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Plans for a healthier you Grand Rapids Schools ISD #318 April 1, - PowerPoint PPT Presentation

2018 OPEN ENROLLMENT Plans for a healthier you Grand Rapids Schools ISD #318 April 1, 2018 1 Understanding your dental plan I always tell people to Know what you consider these three things might have to pay when signing up for a


  1. 2018 OPEN ENROLLMENT Plans for a healthier you Grand Rapids Schools ISD #318 April 1, 2018 1

  2. Understanding your dental plan I always tell people to Know what you consider these three things might have to pay when signing up for a plan.” Find where you can go Use your account to keep up all year 2

  3. Voluntary Dental plan • Preventive dental services Get your • Extra exams and cleanings checkups and cleanings to keep your teeth (if you’re pregnant or have diabetes happy and and are at risk for gum disease) healthy.” • Discounts on braces REMEMBER Dental plan annual maximum = the most your plan will pay for dental care each year 3

  4. Monthly Dental Rates • Single= $38.08 • Single + 1= $74.29 • Family= $126.46 *Rates are guaranteed for 24 months (April 1, 2018-March 31, 2020) 4

  5. Voluntary dental plan YOU’RE HERE Nearly 70,000 dentists to choose from: • National network through partnership with Dentemax healthpartners.com/dentalopenaccess 5

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  7. Your dental plan OUT-OF-NETWORK IN-NETWORK U&C applies $50 per person per $50 per person per calendar year calendar year Deductible $150 per family per $150 per family per calendar year calendar year Annual maximum $1,250 per calendar year $1,250 per calendar year 100% coverage 100% coverage Preventive and deductible does not deductible does not diagnostic care apply apply 100% coverage 100% coverage Sealants deductible does not deductible does not apply apply 7

  8. Your dental plan OUT-OF-NETWORK IN-NETWORK U&C applies Basic Care I 80% coverage after 80% coverage after (fillings, simple extractions, root canal deductible deductible therapy, non-surgical periodontics) Posterior Composite 50% coverage after 50% coverage after deductible deductible (White) Fillings Basic Care II 50% coverage after 50% coverage after (Surgical periodontics, complex oral deductible deductible surgery) 50% coverage after 50% coverage after Prosthetics deductible deductible *12 month waiting period Orthodontic services Not Covered Not Covered 8

  9. Free dental care for your kids The earlier your child sees a Little Partners SM Dental benefit: dentist, the better off they are in the future.” • Add your child to your dental plan • Set up their first dentist appointment • Help your child have healthy teeth for life 100% Coverage on network dental services for your kids (12 and younger) 9

  10. Extra dental care if you need it Get extra dental care covered for free if you need Diabetic or pregnant? it.” • No deductible, no coinsurance • Simply see an in-network dentist • Diseases caught early save time and money! 100% Coverage on network dental services for people who are pregnant or have diabetes and are at risk for gum disease 10 10

  11. Here for you 24/7 Help with all things related to your plan Member Services Mon – Fri, 7 a.m. to 7 p.m., CT We’re here to CareLine SM service Trusted nurse advice help you be your healthiest 24/7, 365 days a year nurse line you.” Expert guidance on your pregnancy or BabyLine phone new baby service 24/7, 365 days a year Support in managing your care Nurse Navigator SM Mon – Fri, 8 a.m. to 5 p.m., CT program Help with your medicines Pharmacy Mon – Fri, 8 a.m. to 5 p.m., CT Navigators Help with mental or chemical health Behavioral Health benefits Navigators Mon – Fri, 8 a.m. to 5 p.m., CT 11 11

  12. Your health on the go Get the help you • See recent claims and need, even after hours.” how much you owe • Get estimates specific to your plan • Check your balances • Search for doctors or clinics • View and fax your member ID card my HealthPartners account myHP mobile app 12 12

  13. Healthy choices = hefty savings A little support – and savings – Eyewear can help you be healthy .” Swim lessons Recreational equipment Healthy mom and baby products Healthy eating delivery services And more! healthpartners.com/discounts 13 13

  14. Additional Information • Dental Plan effective date of April 1, 2018 • Enrollment completed through Survey Monkey • If not currently enrolled on the District’s medical plan, please complete Dental Enrollment Form • Please complete Survey Monkey and return enrollment forms by Wednesday, March 14 th 14

  15. Questions? 15 15

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