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Enhanced benefit packages offer more value for employers and employees
Superior Dental Care (SDC) expanded ancillary benefit options for employers this year by introducing new lower-cost dental plans and bolstering the value-added extras that come with their plans.
In June, SDC announced new Fit 500 dental plans named for the $500 contract maximum benefit per member. Each of the four Fit 500 plans covers a targeted set of dental services with no deductible and lower monthly premiums than traditional comprehensive dental plans.
"The goal of our Fit 500 plans is to offer employers a lower-cost dental benefits option for employees who don't need or can't afford comprehensive coverage. Fit 500 plans have allowed employers to keep dental as a stand-alone benefit when funds are limited. Other employers have purchased these plans to offer their employees an economical alternative to a richer dental plan already in place. In such an unsteady healthcare market, our Fit 500 plans have stood out for their versatility and affordability," said Director of Sales and Service Shannon Ford.
In addition to the targeted dental plans, SDC added two new value-added benefits to all their dental plans in 2017: free prescription discount cards and a 10% discount on employee benefit administration and communication plans.
SDC's free prescription discount card allows members to save an average of 20% off the regular retail price of select prescription drugs at participating retail pharmacies. The discount card can be used any time a prescription is not covered by insurance, or as an alternative to insurance.
SDC also has recently partnered with the locally-based BusinessPlans Inc. SDC clients can receive a 10% discount* on customized employee benefit statements, reimbursement plan administration and COBRA administration services.
"SDC is dedicated to offering employers solutions that keep dental and other ancillary plans viable components of employee benefit packages. Special extras like Free Second Opinions, savings on cosmetic dental services, and vision and prescription discounts help employers provide a higher level of benefits to their employees without additional costs. As we move into 2018, we will continue to seek out even more ways to add extra value to our benefit packages to keep employers and their employees smiling," said SDC's Chief Executive Officer Traci Harrell.
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.
