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Published byAbraham Pitts Modified over 9 years ago
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State of Colorado Open Enrollment 2015-2016, Effective July 1
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Covering Colorado smiles for more than 57 Years.
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TODAY’S DISCUSSION Network Highlights and Utilization 2015 Plan Designs Importance of Prevention Online Tools Eyemed Customer Service
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TODAY’S DISCUSSION Network Highlights and Utilization 2015 Plan Designs Importance of Prevention Online Tools Eyemed Customer Service
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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
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Porcelain Crown Delta Dental PPO SM Delta Dental Premier® Non-Participating Average Submitted Charge$1,297.07 DDCO Contracted Allowance$815.00$1,090.00$815.00 * Member Co-Share50% Balance Billed to Member (Submitted vs. Contracted fee) $0.00 $482.07 Total Member Cost (Balance Billed + Co-Share) $407.50$545.00$889.57 * No Contract Exists for Non-Par Dentists BEST VALUE FOR MEMBERS Our deeper discounts help you save on out-of-pocket costs
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Visit our website Call customer service Use the mobile app Finding a dentist is easy.
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NETWORK UTILIZATION You save the most money when you see a PPO dentist.
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TODAY’S DISCUSSION Network Highlights and Utilization 2015 Plan Designs Importance of Prevention Online Tools Eyemed Customer Service
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2015 BASIC PLAN
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2015 BASIC PLUS PLAN
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Dependents under age 5 are covered at no cost to you.
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TODAY’S DISCUSSION Network Highlights and Utilization 2015 Plan Designs Importance of Prevention Online Tools Eyemed Customer Service
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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.
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PREVENTION FIRST
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TODAY’S DISCUSSION Network Highlights and Utilization 2015 Plan Designs Importance of Prevention Online Tools Eyemed Customer Service
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EYEMED Don’t forget that you have a discount vision plan, included at no additional cost.
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TODAY’S DISCUSSION Network Highlights and Utilization 2015 Plan Designs Importance of Prevention Online Tools Eyemed Customer Service
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A website built with you in mind. Cost Estimator Risk Assessment Tool Benefits and Claims Updates Oral Health Flyers www.deltadentalco.com
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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
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MOBILE APP When you need info on the go Find a dentist View benefits and claims Mobile ID card Toothbrush timer 1 2 3 4
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TODAY’S DISCUSSION Network Highlights and Utilization 2015 Plan Designs Importance of Prevention Online Tools Eyemed Customer Service
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LOCAL SERVICE Service you need when you need it…because we live where you live Phone: 1-800-610-0201 Email: customer_service@ddpco.com Hours: Monday – Friday 8 a.m. – 6 p.m. 24/7 Automated Call Center
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We are the champion of your smile.
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