Spirit Dental Webinar 2016
Welcome Spirit offers affordable dental and vision insurance plans for individuals, families, seniors and employers 2+ or more For Agent Use only – not to be used in a sales situation 2016 S11607
What We’ll Cover Today Spirit Dental Security Life Network Plans Choice Plans Vision option Spiritdental.com Enrolling online and your dedicated links Spirit Group Plans Directbenefits.com Direct Vision Insurance Your sales Representatives Current contests For Agent Use only – not to be used in a sales situation 2016 S11607
Market potential individual dental 1 National Association of Dental Plans, ACA and Dental Coverage – The Basics , February 2013. 2 CareerBuilder & EMSI, America’s Self-Employment Landscape , 2013, accessed April 8, 2014. 3 U.S. Census Bureau: Current Population Survey, Annual Social and Economic Supplement , 2012. Released December 2013, http://www.census.gov/population/age/data/2012.html. S11607 For Agent Use only – not to be used in a sales situation 2016
Why Buy Spirit Dental Insurance • No waiting periods for all services* • 25% coverage 1 st year major services • Up to $3,500 annual maximum beginning year three • Choose your own dentist Plan coverage for crowns, bridges, • implants, dentures, root canals and more • Child orthodontia included in the Network plans • Guaranteed acceptance • No upper age restrictions • 3 cleanings and two exams per year • Rates Guaranteed for 12 months • Optional Spirit Vision insurance • Next day effective dates!!! • 30-day customer satisfaction guarantee • No monthly association or billing fee * Wait period on ortho in CT, IL, MO, NY, TX For Agent Use only – not to be used in a sales situation 2016 S11607
What is Spirit Dental? • Created in 2003 by Direct Benefits • Underwritten by Security Life Insurance Company of America - Founded in 1956 • Security Life is a privately-owned company that provides ancillary insurance products in 50 states and the District of Columbia. They are headquartered in Minnetonka, MN with an administrative office in Lancaster, PA. • Over $80 million yearly dental premiums • Hundreds of Thousands of customers nationwide • Committed to fast, responsive customer service and “Best in Class” marketing and sales support. S11607 For Agent Use only – not to be used in a sales situation 2016
Direct Benefit’s Core Values and Focus Core Values • We Are Product Revolutionaries • We Provide “Over the Top” Responsive Service • We Are Different • We Don’t Mind Hard Work • We Are Generous • We Are FUN! Direct Benefits is proud to be on the 2014 list of 100 Best Companies to Work For in Minnesota Core Focus We’re in it for the “little people of America”. We provide individuals and small businesses with the same or better insurance products as Fortune 500 employers For Agent Use only – not to be used in a sales situation 2016 S11607
What plans are available? • Spirit Network 3500 and 1200 Plans • Spirit Choice 3500 and 1200 Plans • Optional Spirit Vision Insurance S11607 For Agent Use only – not to be used in a sales situation 2016
Network 3500 Covered Services Network 3500 Plan* The Spirit Network plan pays for covered dental Network 3500 Covered Services expenses for network, and non-network providers*, based on the contracted fee amount negotiated after the $100 lifetime deductible has been satisfied on Preventive, Basic and Major Services. These Percentages are: • 100% for Preventive services, 50% for Basic, 25% for Major in year one, with a $1,200 annual maximum, and 10% coverage for Ortho Services In year two, Basic Services increase to 65%, 50% • for Major with a $2,500 annual maximum, and 25% coverage for Ortho services • In year three, Basic services increase to 80%, with a $3,500 annual maximum, and Ortho services increase to 50% *Non-network provider reimbursement based on what PPO contracted fees would be if using a network provider. Additional out-of-pocket expenses *This plan is not available in all states. could be incurred. S11607 For Agent Use only – not to be used in a sales situation 2016
