why denali dental powerpoint (final)

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  • 7/31/2019 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

    Denali Dental PPT 10-2012

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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

    Denali Dental PPT 10-2012

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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

    http://www.spiritdental.com/http://www.spiritdental.com/
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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