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Articles
Time to Verify Student Eligibility
New COB Policy Becomes Effective January
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Subscriber News Features Articles
You Can Use
Do Your Employees Know About Our Free Online
Newsletter? Use the Flyer to Get the Word Out!
Captain Supertooth Video Now in Spanish
Dental Director Writes Article on Childhood Tooth Decay in School Nurse News
Employees Contribute Time, Money to Help Katrina Victims
There's Still Time to Complete Benefits Manager Survey
Time to Verify Student
Eligibility
Delta Dental requires subscribers to confirm that
their college-age dependents are full-time students.
This should be done each new school year. Our Student
Documentation Verification Form simplifies this process.
Students may submit either the Student Documentation
Verification Form, or some other proof of their student
status. Other proof of student status may include
a copy of a paid tuition statement, a registrar's
certificate of grades showing at least 12 credits,
or a current validated student ID card.
A copy of the Student Documentation Verification
Form may be downloaded from our Web site at www.deltadentalnj.com.
Click on “Forms” on the navigation bar
on the left side of the screen.
New COB Policy Becomes Effective
January 1
Many Delta Dental subscribers also have group medical
coverage, which usually covers complex oral surgery
procedures such as removal of impacted wisdom teeth
and general anesthesia. When procedures are covered
under both medical and dental plans, the medical
plan is generally primary. This means that claims
for oral surgery procedures should usually be submitted
to the subscriber’s primary medical plan before
being submitted to Delta Dental.
In order to ensure that Delta Dental pays the correct
amount for oral surgery procedures, a medical Explanation
of Benefits (EOB) will be required for such services
(unless it has been determined that Delta Dental
is primary) as of January 1, even if the claim submission
states that there is no other coverage or fails to
address it.
There are some groups whose contract provides that
Delta Dental act as the primary payer over medical
for selected oral surgery procedures. In those cases,
we will continue to make payment as the primary carrier.
Not “double coverage”
Subscribers should recognize that having coverage
for a procedure under two programs, medical and dental,
does not “double” their coverage. However,
it may mean that they will have lower out-of-pocket
costs.
The total payments of both the primary and secondary
carrier cannot exceed the total approved amount of
the primary carrier. For example, suppose the primary
carrier’s amount for an oral surgery procedure
is $400, payable at 80%, then Delta Dental as secondary
would pay no more than the $80 balance.
Subscriber News
Features Articles You Can Use
You may reprint articles from Subscriber News in
your employee newsletter, or post them on your company
bulletin boards or intranet.
Subscriber News recently published articles
on:
* How to get answers to benefits questions
* How to find a participating dentist
* How good oral health contributes to a child’s
academic success
* The easiest way to verify student eligibility
These articles are written with subscribers’ needs
in mind. To view Subscriber News articles,
go to www.deltadentalnj.com; click “Members” and
either “Current Issue” or “Past
Issues” in the Subscriber News box.
To receive Subscriber News free in your e-mail
inbox each month, please provide your e-mail address
in the Subscriber News box. You may unsubscribe
at any time. Delta Dental does not sell, rent, or
disclose e-mail addresses to third parties. Subscribers
will not receive unsolicited e-mail, or "spam," as
a result of their subscription.
Do Your Employees
Know About Our Free Online Newsletter? Use the
Flyer to Get the Word Out!
Thousands of subscribers already know how to make
the most of their Delta Dental benefits. They subscribe
to the free monthly e-mail newsletter Subscriber
News.
Subscriber News covers everything from how
to find a participating dentist to where to get
detailed explanations about their family's benefits,
and much more. It puts valuable information
at their fingertips—information they can
easily access on their own without having to contact
their company benefits department.
One way to let employees know about this free newsletter
is with a flyer. Delta Dental created one for your
use. All you need to do is print and post it on bulletin
boards, or distribute it to employees through e-mail
or interoffice mail.
If you would like an electronic copy of this flyer,
please e-mail dbelle@deltadentalnj.com.
Captain Supertooth Video Now
in Spanish
The caped superhero of oral health, Captain Supertooth,
now delivers his message on videotape, in Spanish,
in addition to English.
The video is being sent to schools throughout New
Jersey and Connecticut that request copies.
Delta Dental’s Captain Supertooth visits schools
throughout New Jersey and Connecticut as a service
during Children’s Dental Health Month each
February. The 20-minute program is geared for students
from kindergarten through second grade. Since the
program began in 1990, Captain Supertooth has instructed
more than 30,000 students about proper dental care.
The video is expected to reach thousands more students.
Captain Supertooth is one of many programs offered
by the Delta Dental of New Jersey Foundation. The
Foundation supports dental education programs for
children and adults, dental research projects, community
clinics and facilities that help underserved populations
gain access to dental care, and facilities that provide
dental treatment to physically and developmentally
disabled children and adults.
Dental Director Writes Article
on Childhood Tooth Decay in School Nurse News
Hidden sugar in many popular foods contributes to
tooth decay in children, writes Dr. Scott Navarro,
Delta Dental’s dental director, in the September
2005 issue of School Nurse News.
“Processed sugars should only be a very small part of a child’s
diet,” he writes. “Children will develop taste preferences that
they take with them through life. Promoting a low-sugar diet at an early age
will help to teach children healthful eating habits, as well as give them an
extra advantage in fighting dental caries.”
Foods high in sugar content include obvious choices
such as candy, cakes and cookies. Carbohydrates,
such as bread, pizza and nachos also quickly break
down into sugar. Even some nutritious items, such
as sticky raisins and dried fruit, can contribute
to cavities.
School Nurse News is an independent publication developed specifically
to meet the needs of school nurses and other healthcare professionals serving
children and adolescents in the school setting.
Employees Contribute Time,
Money to Help Katrina Victims
Delta Dental and our employees are uniting to support
the victims of Hurricane Katrina. The company is
matching 100% of employee donations to the American
Red Cross Hurricane Katrina relief efforts. To date,
employee and company donations to the Red Cross’ hurricane
relief efforts total more than $12,100.
The company also sent company golf shirts to survivors.
All of the Delta Dental Plans nationwide are working
with dentists from Louisiana, Alabama and Mississippi
who lost their patient records.
Customer Service Agent Cindy Beahm took three weeks
off from work to volunteer with the Red Cross. Many
employees supported Beahm, who did not have any vacation
time left for the year, by donating their unused
vacation time to her. Beahm worked in a warehouse
in Alabama unloading and organizing donated goods
and delivered goods to a church in Mississippi.
Delta Dental also coordinated a drive to collect
household items for people in Biloxi, Mississippi,
many of whom lost everything in Hurricane Katrina.
Employees donated 35 boxes of needed goods, including
clothes, candles and matches. The sister of a Delta
Dental employee lives in Biloxi.
“Seeing the destruction caused by Hurricane Katrina sparked an uprising
of human compassion on every level of our organization,” said Walt VanBrunt,
president and CEO. “I am proud to be a part of this company and work
with such compassionate people.”
There's Still Time to Complete
Benefits Manager Survey
If you recently completed our "Delta Dental
Benefits Managers 2005 Survey," thank you! Your
feedback will be used to measure our performance
and determine how to continue to exceed your expectations.
If you have questions about the survey or need another
copy, please contact Laurel English of English Communications,
at 973-984-2525; laurel@english-communications.com.
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