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WHAT: Lunch & Learn Webinar Series - a space where we explore practical topics to help us grow both professionally and personally.
This month’s session is titled: Say It Right: SBI Feedback Plus AI
WHEN: Thursday, August 21 at 2:00-2:30 PM PST

Join us for a 25-30 minute webinar where you’ll learn how to use the SBI (Situation-Behavior-Impact) model to give and receive better feedback and discover how AI tools like ChatGPT can help you practice and refine your approach.

This session is open to everyone, whether you're leading a team, working cross-functionally, or simply want to improve how you communicate. This session is for you.
Click here to register.

MAXIMUM BENEFITS

Solutions
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benefit
Benefits
covered percent
deduct
deductible
family
individual
maximum benefits
met
percentage
remaining term
rollover policy
  • Description

    Please read the resource and feel free to ask if you have any questions. Thanks!
   
 
   
C2s2
  • A – Maximum Benefits information
    • Maximum Benefits – this is the amount that can be spent in one calendar year or fiscal year plan when procedures are done
      • example: a plan may have $1500 per calendar year or fiscal year
      • this plan may be expended within one year plan
      • once all of the funds are used up because of dental treatment, then it will be maxed out
      • when the new year plan comes, the maximum benefits will be replenished back to $1500
    • Remaining – this is the amount left from the maximum benefits after some procedures are already performed
      • example: if the plan has a maximum benefit of $1,500, and the treatments have used up $500, then the remaining amount would be $1,000
      • when calling the CSR, most of them mention both the amount used and the remaining amount
    • Term – This could be the calendar year, fiscal year, or month to month
    • Start of the fiscal year – if the plan is on a fiscal year, when you should take note of the beginning of the plan
      • January is 1, February is 2, March is 3, May is 4, and so on
 
  • Deductible information – deductible is an amount that the patient has to pay within the whole year plan – this could be paid in portions
    • Individual – this is the individual deductible or the deductible for the patient’s individual account
    • Met $ - the amount already paid by the patient
    • Family – this is the deductible for the patient’s family account; each member of the family account shares this deductible  
    • Met – the amount already paid under the family account
 
  • Rollover on Policy:
    • Yes or No
 
  • Percentage covered for procedures – insurance plans usually do not pay 100% for the same procedures. Procedures are classified under preventive, basic, major, periodontics, endodontic and oral surgery (OS). Each of these procedures is paid differently.
      • For example, preventive procedures may be paid 100%, basic procedures may be paid by the insurance at 80%, the insurance may pay 50% for the major procedures, and so on