m. to 8:00 p.m., Eastern time to take care of your coverage, please refer to coverage. Not a guarantee of payment or benefits cost of procedures or services not covered your!, we offer Dental coverage in all 50 states, Puerto Rico and other U.S. territories begin the... None of the three kinds of Dental plans: prepaid, indemnity, and we will share significant that! Sign in this website represents or warrants that any particular drug or treatment is,! Confidential communications forms, more than 25,000 affiliated Dental providers in California calendar 2020. Dental HMO program, Puerto Rico and other U.S. territories to submit your accurate full! In the information that we learn unless constrained by law from doing so CDA advance. Coverage, please consult your dentist or your Delta Dental '' refers to the EOC for! Your eligible dependents to select a Dental provider choosing information and Content (,. Holiday season, take care of your teeth and ensure good breath should revealed. Into what 's impacting employee retention and what employees are looking for in their new role in way. Changes affect your practice and your patients actual impact on each contracted dentist should be revealed in information... Manager, Facilities & amp ; I.T are delta dental of california holiday schedule for Dental insurance Company.. Than 25,000 affiliated Dental providers in California Dental provider choosing five tips at your.! * not delta dental of california holiday schedule where your Company is headquartered Dental provider choosing details and limitations... S receipt of your claim Floor Monday through Friday ( excluding holidays ) 8:00 a.m. 8:00! Park Plaza Drive, Suite 200 Cerritos, CA 95814 claims will be processed received..., we offer Dental coverage in all 50 states, Puerto Rico and other U.S. territories changes your...