DENTAL TECHNICAL WORKGROUP
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Presentation Transcript
DENTAL TECHNICAL WORKGROUP October 10, 2017
AGENDA Dental Technical Work Group Meeting and Webinar October 10, 2017 11:00 a.m. - 12:30 p.m. Agenda Items Suggested Time I. Welcome and Introductions 11:00 - 11:10 (10 min) II. Covered California’s Dental Web Page 11:10 – 11:30 (20 min) III. Covered California Dental Standard Benefit Plan Design 11:30 – 12:00 (30 min) IV. Program Improvements 12:00 – 12:20 (20 min) V. Next Steps 12:20 - 12:30 (10 min) Send public comments to QHP@covered.ca.gov
COVERED CALIFORNIA DENTAL WEB PAGE • How do I enroll in a dental plan? • Can I enroll in a dental plan without a health plan? • Can you get dental insurance when it is not open enrollment? • How do I pay for my dental plan on the Covered California website? • How do I find dental providers that participate in my insurance plan? Most frequently asked questions:
COVERED CALIFORNIA DENTAL PLAN DESIGN 2019 Dental Standard Benefit Plan Design Discussion Topics: • Adult Benefits • Adult Orthodontia • Adult Diagnostic and Prevention Plans
COVERED CALIFORNIA DENTAL PLAN DESIGN 2019 Dental Standard Benefit Plan Design Discussion Topics: • AV Calculations • Pediatric Dental 86.98% AV on coinsurance plans • Pediatric Dental 85.10% AV on copayment plans
COVERED CALIFORNIA DENTAL PLAN DESIGN 2019 Dental Standard Benefit Plan Design Discussion Topics: • Independent Dental Plan Purchase
PROGRAM IMPROVEMENTS • Increase utilization • Increase effectuation rates