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Delta Dental reports higher prevention utilization but member complaints about reimbursement persist

San Francisco Health Service Board · January 13, 2022
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Delta Dental told the board that active member cleanings and preventive visits are increasing and that the Smile Way wellness program has growing enrollment; commissioners said some members report dentists declining to accept Delta because of low reimbursement and requested more breakdowns by HMO/PPO and regional reimbursement levels.

Delta Dental presented its Q1–Q3 2021 dashboard for SFHSS dental plans, showing recovering utilization and program uptake while board members raised concerns about reimbursement pressures on local dentists.

Sharon Stanek Lowe (Delta Dental) reported that 30,737 active members had at least one cleaning from Jan. 1 through Sept. 30, 2021, and about 11,070 retirees had at least one cleaning in the same period. The Smile Way wellness…

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