OptumHealth Dental
Since 1984, OptumHealth Dental has provided specialized dental health care solutions to clients nationwide. We serve health plans, insurance companies, third-party administrators, government agencies, and municipalities – with more than 6.2 million dental plan participants nationwide – through integrated, personally relevant health guidance, technology and services.
OptumHealth Dental is also an industry leader in private-labeling dental products for health plans across the country, including both commercial and government programs. We have more than twenty-five years of experience in providing private-label dental benefits, customer service, claims, quality management, and network administration. We understand the importance of retaining our client's brand identity when selling dental along side your medical products in your local markets. We have the qualifications and experience required to provide your company with “best in class” dental benefit administration.
We provide clients and consumers with access to high-quality dental benefits that are affordable and simple to use. Our dental plans are developed and customized to keep pace with the changing marketplace and the individual needs of our clients and distributors.
The Value of OptumHealth Dental Plans:
- Provides product innovation and plan design flexibility
- Offers National PPO network access
- Delivers significant cost savings to employers and employees
- May help reduce employee absentee rate due to increased general wellness
- May provide a greater return on investment through increased work productivity
- Manages the rising cost of dental benefits
Our Dental Product Portfolio
Indemnity – Offers the most choice in dental provider selection. Enrollees simply pay for charges at the time of service and submit a claim form for timely reimbursement.
Preferred Provider Organization (PPO) – Realizes cost savings through negotiated provider discounts, as well as utilization management programs. With a generous selection of passive and incentive PPO plan options, our PPO offers access to one of the largest PPO networks in the industry.
In-Network Only (INO) – Gives members comprehensive dental coverage with fixed dollar copayments, but none of the restrictions of a typical dental HMO. As the first health care company to offer this innovative plan, we enable the broad access of a large PPO network with the affordability of a managed care plan.
Medicaid/Medicare – We have many years of experience meeting the health care industry’s plan needs for the Medicare and Medicaid market segments. We currently have Medicaid networks in Connecticut, Maryland, Massachusetts, New York, Pennsylvania, Rhode Island and Virginia. We can build networks and products for de novo market launches. We currently contract with several health plans that market and sell dental products to their Medicare Advantage and Medicare Supplement members. Our plans offer:
- Tailored network development and maintenance
- Custom plan designs to meet specific product needs and price points
- Administration to meet federal and state requirements
Voluntary – Our portfolio of voluntary plans enable organizations to offer dental benefits that match objectives for attracting and retaining employees at a low administrative cost. The Voluntary Plan features convenient pretax payroll deductions if employees participate in a flexible spending account or cafeteria plans, plus coverage for routine and other dental services. Network and non-network plans are available.
