FYI

Dentist blog from Delta Dental

Tag: Utah

Medicare Advantage DHMO updates for 2022

It’s a new year, and that means there’s a new crop of partners joining Medicare Advantage. If you’re part of Delta Dental’s Medicare Advantage DHMO network, members of these groups with a Delta Dental Medicare Advantage DHMO plan can choose your practice as their primary care facility. If you don’t currently participate in this network, we still encourage you to review the following information.

Here’s a quick look at the new Medicare Advantage DHMO partners for 2022.

  • Bright Health covers approximately 7,500 members in Arizona, Illinois, Florida and New York.
  • Brand New Day has over 50,000 members throughout the state of California, from Placer and Sacramento counties in the north all the way down to San Diego and Imperial counties.
  • InterValley Health Plan serves about 17,000 members in the greater Los Angeles metropolitan area, with members in Los Angeles, Orange, Riverside and San Bernardino counties.
  • Western Health Advantage covers about 2,300 members in California’s wine country, including Marin, Napa, Sacramento, Solano, Sonoma and Yolo counties.

Additionally, the following Medicare Advantage partnerships are continuing in 2022. Some partners are making changes that may affect the coverage available to your patients. For partners who are updating their benefits, be sure to use Provider Tools to see details!

  • Central Health Medicare Plan in California has expanded to San Mateo County and enhanced their benefits for all divisions.
  • WellCare in California’s Orange and San Diego coverage is continuing DHMO coverage for its members.
  • SCAN Health Plan is expanding to San Mateo and Alameda counties in California.
  • Kaiser California Medicare is adding a new diagnostic and preventive benefit in California counties.
  • Kaiser Georgia Medicare is enhancing benefits and expanding to Newton, Rockdale, Spalding, Walton, Barrow and Butts counties in Georgia.
  • Stanford Healthcare Advantage in California is updating its website but making no changes to its DHMO offering at this time.

Nearly a million members nationwide have access to a Medicare Advantage plan through Delta Dental, and every day for the next decade, about 10,000 Americans will turn 65. By 2030, approximately 18% of the nation’s population will be 65 or older. Joining the Medicare Advantage DHMO network represents an incredible opportunity to expand your business by serving this growing market!

By joining the Medicare Advantage DHMO network, you’ll enjoy the following benefits:

  • Your practice will be listed in our Medicare Advantage network directory.
  • You’ll retain patients who are joining a Medicare Advantage plan. Their DHMO plans require that they visit Medicare Advantage network dentists.
  • You’ll grow your business with new Medicare Advantage patients looking for an in-network dentist.

Interested? To apply for participation in the Delta Dental Medicare Advantage DHMO network, please email medadv@delta.org. We’ll send you an application and contract.

Medicare Advantage PPO updates for 2022

It’s a new year, and that means there’s a new crop of partners joining Medicare Advantage. If you’re part of Delta Dental’s Medicare Advantage PPO network, you can see the members of these groups. And if you haven’t opted in, consider this: every year for the next decade, about 10,000 Americans will turn 65. By 2030, approximately 18% of the nation’s population will be 65 or older. Don’t miss out on the opportunity to expand your business by serving this growing market!

Here’s a quick look at the groups joining us for the first time and updating their plans this year.

  • Alignment Health Plan is a new group with approximately 2,500 members in northern and southern California. Members who choose expanded dental coverage can access the Delta Dental Medicare Advantage PPO network.
  • Aspire Health Plan is backed by Community Hospital of the Monterey Peninsula and Salinas Valley Memorial Healthcare System, bringing coverage to Monterey County in California. Beginning in 2022, certain diagnostic and preventive care benefits will be covered at 100%.
  • CDPHP Medicare serves the Capital Region in New York. In 2022, CDPHP will be expanding to St. Lawrence, Lewis and Jefferson counties.
  • CHRISTUS Health Plan offers Medicare Advantage dental coverage in the state of Texas and select areas of New Mexico.
  • Essence Healthcare serves members in the San Francisco Bay Area. Essence Healthcare was previously known as Stanford Healthcare Advantage.
  • Health Choice Utah offers coverage in all counties throughout the state of Utah.
  • Some Molina Healthcare states are moving outside of our network. In 2022, Delta Dental will be partnered with Molina Healthcare in California, Florida, Michigan, Texas and Wisconsin.
  • Select Health Advantage is available in Nevada in Clark and Nye counties.

