DOMINION NATIONAL COVID-19 UPDATE
Important Information for New Jersey Small Employers
Updated June 16, 2020
Dominion National Announces Additional Benefits for Members, Dentists to Help During COVID-19
Due to COVID-19, members may not have recently had access to dental care and, as a result, dentists have experienced lower patient volumes and increased costs for enhanced infectious disease control. Dominion is offering the following benefit enhancements and support to dentists to incentivize members’ return to dental offices in 2020:
As an incentive to encourage members to get back to the dentist, Dominion is offering all commercial group PPO and ePPO dental clients who receive one in-network cleaning between June 15, 2020 and December 31, 2020 a $20 cash reward. This is an enhancement to the company’s innovative Prevention Rewards program that has been tested and well received by several large group clients and was recently added to Dominion’s small group dental products. This COVID-19 product enhancement is not permitted in Pennsylvania.
Increased Annual Maximum
To help offset the time period in which members may not have been able to visit the dentist, Dominion is automatically increasing annual maximums for in-network services by 25% for all Dominion commercial group PPO and ePPO fully insured members for the remainder of 2020.
Teledentistry Coverage Extension
Dominion will allow benefits for in-network teledentistry consultations through the end of the year for limited and problem-focused evaluation and re-evaluation (CDT codes: D0140, D0170 and D0171). Any teledentistry services provided after June 15th will count toward any applicable benefit frequency limitations.
Personal Protective Equipment (PPE) Payment for Dentists
Dominion will provide payments to its participating dentists of $5 per in-network PPO, ePPO or Preventive covered plan visit to help with the costs of PPE, which includes N95 masks, gowns and other protective equipment designed to help with infectious disease control due to COVID-19. PPE payments will begin for services starting June 15, 2020 and may extend through the end of the year. Prevention Reward payments and PPE payments are subject to change based on state mandates and experience. Dominion in-network dentists will not charge members additionally for PPE.
“We are pleased to offer additional coverage and solutions that will allow our customers to maximize their dental benefit dollars in 2020 despite COVID-19,” said President Mike Davis. “We also understand the unprecedented challenges faced by our dentists and want to help support them during this time while providing members access to the dental office either in person or through teledentistry when appropriate. Between the benefit enhancements and support to our dental community we are pleased to play a role in ensuring the satisfaction and well-being of our customers.”
Dominion will be distributing communications to its clients announcing the applicable enhancements.
Updated June 11, 2020
Resources to help you prepare for your next dental visit
Dominion National emphasizes the importance of regular, preventive dental care to help prevent future costly treatment while helping our customers maintain healthy smiles. While we understand that customers may be apprehensive about returning to the dentist during COVID-19, we are providing important information to help assist you in your anticipated return to the dental office.
Here is what to expect from your dentist based on recommendations provided by both the Centers for Disease Control and Prevention (CDC) and the American Dental Association (ADA).
Request that dental staff call patients prior to the scheduled appointment to ask questions about their current health status.
Advise patients to wear a face covering when entering the dental practice.
Limit the number of people who accompany a patient to the appointment. If possible, the patient should make the visit alone.
Assess all patients upon arrival; temperature checks may be completed.
Remove items in office waiting rooms such as toys or reading material to limit potential transmission through high-touch surfaces.
Encourage social distancing at practices by minimizing the number of patients in the waiting room by spacing appointments thoughtfully and perhaps by asking patients to wait in their car until the dental staff is ready to treat the patient.
Advise dental staff members to wear additional personal protective equipment (PPE) as appropriate, such as surgical masks or N95 masks, full-face shields or goggles with side shields to ensure an environment that is as safe and healthy as possible for patients and the dental team.
Place hand sanitizer generously around the office for use and ensure surfaces are cleaned regularly.
Both the CDC and ADA guidance are recommendations and not regulations. States control what procedures are allowed to be provided, largely through their licensing boards.
