dentemax did some really great articles and then leaders we got closer to the to the to the hearing on our bill we got some good press as well out they probably .
the two bills probably should have been heard on the same day but for a variety of reasons lb ended up getting heard very early in the session it had
about or people testify mostly organizations including us we testified in support but with cautious interest in the managed care piece and then when our bill had its hearing in April we had actually over people testified
individuals submitted written testimony over people testify I mean many of them like nearly were were people who are directly impacted by not having access to dental care six or seven were provide were dentists providers but
lots of other partner organizations and healthcare proponents as well so there was a lot of energy around this and the press definitely picked up on it and we really do think this is the next step for healthcare access in our
state next slide so we started right at the beginning of a session trying to put out some social media around this and we were collecting stories or equal
justice partners circle had a working group that was specifically focused on dental care one of our organizers was very focused on this another part-
time organizer who’s from our equal justice partner circle went to a couple locations to have meetings with people who are going to food pantries or
childcare centers or people who are homeless and hear their experiences without having access to dental so that we
dental insurance no waiting period if we were to add Medicare dental benefits to Medicare Part B all Medicare Advantage plans would have to provide that benefit because Medicare .
Advantage plans are required to provide the same Part A and Part B benefits that are in Original Medicare so all Medicare Advantage plans
would then have to provide the comprehensive dental benefit rather than their own supplemental of course they could go above and beyond the
comprehensive dental benefit if there were things that they wanted to cover beyond but if it were added to Part B then all Medicare Advantage
plans would have to provide that so that would really provide a much more comprehensive benefit and get beyond what we see a Medicare Advantage
today which is really limited set of benefits with limited scope of services and high annual our low annual caps on the amount of benefits you can
receive next slide so then is the question becomes what about Medicaid and Melissa touched on this that the coverage for dental services for adults is an
optional benefit under the Medicaid program and as a consequence we see wide variation across the states with regard to how comprehensives or
dental medicaid dental benefits are so we have states that we would contend have extensive Medicaid dental coverage yet still not you know entirely comprehensive I’m still you know limitations on scope like you can
only get a crown every three years I’m not really tied to like it’s medically necessary so you’re entitled to a kind of
tooth pain going to do to the employees on a monthly basis if we just pass the four four four and a percent on the city picks up the four rand a half they pick up the four and a half so .
they you know right now you can see we’ve kept we’ve kept the city funding
the full amount for PPO plan and PPO plan – for employee only but you know for PPO plan
A spouse will go up$ a month the child will go up $ a month the family would go up $ a month for plan – the spouse would go up .
A month the child would go up and the family would go up about twenty-one dollars a month and then on the PPO plan three the high option dollar for employee for
spouse for child and for family sothis keeps our by doing a four and halfpercent this keeps the the currentsplits in place which we think are goodthese are monthly right these aremonthly yes sir not not not paycheckthese are monthly so if you look at putyou know you took that took that takethat in half right and again these arebefore you run it through
the section plan so these rates you know go downa little bit for running through on apre-tax basis so on the high end youknow the family on the PPO plan threeit’s a it’s dollar increase on amonthly basis her dollars on
apaycheck so having talked to two staffand meeting with city management teamyou know our recommendation is to renewthe health plan with Blue Cross BlueShield the employees like Blue CrossBlue Shield we’ve been in
situationsbefore in the past where we went toAllegiant and we had a lot of unhappyemployees but for now most of theemployees are happy with Blue
Cross andBlue Shield this is not changing any ofthe network’s keeping the networks thesame everything stays you know as is inaddition we did get the
renewal on thedental which is a rate pass I think youhave it in your packet the life and
renaissance dental previous guest on this podcast he’s the author of a simple renaissance dental path to wealth and the Chautauqua in Ecuador is organized by a
woman named Cheryl the word Chautauqua means retreat and these Chautauqua’s draw heavily from
The fire community for example this year I will be there I’ll be in Ecuador or three weeks in November the first week I’ll be there with Vicki Robin and Tanya .
Hester Vicki is the grandmother of the fire movement she’s the author of your money or your life Tanya Hester is the author of the blog our next life and also.
A podcast host she hosts the fair sense podcast both of them are big names in the fire movement that week has already sold out in fact it sold out immediately and then
the second week that I’m in Ecuador I’m going to the Galapagos just for funsies and then the third week I will be at a Chautauqua with Lee from physician on fire and Steve from think save retire and I believe that there are still spots left for
that one so if you’re interested in that you can go to above the clouds retreats calm and send a message to Cheryl or just email her above the clouds retreats at hotmail.com.
because for some reason she still uses a hotmail address there are also Chautauqua events in Europe they’ve been held in the UK Portugal and Greece and as part of.
their speaker roster they’ve drawn from the guys from choose Fi Jonathan and Brad they’ve had Gillian John Surratt from Montana money adventures so they’ve had many people JT.
Roth you know they featured many of the names from the fire community as well of course the Chautauqua’s by their very nature because especially
humana dental come early you’ve been humana dental telling the coma oral you come tell them to come early and then all sudden they get a text or some electronic communication and now they’re being told to come at the time that .
They were originally scheduled for so I always take my patients and just stagger them by minutes so that the electronic communication they get always has
A minute earlier time to come in awesome yep now you mentioned lab case I don’t know if this is a good time to put it or not but we’re talking about the flow between.
The front that’s the focus today you have lab in there does that mean they have a lab case it’s in it’s not in that’s have always been an issue like Oh their lab case isn’t here and we don’t know until the morning huddle yeah so.
What I always did and again I’ve been usually go soft such a long time before that the lab tracker was then so
I would write stuff like li my lab and and ello for my lab out that was my original way of sort of tracking that kind of thing and then that way when I looked at my schedule I could automatically tell if my lab work was out or
I said that way insurance I have all of my documentation you know my big battle with the office I worked in was you know my doctor would always come up to the front and say hey did .
We get X back or whatever and I would have my my standard answer was go back to the operatory and click on the tooth you know it was because we you know.
We always had this this battle of did we get it back did we get it back and I finally said you know what why you keep coming to me sometimes I don’t remember if.
We got it back but I do know that our process is to scan it into the system and now it’s going to be part of the system what is that the the bottle that you.
There’s my implant bottle so assistance you know the assistants are always looking for that letter from that specialist and a lot of times you’re digging through smart doc or .
Whatever but through the internal camera we’ve just got a picture of my bottle so I can tell that that’s a brand mark . and now I can tell that you know if.
I have to go find a wrench we’ve got multiple implant systems and in the office then this is a great way to be able to see hey here is my implant system .
That we’re using it’s branagh mark I can see what size it is it’s serial number for it and then here’s my custom abutment label so I can see exactly.
what’s been happening with that it’s a brand mark I can see what size it is you know these are the kind of things that we go digging through smart dock for or if you’re still in a paper chart looking for this little tiny label someplace in.