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Health Service Board approves retiree dental plan redesign, raises PPO coinsurance for major services
Summary
The San Francisco Health Service System Board approved a rate‑neutral redesign of the retiree dental PPO that raises plan coinsurance for certain major procedures from 50% to 60% if obtained from PPO dentists and increases individual non‑preventive deductibles from $50 to $75, a move intended to encourage PPO network use.
The San Francisco Health Service System Board voted to adopt a rate‑neutral redesign of the retiree dental PPO on April 16, 2019, approving a proposal that raises plan coinsurance for specified major services delivered by PPO dentists from 50% to 60% and increases the individual non‑preventive deductible for Premier and out‑of‑network dentists from $50 to $75 annually.
Aon consultant Mike Clark told the board the change is intended to encourage greater use of PPO network dentists for crowns, dentures, bridges and endodontic work while keeping retirees’ monthly premiums unchanged. Clark said the design change would be paid for by modestly increasing the…
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