Network 1200 Covered Services Network 1200 Plan* The Spirit Network plan pays for covered dental Network 1200 Covered Services expenses for network, and non-network providers*, based on the contracted fee amount negotiated after the $100 lifetime deductible has been satisfied on Preventive, Basic and Major Services. These Percentages are: • 100% for Preventive services, 50% for Basic, 25% for Major in year one, with 10% coverage for Ortho Services In year two, Basic services increase to 65%, 50% • for Major, with 25% coverage for Ortho services • In year three, Basic services increase to 80%, with Ortho services increasing to 50% The calendar year maximum is $1,200 each year . *Non-network provider reimbursement based on what contracted PPO fees would be in using a network provider. Additional out-of-pocket expenses could be incurred. *This plan is not available in all states S11607 For Agent Use only – not to be used in a sales situation 2016
Why should you choose the Spirit Network plan? • OUR DENTAL NETWORK We are pleased to offer you the MaxCare network – We have combined the DenteMax • and Careington Networks. Choose from over 87,000 dentists nationwide with over 220,000 access points*. • Features include: Discounts up to 50% on dental services o Network discounts available immediately o $1,200 Child Orthodontia Benefit with the Gold MaxCare Plan o • Look up MaxCare Providers: www.careington.com/co/slica • The sample comparison chart that follows provides information on how you can save money by selecting one of Spirit Dental’s network plans. The MaxCare network can help reduce out-of-pocket costs for you and covered your family members. *The MaxCare network may not be available in all states S11607 For Agent Use only – not to be used in a sales situation 2016
Network Savings Example S11607 For Agent Use only – not to be used in a sales situation 2016
Spirit Choice Plan • Means that you can Choose Any Dentist in the USA (open access) • No Preferred Provider Network • Based upon the 90 th percentile of Reasonable and Customary (R&C) • R&C means the usual, customary and regular charges for the area where such expenses are incurred S11607 For Agent Use only – not to be used in a sales situation 2016
Choice 3500 Covered Services Choice 3500 Plan* Choice 3500 Covered Services The Choice 3500 Plan pays for covered dental expenses based upon a percentage of the Reasonable and Customary (R&C) fees for those covered services after the $100 lifetime deductible has been satisfied on Preventive, Basic and Major Services. These Percentages are: • 50% for Preventive Services, 50% for Basic, and 25% for Major Services in year one, with a $1,200 annual maximum • In year two, Preventive increases to 100%, Basic Services increase to 65%, and 50% for Major Services, with a $2,500 annual maximum • In year three, Basic Services increase to 80%, with a $3,500 annual maximum *This plan is not available in all states S11607 For Agent Use only – not to be used in a sales situation 2016
Choice 1200 Covered Services Choice 1200 Covered Services Choice 1200 Plan* The Choice 1200 Plan pays for covered dental expenses based upon a percentage of the Reasonable and Customary (R&C) fees for those covered services after the $100 lifetime deductible has been satisfied on Preventive, Basic and Major Services. These Percentages are: • 50% for Preventive Services, 50% for Basic, and 25% for Major Services in year one • In year two, Preventive increases to 100%, Basic Services increase to 65%, and 50% for Major Services • In year three, Basic Services increase to 80% The calendar year maximum is $1,200 each year *This plan is not available in all states S11607 For Agent Use only – not to be used in a sales situation 2016
Maximums and Deductibles • Automatically increasing calendar year maximum • $1,200 1 St year, $2,500 2 nd year and $3,500 beginning 3 rd year • $1,200 level annual maximum per person • $100 Lifetime deductible per person that applies to Preventive, Basic and Major services S11607 For Agent Use only – not to be used in a sales situation 2016
Factors that determine your rate 1. The ZIP code in which you live 2. Coverage type • Applicant • Applicant +1 • Applicant + Family 3. Plan selection • Network 3500 • Network 1200 • Choice 3500 • Choice 1200 4. Adding the optional vision insurance S11607 For Agent Use only – not to be used in a sales situation 2016
Recommend
More recommend
