Important information on the Delta Dental transition
We are now in the Delta Dental network!
CEBT has partnered with Delta Dental effective January 1, 2019! The dental plan will be administered under the PPO plus Premier Network. What this means is that dentists participating in either PPO or Premier are considered in-network and members will see network savings.
One of the most common questions that we have heard has been “Is my dentist covered, or in-network?”
Here is the direct link for quick reference: https://www.deltadental.com/us/en/find-a-dentist.html. You can also find this information on the CEBT website.
Under “Your Plan” please make sure to choose the Delta Dental Plus Premier option for the best search results.
Below, you will find a Frequently Asked Questions list to assist you along with a couple of other FAQ's below that are not included on that flyer:
- How will orthodontia claims be handled if in mid-treatment? Delta Dental will want the provider to submit a new claim with the original effective date of service, and treatment plan. Your dentist can do this any time after the first of the year. Orthodontia is the only benefit that will not reset history accumulators. Therefore, claims will be on hold in January while this history is being transferred and loaded from UMR. Delta Dental expects claims to begin processing again in February.
- Will I need to wait six months between cleanings and exams? No. The frequency limitation on cleanings and exams is based on a calendar year and the benefit will allow up to two cleanings and exams within that calendar year (as long as the annual maximum is not exhausted).
- How will a crown pay if it is prepped in December, but the final placement is done in January? The claim will be paid based on when it is invoiced by the provider. If charges are billed upon prep date in December, the claim will be processed and paid by UMR. If charges are billed on seat/completion date then the charges will be processed and paid by Delta Dental.
- If my open enrollment is not until April for the next fiscal year, will I be able to add dependents outside open enrollment to be effective January 1 when Delta Dental goes into effect? Unless there is qualifying life event, you must wait until April to add dependents to coverage. The move to Delta Dental alone does not qualify as an event that would allow plan changes outside open enrollment.
For employees who wish to see a non-participating Delta Dental dentist, they still have the option of continuing their current relationship under the same non-network arrangement. Regardless of which type of provider the member accesses, the claim will be processed through Delta Dental of Colorado.
If you have accessed dental services since January 1, 2019 and have questions regarding coverage / need to submit a claims, you can call the CEBT customer service representatives with questions and assistance in getting your claims processed. The CEBT customer service unit is open Monday – Friday, 7:30am – 4:30pm except for Friday’s as they close at 4:00pm. The phone number for Customer Service is 1-800-332-1168.
You may also email our dedicated support members at Customer Services with questions regarding your coverage or assistance with claims at:
Reece Baer
Reece.Baer@willistowerswatson.com
OR
Elisa Correll
IMPORTANT DELTA DENTAL DOCUMENTS
You can also find information regarding Delta Dental in the
Benefits Library and on Page 12 of the Benefits Guide which can be found on the Benefits Library.
Below you will find:
- Delta Dental Dentists Rifle Jan 15, 2019 - a list of the in-network providers within 20 miles of Rifle (also found at https://www.deltadental.com/us/en/find-a-dentist.html. )
- Delta Dental FAQ - the Delta Dental Frequently Asked Question document
- Create A Delta Dental Account - guide to create a subscriber account on the Delta Dental website.
For any other questions please contact Elizabeth Rinaldi, Human Resources at erinaldi@garfieldre2.net or 970-665-7641.
Preventing the Flu: Good Health Habits Can Help Stop Germs
The single best way to prevent seasonal flu is to get vaccinated each year.
Avoid close contact with people who are sick. When you are sick, keep your distance from others.
Stay home when you are sick. It will help prevent spreading your illness to others.
Cover your mouth and nose. Cough / Sneeze into your elbow, Flu, serious respiratory illnesses, whooping cough, are spread by cough, sneezing or unclean hands.
Clean Your Hands. Washing your hands often will help protect you from germs. If soap and water are not available, use an alcohol-based rub.
Avoid touching your eyes, nose or mouth. Germs are often spread when a person touches something that is contaminated with germs and then touches his or her eyes, nose or mouth.
Practice other good health habits. Clean and disinfect frequently touched surfaces at home, work or school. Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids and eat nutritious foods.
Sarah Bell RN NCSN CDC-Flu 2019
TRIAD NEWSLETTER - Just Ask!
When you don’t communicate your needs it can lead to frustration and feelings of resentment.
Whether it’s a promotion you deserve or more support from your partner with household duties, your Employee Assistance Program is available anytime, any day, to help you ask for what you need. Learn more in this month's Triad EAP newsletter. The PDF is below.
The gift of Professional Development. . .You won't want to miss the upcoming trainings from Colorado River BOCES
Go to www.crboces.org for more information.
January 25: Crisis Prevention Institute
January 31: Special Education Academy Refresher
February 4: Crisis Prevention Institute
March 1 Functional Behavioral Assessment/Behavior Intervention Plan training
March 4-5:Two day Threat Assessment
Frosty asks, "Have you signed up for Garfield County Emergency Alerts?"
Want to know about road closures? Fire danger?
The Garfield County Emergency Communications Authority, has implemented a state-of-the-art emergency notification system to alert citizens about emergencies and other important community news. The emergency notification system, provided by 3n Global, enables the Public Safety agencies within Garfield County to provide essential information quickly in a variety of situations, such as severe weather, fires, floods, unexpected road closures, or evacuation of buildings or neighborhoods.
Click here to sign up for the emergency notification system.
You can also sign up for alerts from Mesa, Eagle and Pitkin and Rio Blanco County from the at the bottom of the page.
Garfield Re-2 School District