Skip to main content

Boost Medicare Advantage Satisfaction with Dental Excellence

Use personalization and connection to differentiate your health plan among Medicare Advantage members

Medicare Advantage is the fastest-growing line of business for many health plans, with enrollment growth of around 8% per year. And it’s a complex one. Medicare Advantage members represent a diverse range of life stages and needs, from individuals who are 65 and newly retired, to members who are in their 90s.
Health plans that recognize that offer a member-centric approach to dental will gain a distinct competitive advantage with this population. And while top-notch operations may not be the first thing that comes to mind when you hear the term member-centric, the caliber of your operational infrastructure and processes are pivotal in your ability to give members a personalized dental experience that improves their oral health.

Here are two ways you can harness the power of dental operational excellence to increase member satisfaction:

1. Leverage Technology to Make Dental More Personal

Many Medicare Advantage members are disabled, homebound and/or live in rural areas. Accessing dental care, including dental care can seem insurmountable. It’s no surprise that research points to Medicare members feeling frustrated and isolated.

While members’ comfort with technology may vary, emerging innovations can help some feel more connected to their oral health. These innovations can engage members in simple, personalized ways that help them reclaim a sense of control and encourage them to take actions that can improve their personal health. For example, individualized member portals that empower self-service and adapt based on a member’s background and behaviors are on the rise. Intuitive technologies like DentaQuest’s member portal or Find-A-Dentist tool enable members to access benefit information and locate providers on their own terms. Whether you are leveraging technology innovations to make it easier for members to access dental care, or simply to receive helpful appointment reminders, members always appreciate the opportunity to interact in a more personal way. 

Beyond self-service, customer service operations ensure members can easily reach dental benefits service representatives via real-time chat or live conversation. Whether a member needs help finding a dentist, resolving a provider issue, or managing any other needs related to their dental program, they should have 24/7, 365 online access, complemented by live-chat availability in their local time zone in accordance with CMS standards. This ensures that members always know they can connect with a friendly human service professional at their convenience.

2. Use Data to Deepen Member Connection

Choosing a Medicare Advantage plan can be a daunting. Once members select a plan, they typically value simplicity and personalized service. They expect their care to be tailored to their needs and delivered in the ways that will drive their best health outcomes. Members want to know that experts are helping them navigate their oral health based on their unique health preferences and priorities. 

Member data is invaluable in helping health plans to deepen member understanding and make more personal connections with their Medicare Advantage populations. Robust data analytics and reporting capabilities can identify important member behaviors and utilization patterns in real-time, adjusting dental support and services along the way to ensure members are receiving the highest quality care at the right cost. 

A world-class infrastructure tailored for dental benefits management is essential to ease the burden of gathering and processing the timely metrics you need to better serve your members. You should maintain a rich repository of information that helps in the understanding of everything from dental services utilization trends to operational updates on financial claims lag and patient counts. All member-facing systems should be tightly interconnected to capture interactions across portals and live conversations so your administrator can continuously connect the dots to deliver new member insights. 

While sophisticated systems and software have a critical role to play, this must be combined with a team of clinical experts who excel at converting program data into actionable knowledge. This team should provide you with in-depth reporting that can inform everything from diagnostic and preventive treatments that lead to better member health outcomes, to operational efficiencies that drive savings for your health plan. 

In the end, your ability to deliver an exceptional member experience relies on how well you understand your members and how closely connected you stay to their changing needs. The more robust your data and analytics capabilities are, the more rapidly you will be able to adapt key strategies, innovate new services and personalize member care plans to deliver the level of service and quality they expect.

Your Health Plan Differentiator

Whether you are leveraging the latest technologies to bring your members a more personalized experience or diving deep into data to better understand and anticipate their needs, dental operational excellence gives you the edge you need to differentiate your plan. 

Get in touch to learn how dental excellence can improve Medicare Advantage member satisfaction. One of our will share strategies that can help your plan stand out in the crowd.

About DentaQuest

DentaQuest, part of Sun Life U.S., is a purpose-driven health care company dedicated to improving the oral health of all. We do this through Preventistry® — our inclusive approach to quality care and expanded access built on trusted partnerships between patients, providers and payors. As one of the nation’s largest and most experienced Medicaid dental benefits administrators, we manage dental and vision benefits for more than 33 million Americans through a nationwide network of providers in all 50 states. Our outcomes-based, cost-effective dental solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. At the same time, we are expanding our footprint of more than 70 oral health centers in six states to deliver direct patient care in rural and underserved populations. Follow us on Facebook, Instagram, LinkedIn, and Twitter.


Preventistry Pulse


The newsletter designed for anyone who wants to improve oral health for themselves, their families, customers or communities.