Additionally, the Organization for Safety Asepsis and Prevention (OSAP), has prepared a list of five questions that patients should ask their dental care providers about infection control practices. The answers provided are drawn from current dental infection control recommendations from the CDC, ADA and OSAP. Click here to view the questions.
Updated June 4, 2020
Important Information for New Jersey Small Employers
Dominion National (“Dominion”) is working diligently to provide best-in-class dental solutions and service during the COVID-19 pandemic. In response to Bulletin 20-12 from the New Jersey Department of Banking and Insurance, Dominion is offering an emergency 60-day grace period (“grace period”) to all of its small employers in New Jersey.
Please note that the grace period is only available to policyholders who were in good standing with Dominion on March 1, 2020 and have already paid the initial premium to secure coverage.
Entering the Emergency 60-Day Grace Period
The grace period begins on your April or May due date, as outlined below, and will continue for 60 calendar days from that date.
If you did not pay your April premium, Dominion automatically placed you into the grace period. The grace period will continue for 60 calendar days after your April due date.
If you paid your April premium but do not pay your May premium, Dominion will automatically place you into the grace period. The grace period will continue for 60 calendar days after your May due date.
During the Emergency 60-Day Grace Period
During these 60 days, your coverage will not be terminated for nonpayment. Claims will be paid and will not be pended.
Additionally, Dominion will not report late payments to credit reporting agencies for policyholders taking advantage of COVID-19-related relief.
After the Emergency 60-Day Grace Period
If you do not make premium payments during the emergency 60-day grace period, you may amortize the unpaid amount across the remaining months of the policy year. If fewer than six months remain in the policy year, you may amortize the unpaid amount into six monthly installments.
The emergency 60-day grace period does not forgive your obligation to pay any premiums which become due during the grace period.
Please contact your Account Manager or broker if you have any questions or concerns. We wish everyone good health and safety as we collectively persevere through the COVID-19 pandemic.
Updated March 24, 2020
In response to COVID-19 and several states restricting dental visits to emergency treatment, Dominion will allow benefits for teledentistry consultation for limited and problem-focused evaluation and re-evaluation (CDT codes: D0140, D0170 and D0171). Dominion will also allow benefits for a physician consultation (D9311) via teledentistry.
Please note these services should be accompanied with a teledentistry code (D9995 or D9996) on the claim. These codes are required to identify the evaluation as a virtual evaluation and are not paid as an additional benefit.
Frequency limits will be waived and these evaluations will not count towards members’ annual frequency limitations until further notice. This will be reviewed periodically and updated as needed.
We continue to wish everyone and their family good health and safety as we collectively persevere through the coronavirus pandemic.
We want to be clear with you about the steps we are taking to prepare and react to COVID-19 (coronavirus). Dominion National is following CDC guidelines and taking proactive measures to prevent the spread of coronavirus and ensure the continuity of our business operations.
Comprehensive Response to COVID-19 (Coronavirus)
Dominion has a comprehensive Business Continuity Plan and Disaster Recovery Plan in effect to help ensure continuity of operations and services in the event of a major disruption, including COVID-19. As a result, when Dominion closed its offices to minimize the risk of exposure and infection, Dominion deployed these plans to provide uninterrupted critical services, such as the processing of claims and handling of customer and provider service calls. Dominion’s staff is currently working remotely.
Dominion has instituted safety measures in our facilities and continues to educate our employees about preventive strategies. At the same time, Dominion is engaged in the ongoing monitoring of the CDC reports and disease threat and will take other actions as necessary. Dominion will stay in close communications with government agencies and the medical community to ensure our responses are timely and effective and business operations continue uninterrupted.
Continuity and Perseverance
Dominion strongly values its commitment to providing best-in-class dental solutions and service. We are working diligently with all of our partners and clients to ensure clear communication and swift responsiveness during this evolving situation.
We wish everyone and their family good health and safety as we collectively persevere through the coronavirus pandemic.