February is Children’s Oral Health
Month and a perfect time to educate your clients on the importance of
preventive dental care. Many people know that poor dental health
is closely connected to inflammatory diseases, heart disease and
arthritis. However, the link between children’s oral health and
overall health gets far less attention; having the right dental benefits
in place will ensure families get the care they need.
Just over 19 percent of children ages 2 to 5 and almost 23 percent of
children ages 6 to 19 have untreated cavities, according to a 2010
National Center for Health Statistics study called “Health, United
States”—making it the single most common disease among
children. Dental disease is also one of the leading causes of school
absenteeism for children.
Focus on prevention
The Guardian Life Insurance Company of America knows that early and
regular dental visits help keep families healthy and control costs, and
that’s evident in their flexible plan offerings.
Guardian’s customized plan designs emphasize wellness and
cost containment. A growing trend among dental benefits is to cover the
right preventive benefits at 100 percent, which helps avoid more costly
treatments down the road, according to Ray Marra, vice president Group
Products at Guardian.
“There’s no cost to the member and there’s no way
they would be discouraged to get care by having to pay for an oral
health exam for themselves or their children,” he says.
“This eliminates financial barriers for people going in to the
dentist.”
"We have some plan designs that if you use preventive care it's not
going to accrue towards the plan maximum, which means in fact it extends
the value of your maximum," he adds.
Guardian’s preventive coverage includes discounts on Xylitol
gums and mints that help prevent cavity-causing bacteria, fluoride
treatments and sealants. These measures strengthen teeth where most
children’s cavities are found: on the crown or enamel surface of
the tooth.
Education is key
Ease of use is paramount in Guardian's approach to children's dental
benefits. Guardian's online tools help employees find a provider near
them that meets their needs.
The site also offers a dental cost estimator for members to chart
treatment plans and see the cost savings associated with seeing a
dentist in the network.
"For working families [dental treatments] can end up being costly,
but if you have that preventive care covered you can bring your kid in
and get fluoride treatments and not have to worry about the cavities
again…its one less thing to think about for the parent," says
Marra.
Not only does Guardian's suite of online tools make things easier for
members, detailed claims reports assist brokers and employers in
monitoring plans. This ensures the plan in place is best suited to meet
workforce needs.
A network built for employees
Members realize the value of staying in network, in part, because the
options in network are so strong. Guardian has one of the largest dental
PPO networks nationwide, and is among the leading carriers for
orthodontists and pediatric specialists.
"A lot of parents are concerned about their child's first trip to the
dentist. A pediatric dentist might be a little bit easier for the
children," says Marra.
“We want to make sure we have the right specialist, whether
that be a pediatric dentist, or endodontist, or orthodontist. We want to
make sure our network really has a good mix of general practitioners and
specialists.”
Guardian takes pride in the strength of its network and encourages
members to use in-network practitioners, so they get the best value for
the important treatments that keep them healthy. Guardian works with the
broker and planholder to implement a customized recruitment strategy
based on the group’s needs. This includes outreach to dentists
through personalized communications and face-to-face through its force
of experienced network recruiters located throughout the country.
Guardian recruits dentists to the network based on who employees are
already using. Guardian will often reach out to dentists not currently
in network based on claims from members. By bringing these dentists
in-network, employees realize savings. Guardian's confidence in this
mission is demonstrated through recruitment commitments and even
guarantees, which are available for larger groups.
What’s more, all dentists in Guardian’s network must
undergo a thorough credentialing process. Guardian makes sure their
dentists are properly licensed and have the right insurance. They will
even check complaint files and in many cases inspect facilities.
"We're not just signing up anybody. There are certainly quality
standards," says Marra. "We also re-credential to ensure these standards
continue to be met."
With the highest quality care and in-network options that help
working families' money go further, children's oral health is a priority
at Guardian.
Visit www.aboutemployeebenefits.com
for information about how Guardian can help you create your dental
strategy.