The contractual amendment revises the reimbursement from the dentists submitted fees to the lesser of submitted, Premier and PPO fees. 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. 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. It will only affect reimbursements for DeltaCare enrollees treated by Premier/PPO providers. * 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 data is based on actual, non-discounted charges that providers have billed. 2023 Holiday Schedule. As Delta Dental is required to do by our prior litigation settlement, Delta Dental gave CDA short advance notice of these changes. Preventive services are included in this tool. \J~R7UX:9FZ&ky[md7)F\Zd@. %PDF-1.6
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Your actual cost may be higher or lower than the estimate for various reasons. Delta Dental of California 17871 Park Plaza Drive, Suite 200 Cerritos, CA 90703 Administered by: Delta Dental Insurance Company P.O. The start of a new year is a great time to reset your goals. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. 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. How much is it going to cost? !a?(_,)aDOh. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. Sacramento, CA 95814 You also may contact Delta Dental PPO customer service at (800) 626-3108. Tooth Missing but Not Replaced Rule 17 . Delta Dental representatives are requesting that participating providers contact their provider concierge department to discuss the impact of the fees on an individual basis. 2022 Dental Wellness Calendar Delta Dental's wellness resources let you offer relevant content all year round. 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. 800.232.7645, The Dentists Insurance Company Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. . Sacramento, California 95899-7330 . Transparency and accuracy are fundamental to CDA, and we will share significant information that we learn unless constrained by law from doing so. The version of the Cost Estimator that is available publicly (does not require sign-in credentials) uses aggregated historical cost data for the procedure in question. Box 537015 Sacramento, CA 95853 . CDA Foundation. t4:Xa/`z,p}6
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a>d>)Oc9cL-DtnAByaaG 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. 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. U.S. Department of Housing and Urban Development. You may be responsible for the cost of procedures or services not covered by your plan. %PDF-1.6
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Read the Potential Financial Impact statement provided with the notice. For more information call Delta Dental at 1-888-335-8227 (toll free). !>$\uWj U"sM.8Zo41CF'PD"d. b$Jq>foZ0uA`jYM>n
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%n\wIqs7g3 Get started here. *Not sure where your company is headquartered? Like Delta Dental of California, numerous American employers provide health insurance for their employees, through which companies typically pay a Read more, Streamlined solutions for every step of the compensation management journey, Continuously updated compensation datasets from Payscale and our partners, Flexible, customizable services and support for Payscale customers, End comp guesswork with our free job-pricing tool, From collection to validation, our data methodology delivers certainty, Meet the leaders dedicated to empowering better conversations around pay, Track and compare wage-growth by city, industry, company size, and job category, Access helpful tools and insights for career planning and salary negotiation, Explore real-world career trends and advice from the leaders in compensation, Uncover detailed salary data for specific jobs, employers, schools, and more, Take our salary survey to see what you should be earning, Accidental Death & Dismemberment Insurance. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." zQ[LQ|PL=!7wFAbI=!QZ~ Customer Service available Monday through Friday from 8:00 a.m. to 8:00 p.m. Eastern Time, excluding holidays. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. *I,Tf kEnXo.q0sOd]`:cCEiFOm`Tw0RH=6s@{4(KTC.c %:Q-TjuaW{xAEg4{NK_]+R -+Z (@k>#gW-Q,Ixi=QA%77! ]^t:jrh[=&(>ohdz]T6 Gf5od!8(X{w8d"Lc^ giQg>:4Pd1 fwbh9L#`5Uz`j:1_ :G7i|uO!n!yevX I@?JnsXwz l2bb{3}|2IzloPLT"Gk!Zlg|m1dedBK4 adsIuF24369C8VIJ^ International Callers dial direct: 916-858-4803. 338 0 obj
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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. Looking to cover yourself or your family? See the latest Preventive care coverage varies by plan and by demographic considerations such as age. 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. The information and content (collectively, "Content") on this website is for your general educational information only. Contact your company's human resources department. The contractual amendment revises the reimbursement from the dentists submitted fees to the lesser of submitted, Premier and PPO fees. Estimates should not be construed as financial or medical advice. 1201 K Street, 14th Floor Use our tool to get a personalized report on your market worth. 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. The amendment does not reduce existing approved fees for Premier or PPO dentists. Delta Dental of California 560 Mission Street, Suite 1300 San Francisco, CA 94105 888-282-8528 deltadentalins.com Administered by: Delta Dental Insurance Company . It will only affect reimbursements for DeltaCare enrollees treated by Premier/PPO providers. 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. 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. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. Maintain your oral health through the holidays. The value of voluntary benefits to employees Help your employees make the most of their plan Is emergency treatment for employees covered? This website shows estimates of certain dental care costs. App features may vary by geographic area and individual dentist participation. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. A prepaid plan requires you and your eligible dependents to select a dental provider choosing . Self and 1 Party. The Delta Dental library of resources includes guidance on choosing the best dental insurance for your company and helping employees get the most from their dental benefits. Connect with your Delta Dental company to learn more. 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. 1201 K Street, 14th Floor Independence Day: September 1-4. 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 costs provided in this tool are estimates only and are not a guarantee of payment or benefits. Delta Dental has the largest network of dentists nationwide. The Delta Dental library of resources includes guidance on choosing the best dental insurance for your company and helping employees get the most from their dental benefits. Monday through Friday (excluding holidays) 8:00 a.m. to 8:00 p.m., Eastern Time. PO Box 537007 . What your skills are worth in the job market is constantly changing. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. Good Friday: May 26-29. DELTA DENTAL OF CALIFORNIA P.O. 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. Benefits described in this comparison are guaranteed only when you select a participating dentist from Delta's networks. Holiday Health Campaign World AIDS Day (12/1) New Year's Eve (12/31) . 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. Q
j~@1XVCCzh4l_Y7q|Z)kWK 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. FAQs here. Pay, Whether you are hiring a single employee , or an entire department of, The labor market is a strange place right now. CDA continues to press Delta Dental for an explanation about rate methodology, new administrative burdens and overall value of Delta Dental benefit plans. 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. Refer to your benefit plan to determine whether preventive services are covered for you. Is keeping employees healthy and productive one of your priorities? Together, we champion better oral health care for all Californians. 9_ZOEAUIz-#ve{*zrZ%KbB]g4"&8X}x?clTy93Sj*R>z+m$c
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Please contact the Delta Dental company below for more information. Delta Dental. All of those matters are things that you should decide, in consultation with your dental care professionals. $61.48 Self and 2 or more. In addition to contacting Delta Dental, we encourage you to share your feedback, either positive or negative, with CDA on the proposed changes as they apply to your practice by using the dental benefits issue form online or emailing your comments to CDA Practice Support. Delta Dental of California . Maximize your oral health and make the most of your dental benefits right from your mobile device by downloading the Delta Dental Mobile App. 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). Kaiser Permanente is not responsible for the content or policies of external websites. 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