The Dental Care Plus Group - Xavier University Effective 1/1/2021 - Xavier ...
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Underwritten by Dental Care Plus, Inc. The Dental Care Plus Group Xavier University Effective 1/1/2021
Your Dental Benefits from The Dental Care Plus Group • Live receptionist answers every call during business hours • Average wait for customer service is 15 seconds Fourth-quarter deductible carryover • If your first deductible service for the year is in the 4th quarter, DCPG will credit your deductible for the following year • Two cleanings per calendar year • Composite/white fillings on posterior teeth 2
Benefits Overview Description of Benefits HMO – Core HMO – Buy-Up Preventive Benefits 100% 100% Basic Benefits 50% 60% Major Benefits 0% 40% Orthodontic Benefits N/A 50% Endodontics Basic Basic Periodontics Basic Basic Sealants Basic Basic Annual Maximum $1,000 per Member $1,250 per Member Deductible (applies to Basic $50 per Member, per Calendar Year 50 per Member, per Benefit Year and Major services only) $150 per Family, per Calendar Year $150 per Family, per Benefit Year Orthodontia Lifetime Maximum N/A $500 Limited to eligible dependent children under age 19 3
Covered Services Service Covered in: Sealants Basic Endodontics Basic Restorations (fillings) Basic Periodontics Basic Implants Major (Buy Up Only) Oral Surgery (wisdom teeth) Major Crowns, bridges, dentures Major Dependent Age 26 4
Find A Dentist • Visit fad.dentalcareplus.com or click on the “Find a Dentist” tab at the top of DCPG’s home page. • Once there, The Dental Care Plus DHMO icon. • If you find that your dentist isn’t listed, fill out a nomination form so we may begin the process of inviting them to join our network. PLEASE NOTE: You must see a participating HMO dentist 5
Value Adds • Total Vision Services Discount Program (TVS) • DCPG members and their covered dependents are eligible to receive discounts on vision materials and services by showing their DCPG ID card at participating providers • EPIC Hearing Service Discount Program • DCPG members and their families are eligible to receive discounts on hearing devices, including name-brand hearing aids and batteries • Z Sonic Toothbrush Discount Program • DCPG members and their families are eligible to receive a significant discount on Z-Sonic electric toothbrushes 6
DCPG Contact information • DCPG Customer Service (800) 367-9466 Monday – Friday, 8:00 AM – 4:30 PM www.dentalcareplus.com • Total Vision Services (800) 869-5400 www.totalvisionservices.com • EPIC (888) 899-1485 www.epichearing.com • Z Sonic (888) 228-7706 www.myzsonic.com/dcpg 7
Group member portal • Visit DentalCarePlus.com, select GROUP MEMBER in the top right corner, then click on LOGIN to get started. • Check up-to-date claims and benefit information • Order new ID cards • Access the dental cost estimator • Browse the dental education content in our Oral Health Center • Logging into the member portal signs you up to receive the quarterly member eLetter, providing updates on oral health news and research along with tips for getting the most value out of your benefits 8
Underwritten by Dental Care Plus, Inc. Oral Health and Wellness Tips
Periodontal Disease: The Link to Your Overall Health • Half of Americans over the age of 30 have periodontitis (gum disease) • The more advanced form of periodontal disease. • Gums pull away from the teeth and form pockets that are infected • Bone and connective tissue that hold teeth in place break down as a result of the body fighting the infection • If not treated, bones, gums, and connective tissue that support the teeth are destroyed • Risk Factors • Smoking • Hormonal changes in girls/women • Stress • Medications Centers for Disease Control and Prevention (CDC) 10
Oral health & link to overall wellness 11
Oral health & link to overall wellness • Heart Disease • Individuals with gum disease run a higher risk of coronary artery disease (heart disease) and stroke.* • People with periodontal disease are almost twice as likely to have heart disease.** • Preterm Birth • Pregnant women are more prone to gum disease due to hormonal changes that occur during pregnancy. • Women suffering from gum disease while pregnant are four to seven times more likely to deliver underweight and premature babies.* *American Dental Association (ADA) **American Academy of Periodontology (AAP), 12
Oral health & link to overall wellness • Diabetes • The connection between diabetes and gum disease to run both ways. • Patients diagnosed with gum disease are considered to be at high risk for diabetes. • Treating gum disease in people with diabetes can help improve blood sugar control. • Kidney Disease • Compromised immune systems make end-stage renal patients more susceptible to infections, such as periodontal disease. • Halitosis (bad breath) occurs because the kidneys fail to remove urea from the blood. • Bone loss in jaw due to prevention of proper calcium absorption * American Academy of Periodontology (AAP). 13
Oral Health and Wellness Tips • Visit your dentist at least once a year • Even if you have no natural teeth or have dentures. • Keep your smile healthy • Brush your teeth twice per day, floss once per day, change your toothbrush every few months, use a soft-bristled toothbrush • Use fluoridated water – and products • Use alcohol-free mouthwash • Avoid enamel erosion • Use a soft-bristled toothbrush, cut back on food and drinks with high acid contents, chew a piece of sugar free gum after eating 14
Underwritten by Dental Care Plus, Inc. Thank you!
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