PO Box 537007 . Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. We make it easy to protect your smile and keep it healthy, with the largest network of dentists nationwide, quick answers and personalized service. The start of a new year is a great time to reset your goals. Holiday Health Campaign World AIDS Day (12/1) New Year's Eve (12/31) . Nr/VoSX3n4XN C\*wmA3MJ'aVj*=5 XSV128 S);G?^L. Sacramento, CA 95814 338 0 obj <>/Filter/FlateDecode/ID[<61CE24CEE64C4AF2FC4831445310A6C6>]/Index[314 49]/Info 313 0 R/Length 110/Prev 391739/Root 315 0 R/Size 363/Type/XRef/W[1 3 1]>>stream *Not sure where your company is headquartered? We offer vision coverage through DeltaVision in 15 states and the District of Columbia. hb```*f a`f`sLP(N```\7^)F`+ 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. Use of this website in no way increases or decreases the benefits available under a dental benefit plan. Learn more about membership with CDA. Your actual cost may be higher or lower than the estimate for various reasons. Sacramento, CA 95853-7007 855-410-3255 . Contact your company's human resources department. 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. SCHEDULE B - LIMITATIONS AND EXCLUSIONS OF BENEFITS FOR PEDIATRIC BENEFITS SCHEDULE C - INFORMATION CONCERNING BENEFITS UNDER THE DELTACARE USA 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. 5 tips to keep your teeth healthy over the holidays. For more information call Delta Dental at 1-888-335-8227 (toll free). Please scroll down and accept to proceed. The information and content (collectively, "Content") on this website is for your general educational information only. Details. Estimates may vary depending on your benefit plan and the state you live in. It will only affect reimbursements for DeltaCare enrollees treated by Premier/PPO providers. 2022 Dental Wellness Calendar Delta Dental's wellness resources let you offer relevant content all year round. 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. Copyright 2023 Delta Dental Plans Association. Delta Dental of California and Affiliates is a part of Delta Dental Plans Association. U.S. Department of Housing and Urban Development. 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. California Dental Association How much is it going to cost? DELTA DENTAL OF CALIFORNIA P.O. Contact your company's human resources department. 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. Sign In 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). Customer Service available Monday through Friday from 8:00 a.m. to 8:00 p.m. Eastern Time, excluding holidays. These reports from members raise great concern for CDA regarding the true impact of the Delta Dental changes. Below are brief descriptions of the three kinds of dental plans: prepaid, indemnity, and preferred provider option plans. Masking requirement continues in California health care settings. California Dental Association 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. CDA continues to evaluate whether any legal or legislative action would be appropriate on behalf of our members based on the announced changes. Register. Dentists have also reported contracts including more burdensome administrative requirements and restrictions that would detract from patient care and reduce the value of the patients benefit plan. Is emergency treatment for employees covered? We have dental insurance that empowers you to protect the oral health of you and your loved ones. hbbd``b`$'[*'`bOHHlfRH'@ M *Not sure where your company is headquartered? zQ[LQ|PL=!7wFAbI=!QZ~ CalHR also contracts with Delta Dental (Delta) for an indemnity plan and a preferred provider option plan (PPO). We included what Delta Dental had shared about the impact without endorsement of Delta Dentals actions. The amendment does not reduce existing approved fees for Premier or PPO dentists. FAQs here. Give the gift of oral health this holiday season. Delta Dental PPO plan through California State University. All Rights Reserved. Option 2 is a DeltaCare USA dental HMO program . 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. 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? Evaluating Dental Benefit Plans Checklist. The information and content (collectively, "Content") on this website is for your general educational information only. 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. Delta Dental has the largest network of dentists nationwide. Want to know before you set foot in the dentists office? To begin using the Dental Care Cost Estimator tool, click the Agree button below. Delta Dental of California . By clicking, you agree that you have read the informationbelow,are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and will not use the information in this tool for a commercial or anti-competitive purpose. Looking to cover yourself or your family? 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). hbbd```b``` DrYHpX"9: Please scroll down and accept to proceed. The data is based on actual, non-discounted charges that providers have billed. 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. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. * 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. !a?(_,)aDOh. Follow us on these external social media sites that will open in a new browser window. Connect with your Delta Dental to learn more. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. The contractual amendment revises the reimbursement from the dentists submitted fees to the lesser of submitted, Premier and PPO fees. 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. 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. 2023 Holiday Schedule. Box 1803 Alpharetta, GA 30023 888-282-8528 . Infrastructure at Delta Dental of California Grass Valley, California, United States 2K followers 500+ connections The amendment does not reduce existing approved fees for Premier or PPO dentists. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. A nationwide analysis of consumer opinions and behaviors relating to oral health. DELTA DENTAL PATIENT DIRECT GENERAL DENTIST FEE SCHEDULE ALL PROCEDURES Effective from 06/01/2022 D2712 Crown - Resin-Based Composite (Indirect) $305 D2720 Crown - Resin With High Noble Metal $648 D2721 Crown - Resin With Predominantly Base Metal $561 D2722 Crown - Resin With Noble Metal $625 D2740 Crown - Porcelain/Ceramic $725 Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. Findings from the Delta Dental-commissioned research of 2,000+ U.S. adults and parents of children ages 12 and younger illuminate what they thought about their oral health and what they did to properly care for it at home and with their dentist during 2021. The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan. Memorial Day Holiday: June 19. Sacramento, CA 95814 As Delta Dental is required to do by our prior litigation settlement, Delta Dental gave CDA short advance notice of these changes. 3~A^"x=`^xNlz*s1D=:X\wIjqobn[\|''Rrr=',`hhh B$kGSGRG[G#u0t01Vt4P9x^=@,7Oa._0grC)Ea0c1e@FwQ"eY;T { We are the recognized leader for excellence in member services and advocacy promoting oral health and the profession of dentistry. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. 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. The contractual amendment revises the reimbursement from the dentists submitted fees to the lesser of submitted, Premier and PPO fees. Pay, Whether you are hiring a single employee , or an entire department of, The labor market is a strange place right now. Here is a summary of actions CDA is taking and the steps that CDA urges members to take now: 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. Health information changes quickly. This Thanksgiving, keep your teeth and gums healthy with smart food choices. 800.232.7645, About California Dental Association (CDA). 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. Give your loved ones a toothbrush! What your skills are worth in the job market is constantly changing. s*v&hSVd| Oi>6hf],~'N K4n6lTT[GzxgOJ3>/>A5M*?x![hWO;TtT? Z)7s[`a>Y. Under this policy change effective June 1, 2022, you will be paid the lesser of your Premier or PPO contracted fee or your submitted fee. Delta Dental of California employee benefits and perks data. Do not avoid getting dental care based on the cost information provided on this website. Out-of-State Delta Dental Plans - Eligibility & Benefits; Tools. Learn more about membership with CDA. 314 0 obj <> endobj 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 Delta Dental. Maximize your oral health and make the most of your dental benefits right from your mobile device by downloading the Delta Dental Mobile App. 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. Please reach out to Delta Dental of California Provider Concierge team at 888.742.4099 or via email to discuss the impact to your practice and raise any questions or concerns you may have with the communication you received about the upcoming 2023 changes. 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. 0 Get started here. 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