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| 1. |
What
is the approximate total number of times that
you and your dependents have used this plan since January ?
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If None, Select Button on Left
1
2-4
5-6
>6 |
| 2. |
Please indicate the reason(s) for having utilized the plan? |
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routine
checkups
preventative
care (filings, periodontal work, etc.)
major care
(crowns, inlays, onlays)
orthodontic work for child under 19
orthodontic work for adult
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3. |
How would you rate your experience with the Delta Premier plan with regard
to claims processing, plan coverage, extent of network, customer service,
etc ?
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a. Very
Satisfied
b. Somewhat
Satisfied
c. Somewhat
Dissatisfied
d. Very
Dissatisfied
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| 4. |
If you answered "c" or "d" to the previous question,
please indicate the nature of the problem(s) that you have experienced.
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Provider not in network
Utilizing services at eyewear providers
Coverage not as expected
Claims not paid in timely manner
Claims denied
Customer Service was not helpful or "knowledgeable
Other: Please explain in the Comments
field below
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| 5. |
Approximately how much of your own time was spent on resolving the problems
you experienced ? |
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Less than
1/2 hour
1/2 to
1 hour
1 - 2 hours
More than
2 hours
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| 6. |
How were the problems ultimately resolved ?
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Provider's
office handled it.
Assistance from Delta Premier Customer Service Line
Assistance from HR
Numerous calls and people involved (self, Customer Service, HR, etc.)
Still unresolved
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Send survey to AZ Human Resources.
Clear all fields and start over. |
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