AARP Dental Insurance Plan Serving the individual dental insurance

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AARP Dental Insurance Plan Serving the individual dental insurance
AARP Dental Insurance Plan

Serving the individual dental insurance needs

of the 50+ population

Dr. Lowell Daun

Available dental programs for

individuals

• Dental Discount Plans

– Not insurance

– Percentage discount for specific dental treatments

• HMO

– Capitation plan

– Pre-assigned provider office

• PPO

– Fee-for-Service program

– Extensive provider network with providers agreeing to pre-

negotiated reduced rates

– The ability to see an out-of-network dentist at a higher out-of-

pocket cost









2

AARP Program Accessibility



• Available in 49 states plus DC and Virgin Islands

AARP National Rollout February 1, 2007



Alaska (AK) New

DDIC

Hampshire

North Dakota (NH) DNNE

Montana (ND)

Washington DN Minnesota Vermont

(MT) (MN)

(WA) DN DDIC (VT) DNNE

DN Maine

Wisconsin (ME)

Oregon South Dakota (WI) DN

Idaho (SD)

(OR) (ID)

DN

DN Wyoming DN Massachu-

DN Michigan New York (NY) setts

(WY) (MA) DNNE

DN Iowa (MI) DN DDIC

Nebraska (IA)

Pennsylvania Rhode

(NE) DN Island

DN (PA) (RI) DN

Illinois Indiana Ohio (OH) DDIC

Utah (IL) (IN) DN Connecticut (CT) DN

(UT) Colorado

Nevada Kansas DN DN West New Jersey (NJ) DN

DDIC (CO) Missouri Virginia

(NV) DN (KS) (MO) (WV) Delaware (DE) DDIC

DDIC DN

California DN Kentucky DDIC Virginia Maryland (MD) DDIC

(CA) (KY) DN (VA) DN

DN Washington D.C. DDIC

Tennessee (TN) North

Oklahoma

DDIC Carolina

(OK) Arkansas

(NC) DN

Arizona New Mexico DN (AR)

DN South

(AZ) (NM)

Hawaii DN DN Missi- Carolina

Georgia (SC) DN

(HI) DN ssippi Alabama

(AL) (GA)

(MS)

DDIC DDIC DDIC

Texas

(TX)

DDIC Louisiana

(LA) DDIC



Florida

(FL)

DDIC









AARP Dental Insurance Plan

Puerto Rico

DDIC

Green means approved

Red means not approved

Virgin Islands

Version date 02.01.07 DDIC









3

Where is the plan most successful?



• California

• Florida

• New York

• Pennsylvania

• Texas









4

AARP Program Benefit Design



• Choice of two benefit designs

• Premium rates range from $38 - $51 monthly for

a single person

• 2-year rate guarantee

• 4 payment options

• 12-month waiting period for major restorations,

periodontics and prosthodontics

• PPO program



5

AARP Program Benefit Summary

AARP Dental Insurance Plan Benefit Summary

Percentage of Percentage of

Allowed Amount Allowed Amount

for Plan A for Plan B

Delta Pays* Delta Pays*

Diagnostic & Preventive 100%** 80%

Periodontal Maintenance Cleanings 80% 50%

Denture Repair, Rebase and Relining 80% 50%

Basic Restorations & Sealants 50% 50%

Oral Surgery 50% 50%

Endodontics 50% 50%

After 12 Months Continuous Enrollment

Major Restorations (e.g., crowns, inlays/onlays) 50% 50%

Periodontics (gum disease treatment) 50% 50%

Prosthodontics (bridges & dentures) 50% 50%

Temporomandibular Joint Dysfunction (TMJ) 50% 50%

Deductibles and Maximums Per Enrollee

Calendar Year Deductible $50 $100

Calendar Year Maximum Benefit $1,200 $1,000

Temporomandibular Joint Dysfunction (TMJ)

$300 $300

treatment—Lifetime Maximum

Additional Benefits Available

With Payment at the Annual Rate Level * Benefit level available only when visiting a Delta Dental

Dental Accident 100% N/A PPO dentist.

** No deductible required for diagnostic or preventive

Lifetime Maximum—Dental Accident $1,000 N/A services under Plan A.







6

Who purchases this plan?



• Individuals 50 and over, such as:

– Retirees without dental benefits

– Working adults without employer-sponsored benefits

• Typical psychographics:

– Affluent in terms of household income and net worth

– Well-educated

– Aged 60-75

– Female

– Married

– Financially savvy, like to shop, technically savvy, live the fine

life









7

What makes this population

different?

• Lack of availability to true private dental insurance

– Less than two out of every ten older Americans are covered

by private dental insurance (DHHS ―Oral Health in America –

2003)

– No more than 20% of Americans 75 years of age and over

have dental insurance (Centers for Disease Control and

Prevention – 2005)

– Oral Health America gave the nation on average a final grade

of a ―D‖ for private dental coverage in a special grading report

on ―The oral health of Older Americans‖ (Oral Health in

America – September 2003)







8

Comparable dental programs



• Only one other individual/voluntary program is

available to this population: TRICARE Retiree Dental

Program

– Department of Defense contract for retired military and their

eligible dependents, administered by Delta Dental

– Very similar to AARP Dental Insurance Plan’s benefit structure

with comprehensive coverage

– 100% voluntary, premiums paid by the enrollee









9

Key elements of a successful dental

plan

• Understanding the needs of the senior

market

–Comprehensive coverage

–Affordable price

–Network size

–Quality of network dentists









10

Marketing channels



• Direct Mail

– to current AARP members

• Print Advertising

– in AARP publications

• Online Advertising

– aarp.org and other sites of interest to

seniors





11

What else do they want?



• Third cleaning

• Implants

• No waiting periods

• Increased maximums









12

Program Administration



• Administrative Requirements

– More complex than with the traditional commercial client

• Call volume

• Regulatory requirements

• Enrollment Rollout

– Original forecasts assumed all states approved by September

2004

– Many key states (including CA, FL, NJ, NV, & WA) were not

available until early 2005

– As of June 2007, the only remaining state is MA









13

Program Utilization



• The first members to join the plan were the most

costly members

• Once the demand was met, the experience and needs

were more favorable

• Maximum Utilization

– First year members rarely reach their annual maximum

– Once full benefits are reached, the number of members

reaching their maximum increase towards normative levels

– Utilization is remaining higher than expected overall

• Procedures being used are closely resembling Delta Dental’s

Commercial experience with this demographic





14

AARP Program Results to Date



• As of June 2007

– 182,222 total members

• Most successful product launch among

AARP Healthcare Option (HCO)

products

• Highest requested product among HCO

products in 2005—2006





15

Innovations



• Plan designed with the senior market in

mind

–Periodontal maintenance cleanings and

denture repair 1st year benefits

• Expanded benefits under consideration

–Third cleaning

–Implants







16

AARP Dental Insurance Plan

Contact Information





• Toll free: 1- 866-583-2085



• Web site: www.deltadentalins.com/aarp









17


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