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Delta Dental of MinnesotaEssential Health Benefits for MNsure
Prepared by: Daniel Bade – Sales Manager for Delta Dental of Minnesota
Why should I get a dental plan?
• Ease the financial burden of unexpected and costly dental bills• Motivation to maintain good preventive care habits• Oral health is tied to your overall health• Invest in what is important to you
Why Delta Dental?• Protecting smiles is our job• 4.1 million members • Commitment to community
Delta Dental PPO Plus PremierTM
Providers contracted in‐network have agreed to accept Delta Dental fee maximums
• Delta Dental Premier®–The largest dental network in the country, offering four‐out‐of‐five dentists nationally.
–Over 90% of the licensed dentists in Minnesota participate.–Network discount averages between 20‐30%
• Delta Dental PPOTM
–Fee allowances are typically less than the Delta Dental Premier–Over 50% of dentists in Minnesota are in this network–Network discount averages between 30‐40%
Find a Network Dentist at DeltaDentalMN.org
Essential Health Benefits: Pediatric Dental
Essential Health Benefits: Pediatric Dental
• No annual maximum if seeking care from an in‐network dentist
• Annual out‐of‐pocket maximum helps control member’s exposure
• Deductible waived on Diagnostic and Preventive services
• No waiting periods for all services• Sealants, X‐Rays and Fluoride
Essential Health Benefits: 2018 Adult Plans
The Delta Dental Difference
Delta Dental Difference for Members• Amplifon Hearing Health discounts
• Delta Dental Mobile App – online access 24/7
• Delta Dental Cost Estimator• Pre‐treatment estimates• 99% inquires resolved on first call
Frequently Asked Questions
• Once a subscriber enrolls, what is the process?
• If a service is not covered, does the member still get the Delta Dental price?
• What are the billing options?• Can these plans be used out‐of‐state?• What is the age eligibility for the Essential Health Benefit Pediatric plan?
• Can I buy a plan for just my child?• How do commissions work?• Is dental insurance tax deductible?
Need Assistance? We’re Here to Help!
1‐866‐764‐5350
Online Resources:• deltadentalmn.org/agents• Chat support from our licensed team
Get Appointed: • deltadentalmn.org/appointment
When to Contact MNsure vs. Delta Dental of Minnesota
Mnsure Delta Dental of MinnesotaEnrollment and eligibility issues Arrival of insurance cardsAppeals (eligibility etc.) Invoicing and payment questionsReporting life events Questions about plan / benefit designAPTC’s CommissionsAORs (if 30‐60 days from AOR submission) AORs (60+ more days after AOR submission)Enrollment / plan terminations Appeals (claims etc.)
Questions? Thank you!
For more, visit DeltaDentalMN.org