Nearly a million members nationwide have access to a Medicare Advantage plan through Delta Dental. By joining the Medicare Advantage PPO network, you’ll enjoy the following benefits:

  • Your practice will be listed in our Medicare Advantage network directory
  • You’ll retain patients who are joining a Medicare Advantage plan. Their fee-for-service plans require that they visit Medicare Advantage network dentists.
  • You’ll grow your business with new Medicare Advantage patients looking for an in-network dentist.

Interested? To apply for participation in the Delta Dental Medicare Advantage PPO network, please email medadv@delta.org. We’ll send you an application and contract.

Dentist spotlight: Dr. Jason Skinner

When Dr. Jason Skinner isn’t basking in the quiet calm of the outdoors, he’s relishing in the incredible technological advancements that have kept his office an evolving workspace over the last three decades. The father of five (and grandfather of five more) left his hometown of Alberta, Canada to study dentistry in Utah and Virginia before settling down with his own practice in Murray, Utah. 

Though he received his degree many years ago, Dr. Skinner says he’s never stopped learning, and that’s why we’re excited to name him our September Dental Health Partner of the Month.

When did you decide that you wanted to be a dentist and why?

I decided early on that I didn’t want to get to college and make a lot of changes. I picked about five things that I was interested in and narrowed them down one by one. I wanted to fly jets in the Air Force or be a park ranger or a chiropractor. The last one standing was dentistry. I had a family friend who was a dentist that I looked up to and admired, and he made it sound really interesting to me. Once I made the decision, I did what I needed to do, and I really enjoyed my time at dental school.

What do you love about being a dentist?

I enjoy owning and running my own business. I prefer to be in charge of my own destiny, and I enjoy making decisions and solving problems. Dentistry has countless problems each day that you’re solving.

Additionally, I love building and making things with my hands and dentistry allows that every time you sit down with a patient. The creative juices get flowing when you’re doing dentistry.

On top of that, I love the technology. We’re in a day and age where technology is such a part of our lives. I’ve been in dentistry for 30 years if you count dental school, and there have been so many changes in technology and the way that we practice and perform dentistry. Most of these changes are for the better. They make things safer, faster and more comfortable for the patient. They’ve improved the practice greatly.

How did you get to be so interested in technology?

I could discuss this for an hour, but I’ll try to sum it up: It’s really, really enjoyable to take somebody whose teeth are a mess through the process of cleanings and restorations and maybe some braces or Invisalign. They come in feeling bad about themselves, and you can take them from a difficult place to place where they love their teeth and are proud of their smile. That’s how you develop a really great relationship with your patients. They have a better view of themselves with a new smile and a new confidence. That’s just fun and rewarding.

Technology is involved in all of that. In day-to-day dentistry, we’re using digital scans and x-rays and cameras and digital models. Everything is safer and more accurate. It all works together to make the dental process better.

What are the biggest challenges in the industry?

Staffing is a standard challenge: making sure they’re well trained and available, especially with the difficult employment situation in the country. Our economy is pretty hot in Utah and not as many people can come help out. That’s a challenge.

Working with patients and their insurance or patients who are uncomfortable with the dental office — those are the typical day-to-day challenges in dentistry.

What advice would you give young dentists just starting out?

Embrace new technology and embrace continuing education and learning. I’ve found through the years and many, many courses in medical and dental education that it can cost a lot, but you can also learn a lot. You’re investing in your own skills and your own knowledge. I really appreciate the consistent learning throughout my career. It often seems like the more you learn, the more you realize what you don’t know and how much more you want to continue to learn. 

How do you balance your work and family life?

It’s been a challenge to have a good work-life balance, but dentistry has been good to me in that way. I found that working more than four days a week was rough on my neck, back and shoulders, so I decided to work four days a week early. It’s allowed me to spend Fridays with the kids and doing little trips to Bear Lake, which we love. We’ve enjoyed that time over many years.

We’ve been able to have this family time because of the good schedule that dentists have. I think dentists have been known and criticized for those kinds of office schedules, but I think everyone can see the value of having Fridays off. It’s a great way to get caught up on all the things you can’t do during a regular work week. 

How are you adjusting to life as a grandfather?

Grandpa life is the best! There’s no better time and it’s been great having all these grandbabies coming along, even if they’re coming quick. It’s been a lot of fun. I love that part.

Congratulations to Dr. Skinner on being our Dental Health Partner of the Month! Learn more about Skinner Dental.

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