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Board approves 2026 Delta Dental rates amid member complaints about dentists leaving network
Summary
The SFHSS board approved 2026 dental rates that maintain the active PPO administrative fee but increase self-funded PPO total cost by 12.4% (driven by reduced stabilization buy-down); retirees' insured PPO rates increase 2%. Public commenters and unions pressed Delta Dental for answers about providers leaving the network.
The San Francisco Health Service Board on Thursday approved the Health Service System’s recommended dental rates for plan year 2026 while hearing multiple public complaints about dentists leaving Delta Dental’s network.
Staff and Aon actuary Mike Clark explained that most of the 2026 increase for the self‑funded active employee PPO (a 12.4% total‑cost increase) reflects a reduced drawdown of a stabilization reserve rather than a sudden rise in claims. The board was asked to maintain the administrative fee for the active PPO at $4.82 per employee per month and to adopt a clinical change extending sealant coverage for first molars through age 15. For the retiree Delta Dental PPO, staff recommended a 2% insured rate increase; the two dental HMOs (DeltaCare/UnitedHealthcare) proposed no…
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