Superior Direct Connect
Feedback
SDC's Maximum Advantage Plan locks premium rate for three years and expands contract maximum each year
Superior Dental Care (SDC) has introduced a new dental plan with a multi-year rate guarantee and benefits that grow each year.
The Maximum Advantage dental plan offers a three-year rate guarantee while increasing the contract maximum by $250 on the second and third year. By the third year on the plan, the contract maximum will have grown by a total of $500.
“In an environment of ever-increasing health insurance costs, our Maximum Advantage Plan strikes the perfect balance between superior dental benefits and stable rates. A dental plan with a multi-year rate guarantee and benefits that increase annually offers employers a true advantage over other plans in the market,” said Traci Harrell, SDC’s chief executive officer.
Employers with 30 or more enrolled employees are eligible for SDC’s Maximum Advantage Plan. The plan design (including covered services, benefit levels and frequencies) can be customized to meet the needs of the company. Employers choose between a starting contract maximum of either $750 or $1,000. Orthodontia maximums are not eligible for an increase.
At the end of the plan’s three-year period, employers can enter into one more round of SDC’s Maximum Advantage Plan with another three-year rate guarantee to continue increasing the contract maximum annually. Or, choose to return to a contract maximum from the previous Maximum Advantage Plan—the lower the contract maximum, the longer the rate guarantee.
“Stable, reliable rates and benefits that increase every year make our Maximum Advantage Plan an easier and smarter answer to the roll-over concept. Employers will appreciate a multi-year rate guarantee, and their employees will appreciate a contract maximum that gets larger each year—it’s an advantage for everyone!” said Shannon Ford, director of sales and service.
About Superior Dental Care:
Superior Dental Care (SDC) was founded in 1986 by a group of dentists to create the first dentist-owned dental plan as an alternative to less effective and inferior plans. Today, SDC offers group dental and other ancillary benefits to companies throughout Ohio, Kentucky and Indiana. For more details about SDC, visit superiordental.com or call (800) 762-3159.
Scheduled maintenance is currently being performed to Superior Direct Connect and the SDC Mobile App. During this time, you may experience delays in functionality. We apologize for any inconvenience. For immediate assistance during business hours (Monday-Friday, 7:30am – 5:00pm), please call (800) 762-3159.
Scheduled maintenance is currently being performed to Superior Direct Connect and the SDC Mobile App. During this time, you may experience delays in functionality. We apologize for any inconvenience. For immediate assistance during business hours (Monday-Friday, 7:30am – 5:00pm), please call (800) 762-3159.
In 2009, the National Health Care Anti-Fraud Association (NHCAA) estimated that 3-10% of the nation's annual benefits paid for health care were paid for fraudulent or abusive submissions. Estimations by fraud analysts indicate that there is a greater percentage of fraud in dentistry than there is in medicine. Because insurance fraud significantly impacts the cost of dental benefits, you can play a key role in identifying and reporting suspicious activity.
The NHCAA reports that the most common fraudulent acts include:
The close monitoring of processed claims via Superior Dental Care's (SDC's) secure web access (Superior Direct Connect: www.superiordental.com/directConnect.htm) is one easy way to monitor submitted and received claims. If you are aware of any false information submitted to SDC, please contact our Dentist and Member Services Team at 937.438.0283 or 800.762.3159 to report the activity. If preferred, a written complaint may be mailed to: Superior Dental Care Alliance Inc., Special Investigating Unit, 6683 Centerville Business Parkway, Centerville, OH 45459.
SDC's Special Investigating Unit handles all reports of suspected fraud expeditiously and with confidentiality. Reports are accepted anonymously; but, every report initiates an investigation. SDC takes necessary actions to report confirmed fraudulent activities to appropriate state agencies and to recover monies paid in association with misrepresented services.
ORAL HEALTH and RESOURCES (Members)
HUMAN RESOURCE ASSOCIATIONS (Employers)
INSURANCE ASSOCIATIONS (Brokers)
DENTAL ASSOCIATIONS (Dentists)
Last year, SDC completed the integration of our data systems with our parent company, Medical Mutual. This process included replacing SDC's member ID numbers (also referred to as "SDC alternate ID numbers") with new member ID numbers from Medical Mutual.
As of August 2023, all members have received a new ID card with their new member ID number. Since then, we have temporarily continued to accommodate claim submissions that included a retired SDC member ID number. Effective April 1, 2024, retired SDC alternate member ID numbers will no longer be accepted. HIPAA 277 transactions will be initiated, requiring the active member ID number for all claim submissions and member communications.
The active member ID number can be found on the member's new ID card. As a reminder, members may present an SDC ID card or a Medical Mutual ID card. Review the SDC Member ID Card Guide for Providers for reference. Participating dentists may also verify the member ID number through Superior Direct Connect. If you have questions or need assistance, please contact SDC’s Dentist and Member Services team at 1-800-801-4915.
Thank you for your attention to this critical submission requirement.
