State of Colorado Open Enrollment , Effective July 1
Covering Colorado smiles for more than 57 Years.
TODAY’S DISCUSSION Network Highlights and Utilization 2015 Plan Designs Importance of Prevention Online Tools Eyemed Customer Service
TODAY’S DISCUSSION Network Highlights and Utilization 2015 Plan Designs Importance of Prevention Online Tools Eyemed Customer Service
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 TOGETHER
Porcelain Crown Delta Dental PPO SM Delta Dental Premier® Non-Participating Average Submitted Charge$1, DDCO Contracted Allowance$815.00$1,090.00$ * Member Co-Share50% Balance Billed to Member (Submitted vs. Contracted fee) $0.00 $ Total Member Cost (Balance Billed + Co-Share) $407.50$545.00$ * No Contract Exists for Non-Par Dentists BEST VALUE FOR MEMBERS Our deeper discounts help you save on out-of-pocket costs
Visit our website Call customer service Use the mobile app Finding a dentist is easy.
NETWORK UTILIZATION You save the most money when you see a PPO dentist.
TODAY’S DISCUSSION Network Highlights and Utilization 2015 Plan Designs Importance of Prevention Online Tools Eyemed Customer Service
2015 BASIC PLAN
2015 BASIC PLUS PLAN
Dependents under age 5 are covered at no cost to you.
TODAY’S DISCUSSION Network Highlights and Utilization 2015 Plan Designs Importance of Prevention Online Tools Eyemed Customer Service
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.
PREVENTION FIRST
TODAY’S DISCUSSION Network Highlights and Utilization 2015 Plan Designs Importance of Prevention Online Tools Eyemed Customer Service
EYEMED Don’t forget that you have a discount vision plan, included at no additional cost.
TODAY’S DISCUSSION Network Highlights and Utilization 2015 Plan Designs Importance of Prevention Online Tools Eyemed Customer Service
A website built with you in mind. Cost Estimator Risk Assessment Tool Benefits and Claims Updates Oral Health Flyers
EMPLOYEE TOOLS The online portal that makes your life easier View claims and benefits Electronic EOB Print an ID card Oral health and wellness information Provider Search
MOBILE APP When you need info on the go Find a dentist View benefits and claims Mobile ID card Toothbrush timer
TODAY’S DISCUSSION Network Highlights and Utilization 2015 Plan Designs Importance of Prevention Online Tools Eyemed Customer Service
LOCAL SERVICE Service you need when you need it…because we live where you live Phone: Hours: Monday – Friday 8 a.m. – 6 p.m. 24/7 Automated Call Center
We are the champion of your smile.