Delta Dental of Kansas updates to participating dentists.
Benefits by procedure code -
When looking up patient benefits by procedure code, you will now be able to see the patient's coinsurance benefit percentage for all three network participation levels - PPO, Premier (Par), and non-participating (NonPar). Our goal is to provide transparency in benefit levels.
Benefit Rundown -
Your patient's coinsurance benefit percentages for all three network participation levels have also been added to the Benefit Rundown portion of the Provider Toolkit.
In addition we've added a new link so you can easily access the same patient's Group Benefits, Dates of Service and Accumulators from the Benefit Rundown page without reentering the patient's member ID number. Simply click the "Group Benefits, Dates of Service and Accumulators" link as shown below.
What does "Paid as PPO?" mean?
When looking at your Patient's Group Benefits, Dates of Service and Accumulators in the Provider Toolkit, "Patient Benefits", you'll notice a line that says "Paid as PPO?". This will tell you if the payment is made using the Delta Dental PPO fee schedule or the Premier Maximum Plan Allowance (MPA).
Yes = PPO Fee Schedule
No = Premier MPA
It's an easy and quick way to look up your Delta Dental patient benefits, access forms and other important information.
The Kansas Dental Board (KDB) explains dental recordkeeping requirements in one of their recent newsletters.
71-1-15. Dental recordkeeping requirements. For the purposes of K.S.A. 65-1436.
Professionally Acceptable Treatment (LEPAT)
Most dental plans include verbiage limiting payment to the least expensive professionally acceptable treatment, also referred to as LEPAT or LEAT.
Example: A patient has missing teeth on both sides of the same arch. The treatment plan may be a fixed bridge or implants, but because the teeth are missing bilaterally, the benefit is limited by the dental plan contract to a metal frame partial denture (the LEPAT). The patient would be responsible for any difference in cost from the allowance for the LEPAT and the chosen treatment.
The dental plan does not dictate treatment. You and your patient should choose the treatment that best fits your patient's needs and budget. Predetermination of benefits are recommended to avoid any confusion or financial surprises.
What is Tricare?
The Tricare Retiree Dental Program is a dental program for military retirees that will be ending at the end of this year. It has been administered by Delta Dental in California for 20 years. Some of your patients may be in this dental program.
What is changing for my Tricare Patients?
In order for Military retirees to have access to vision insurance as well as dental insurance, the Tricare Retiree Dental Program is ending, and instead military retirees will be able to enroll with the Federal Employees Dental and Vision Insurance Program (FEDVIP). Through this program, military retirees can still sign up with Delta Dental (administered by Delta Dental in California), but can also choose from 5 other dental plan options, and 4 vision plan options.
If a patient enrolled in Tricare has questions, how can I help them?
If you have a patient currently enrolled in the Tricare Retiree dental program, they must enroll in a FEDVIP dental plan during open enrollment in order to continue their dental benefits. Their open enrollment period for FEDVIP plans is November 12 – December 10, 2018, with the coverage beginning January 1, 2019.
Delta Dental of Kansas will match approved charity donations made by a participating dentist up to $100.
Delta Dental of Kansas participating dentist donates to an approved organization within the 2018 calendar year. Eligible organizations include any non-profit charitable health care, education, civic or cultural organization provided it is located in Kansas and recognized as a tax exempt organization by the IRS under Section 501(c)(3).
To apply for the matching gift, download and submit a completed 2018 Delta Dental of Kansas Matching Gift Application, including your donation tax receipt to Delta Dental of Kansas Community Benefit Department by:
Delta Dental of Kansas
Attn: Community Benefit
1619 N Waterfront Parkway
P.O. Box 789769
Wichita, KS 67278-9769
November 22 & 23 - Thanksgiving
December 24 & 25 - Christmas
January 1 - New Year's Day
Dental Insurance 101 Seminar Opportunities (click to register):
Friday, October 26 - Topeka, KS
Friday, November 30 - Wichita, KS
Friday, November 30 - Leawood, KS
Dental Office Changes or Updates? Please notify us.
Please contact the Professional Relations team with any dentist and/or office changes or updates. When to notify us:
New and/or change of physical or payment address(es)
New and/or change of phone number(s)
A dentist joining or leaving
Closing of an office
Tax information changes
New and/or changed NPI information
Sale or purchase of practice
License status updates
Contact your Professional Relations Team at
firstname.lastname@example.org or 800.264.1099.
Meet your Professional Relations Representative
Delta Dental of Kansas | DeltaDentalKS.com | 800.234.3375
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