Save Money With In-Network Dentists

by MikeMeehan 12/6/2017 1:21 PM

During the holidays, a lot of us are spending money on gifts, decorations, entertaining, traveling, and donations. Luckily, you can save money at your dental appointments by visiting a Delta Dental in-network dentist. If you’re watching your pennies this time of year, think about the money you’re saving or could save when you visit a Delta Dental dentist. We’ve created a chart below so you can see an example of the savings for a common procedure. Delta Dental in-network dentists have agreed to pre-established fees on most common dental procedures for Delta Dental members. Every network dentist also goes through a credentialing process, so you know you’re getting quality care and saving on out-of-pocket costs. Another benefit of using our extensive dentist network is protection from “balance billing.” Our in-network dentists have agreed not to charge more than Delta Dental’s allowed fees. Delta Dental dentists will not bill you for the difference between the allowed fee and their usual fee, also known as balance billing. You can choose to visit an out-of-network dentist, but the fees will be higher. Also keep in mind, you may be balance billed if you go out of network. Take a look at the chart below for an example of the money you can save: Example Savings for a Common Procedure   Estimated Charge Maximum Allowed Fee Percentage Paid by Delta Dental Amount Delta Dental Pays Amount Dentist can Balance Bill Total Amount You Pay Your Total Cost Savings Delta Dental PPOSM Network $1,200 $850 50% $425 $0 $425 $350 Delta Dental Premier® Network $1,200 $975 50% $487.50 $0 $487.50 $225 Out-of-Network $1,200 $1,100 50% $550 $100 $650 $0     You can find a Delta Dental in-network dentist by using the Find a Dentist tool or our free mobile app. We have more than 152,000 dentists in our nationwide network.

Effective Discount: Measuring Overall Network Value

by MikeMeehan 8/2/2017 10:45 AM

From size of the network to utilization rates to money saved, there are multiple ways to measure the overall value of a provider network. The effective discount – which represents savings on all claims both in and out of the network – encompasses a number of individual measures. Accordingly, it is a good overall measure of the value of a provider network. According to a recent study, our Delta Dental PPOSM Plan delivers the industry’s best effective discount – averaging 25.3 percent nationally – resulting in more than $5.9 billion in annual savings compared to dentists’ average FAIR Health submitted charges. About the Study The independent study examined a full year’s worth of claims data from Delta Dental and 17 other companies offering dental coverage. FAIR Health data was utilized to establish a universal baseline for average dental industry charges – consistent across all companies, geographies and procedures. How Delta Dental Delivers the Best Effective Discount Large Network Size Delta Dental is able to offer savings even to those enrollees who choose to visit a non-PPO dentist – a key benefit of our exclusive Delta Dental Premier network, the largest nationwide with more than 148,000 unique dentists.1 High Network Utilization Delta Dental delivers a national network utilization rate of more than 94 percent for its combined PPO and Premier networks, compared to an average PPO utilization of 63 percent for competitor networks.2 More in-network visits equal more savings. Direct Network ApproachLocal staff members foster strong relationships directly with dentists – establishing fair reimbursement rates and maintaining network stability. Count On Delta Dental  As America’s leading dental coverage provider, we serve more than 75 million people and provide coverage to over 139,000 groups nationwide.  To learn how Delta Dental can help you and your organization, visit us at deltadental.com.     1 March 2017 Independent NetMinder Data; based on the Delta Dental Premier® network 2 Ruark Consulting LLC’s 2016 Dental PPO Network Study

Bigger Dentist Network Boosts Employee Morale

by Noelle Reinhold 11/3/2015 8:00 AM

Healthcare coverage enhances employer morale. Coverage is important, but your employees want options too.

Network size impacts the numbers of dentists who are able to serve your employees. The larger the network, the more likely your employees can stay with their current dentist and get the most out of their benefits plan. If employees are happy, so are you!... more...

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