Delta Dental is the widely-acknowledged “800-pound gorilla” of the dental insurance market. And as the old joke goes, an 800-pound gorilla sits wherever he wants.
Delta certainly has that kind of arrogance.
The insurance company isn’t exactly known for its warm and fuzzy embrace of dental patients. Or dentists, for that matter. And in its quest for more and more profit, Delta has done some objectionable things and taken serious heat for them.
But Delta’s latest missteps are beyond the pale.
On August 9, ADA President Gary L. Roberts and ADA Executive Director Dr. Kathleen T. O’Loughlin sent a letter to Delta objecting strongly to language included in some plans’ Explanation of Benefits.
The EOBs went to patients who had received services from non-participating dentists. Delta had the audacity to send a list of participating dentists in the patients’ areas who might perform the same procedure at lower cost. And Delta included full contact information for those participating dentists.
Basically, Delta was insinuating that the non-participating dentists might have overcharged for services.
Or as the ADA letter put it, “gouged” the patients.
And since when did insurance companies indulge in promoting certain providers over others?
But that wasn’t all Delta included in EOBs.
Delta based its rejection of payment on the medical opinion of a dentist who had never communicated with the patient, never viewed the X-rays or scans, and never examined the patient.
The ADA stated that this amounted to practicing “dentistry by mail.” And, that the denial based on that anonymous dentist’s medical opinion implies malpractice on the treating dentist’s part.
If that isn’t outrageous, nothing is.
Delta has responded to the ADA’s letter by requesting more information, so it’s possible that these outrageous and unfair practices will stop. But Delta has a long history of shenanigans, and there’s no telling what its next move will be.
Dentists shouldn’t have to compete with the insurance company.
In fact, the vast majority of dentists would do well to minimize their practices’ dependence on dental insurance. Does that sound like a fantasy? It isn’t.
There is a way for dentists to rely far less on dental insurance reimbursement while actually growing their practices. It’s called the Patient Attraction System™.
SmartBox works with more than 550 dentists on three continents to help them get more and better patients. Better patients aren’t motivated by low price or insurance reimbursement. They have the ability and willingness to pay more for a dentist who they like, relate to, and trust.
Are you tired of having to deal with the insurance hassle? Would you like to actually get paid what your services are worth?
Check out our Practice Discovery Session page to reserve your Practice Discovery Call. We reserve these calls for dentists who want to see a Patient Attraction System™ that can double or even triple their practices.
You can get more patients, more profits, and more freedom. You can also get off the dental insurance train for good. And you’ll never have to worry about Delta Dental’s shenanigans again.