why denali dental powerpoint (final)
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Denali Dental offers quality, affordable dental insurance
for individuals, families and seniors
Group association dental insurance under the Denali Dental plan is distributed by Direct Benefits and underwritten by Madison NationalLife Insurance Company, Inc. or Standard Security Life Insurance Company of New York. Both Madison National Life and StandardSecurity Life are members of The IHC Group and rated A- (Excellent) for financial strength by A.M. Best Company, Inc., a widelyrecognized rating agency that rates insurance companies on their relative financial strength and ability to meet policyholder obligations.(An A++ rating from A.M. Best is its highest rating.) There is no ownership affiliation between The IHC Group and Direct Benefits for
Denali Dental. Denali Dental PPT 10-2012
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Preventive dental care builds a healthy smile and
healthier life. Over 125 Illnesses including anemia, bulimia, diabetes,
osteoporosis and cancer express symptoms in themouth which can be detected during a routine dentalexam. (2000 Surgeon Generals Report)
Dental insurance provides financial assistance to youand your family to encourage regular visits to yourdentist, which are essential to maintaining oral health.
Why dental insurance?
Denali Dental PPT 10-2012
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Choose your own dentist
No waiting periods
Choice of indemnity or PPO plan
Guaranteed acceptance for those age 18 or older
Benefits available for implants and major services
Coverage for child orthodontics is included with the PPO plan
Three cleanings per calendar year Two exams per calendar year
Choose from $1,500, $2,500, or $3,500 calendar-year maximums
Experience the heights of Denali
Denali Dental PPT 10-2012
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Dental insurance plan created in 2006 by Direct Benefits
Underwritten by Madison National Life Insurance Company, Inc. orStandard Security Life Insurance Company of New York bothmembers of The IHC Group
Administered by IHC Health Solutions, also a member ofThe IHC Group
For almost three decades, the member companies of The IHC Grouphave built a reputation of commitment to the markets they serve.The IHC Group serves over one million customers nationwide.
What is Denali Dental?
Denali Dental PPT 10-2012
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Indemnity plan
PPO plan
Aetna Dental Access network
DenteMax network
What plans are available?
Denali Dental PPT 10-2012
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Choose any dentist in the United States
No PPO network
Dental expenses are subject to Reasonableand Customary (R&C) fees. R&C is the mostcommon charge for similar professionalservices, drugs, procedures, devices, suppliesor treatment within the geographic area inwhich the charge was incurred.
Denali Indemnity Plan
Denali Dental PPT 10-2012
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Denali Indemnity Covered Services
Preventive Services
Two exams per calendar year
Three cleanings per calendar year
Diagnostic Services
One series of bitewing x-rays per calendar year
Flouride treatment limited to dependents under age 16,one per calendar year
Sealants limited to under age 14, one treatment perpermanent tooth (bicuspids & molars) no less that 36months apart
Space Maintainers initial appliance under 13 years of age
Basic & Major Services
Simple extractions
One diagnostic x-ray, full or panoramic in any 3 year periodOral surgery
Endodontic treatment
Periodontic services
Restoration services; inlays, onlays and crowns
Prosthetic services; bridges and dentures
Veneers - restorative only
Endosteal implants
Basic fillings Denali Dental PPT 10-2012
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Choose from nearly 112,000 available dental practice locations*
Pay less for in-network services the percentage you pay is basedon a discounted rate
To look up providers in your area, use the Aetna DocFinddirectory:http://www.aetna.com/docfind/custom/aetnadentalaccess
Not available in AK, FL, ID, IN, ME, NJ, NY, NH, NC, PA, WA, and WY
Aetna Dental Access Network
Denali Dental PPT 10-2012
* Dental counts as of February 2012, Aetna Enterprise Provide Database
Aetna is a brand name used for product and services provided by one or more of the Aetna group of subsidiary companies,
including Aetna Life Insurance Company and its affiliates. The Aetna Dental Administrators program is powered by the AetnaDental Access network. This material is for information only. Information is believed to be accurate as of the product date;
however, it is subject to change.
http://www.aetna.com/docfind/custom/aetnadentalaccesshttp://www.aetna.com/docfind/custom/aetnadentalaccess -
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More than 151,000 dentist access points
Pay less for in-network services the percentage youpay is based on a discounted rate
To look up DenteMax providers, please visit,http://www2.dentemax.com/Members/FindADentist.a
spx Only available in AK, FL, ID, IN, ME, NJ, NY, NH, NC,
PA, WA, and WY
DenteMax PPO Network
Denali Dental PPT 10-2012
http://www2.dentemax.com/Members/FindADentist.aspxhttp://www2.dentemax.com/Members/FindADentist.aspxhttp://www2.dentemax.com/Members/FindADentist.aspxhttp://www2.dentemax.com/Members/FindADentist.aspx -
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Denali PPO Covered Services
Preventive ServicesTwo exams per calendar yearThree cleanings per calendar yearDiagnostic Services
One series of bitewing x-rays per calendar yearFlouride treatment limited to dependents underage 16, one per calendar yearSealants limited to under age 14, one treatmentper permanent tooth (bicuspids & molars) no less
that 36 months apartSpace Maintainers initial appliance under 13years of ageBasic & Major Services
Simple extractionsOne diagnostic x-ray, full or panoramic in any 3year periodOral surgeryEndodontic treatmentPeriodontic servicesRestoration services; inlays, onlays and crownsProsthetic services; bridges and denturesVeneers - restorative onlyEndosteal implantsChild orthodontiaBasic fillingsOrthodontia Services
Orthodontic treatment for dependent childrenunder age 19
Denali Dental PPT 10-2012
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$100 lifetime deductible per person
Maximum of 3 individual deductibles per family
Choose from $1,500, $2,500, or $3,500 calendar-yearmaximum per person
Deductibles and Maximums
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1. The ZIP code in which you live
2. Your age
3. Coverage type you select: Applicant, Applicant +1, orApplicant + 2 or more
4. Selected plan - Indemnity (choose any dentist)or PPO
5. Selected calendar-year maximum - $1500, $2,500, or$3,500
Factors that determine your rate
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Monthly payment options:
Automatic bank draft from a checking or savingsaccount
Visa/ Master Card
Application fee: $40 paper application or $20 online
application (www.DenaliDental.com) Plan effective date is always the first of the month
10-day customer satisfaction guarantee
How to Enroll?
Denali Dental PPT 10-2012
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The information included in this training is an outline of the features, plan provisions,benefits and other information about the Denali Dental plans. Plans offered may be
subject to change. This training is not intended to serve as legal interpretation of thebenefits, which are provided under the Master Policy (MNL ADEN-POL 0905 or SSLADEN-POL 0905) issued to Communicating for America, Inc. The exact provisionsgoverning the insurance contract are contained in the Master Policy underwritten byMadison National Life Insurance Company or Standard Security Life InsuranceCompany of New York. Some provisions, benefits, exclusions, or limitations may vary
depending on the clients state of residence. The Denali Dental plan may not beavailable in all states. Certain terms and conditions apply.
Refer to the brochure or certificate of insurance for eligibility information,
termination provisions and a list of exclusions and limitations.
Important Notice
Denali Dental PPT 10-2012