Conference PPT - Institute for Oral Health

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TRICARE Retiree Dental Program • Delta awarded initial 5-year 5 contract in 1998 for basic program • Program enhanced in 2000 • Delta awarded second 5-year 5 contract in 2003 Courtesy of Lowell D. Daun, DDS
Popular changes to contract • Coverage for crowns, dentures, bridges and 2 cleanings per year • Orthodontics added (including adults) • Annual maximums increased • Waiting period for major restorations reduced to 12 months • Enrollment commitment reduced to 12 mos • Increased Participating Dentist Locations Courtesy of Lowell D. Daun, DDS
Page 1 and 2:
It takes a village to improve oral
Page 3 and 4:
Options • Extending dental insura
Page 5 and 6:
Elders use of care 3.6* over 50y 70
Page 7 and 8:
75% of elders: Household income < $
Page 9 and 10:
National Health Expenditures 2005 H
Page 11 and 12:
Financing versus Reimbursement •
Page 13 and 14: Dental Services by Source of Other
Page 15 and 16: Dental visit by age and insurance (
Page 17 and 18: Plan Type by ability to pay (SES) S
Page 19 and 20: Principles for Eliminating Uninsura
Page 21 and 22: Principles for eliminating uninsura
Page 23 and 24: Principles for eliminating uninsura
Page 25 and 26: Assumptions • Hypothetical popula
Page 27 and 28: Development of a statewide Elders
Page 29 and 30: • Population covered - Poor • B
Page 31 and 32: • Level of care covered -Diagnost
Page 33 and 34: Out of pocket cost to participant -
Page 35 and 36: Out of pocket cost to participant (
Page 37 and 38: • Advantages - If done well, woul
Page 39 and 40: Elders’ Oral Health Summit What d
Page 41 and 42: PRINCIPLES • Annuity Product •
Page 43 and 44: Prepaid Insurance Plans • Univers
Page 45 and 46: Prepaid Insurance Plans • Afforda
Page 47 and 48: Prepaid Insurance Plans • Afforda
Page 49 and 50: Prepaid Insurance Plans • Enhance
Page 51 and 52: Elders’ Oral Health Summit Option
Page 53 and 54: PPO • Advantages - Reasonable cos
Page 55 and 56: PPO • Plan Summary - Pay 20% of d
Page 57 and 58: HSA • Advantages -Simple -Freedom
Page 59 and 60: HSA • Plan Summary (cont.) - Addi
Page 61 and 62: 100% enrollee-paid dental plans •
Page 63: TRICARE Retiree Dental Program •
Page 67 and 68: Options for financing/reimbursement
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Conference PPT - Institute for Oral Health

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