EP 83: Dilaine Gloege Teaches Me About Dental Medicare Advantage Plans

Where did all these Medicare Advantage plans come from? They’re great for seniors to be able to afford more dental care but they’re taking a lot of offices by surprise. I asked my friend Dilaine to break it down for you (and for me!) We throw around a lot of words like opt-in, enrolled and prescribing physician. They each have significant meaning and we will need to not only know them but to adequately explain it to our patients. I expect you’ll take plenty of notes – I know I did!

Quotes: 

• “Any provider who opted out of traditional Medicare is not eligible to receive benefits from a Medicare Advantage plan.”
• “It seems like everyone and their brother has a Medicare Advantage Plan.”
• “There is a lot of stuff with Medicare that does apply to the dentists that flies under the radar.”
• “We can dive into a deep black hole and stay there (to investigate Medicare Advantage), but office managers may not be able to do that.”
• Regarding customer service reps: “If it’s not on their list in front of them they will not know the answer.”
• “Be sure you have entered into a written private contract with that patient and I recommend doing that every two years, every time that renewal period comes up.”
• “If you have to listen to this again no one would blame you, this is not easy stuff.”

Don’t forget to check out my other podcast Chew on This – A Dental Podcast! 

Resources:

• CMS: Home – Centers for Medicare & Medicaid Services
• Who are the MACs (Medicare Administrative Contractor)?
• Example of a Medicare Advantage offering

Connect with Dilaine:

• Dilaine Gloege, CDA, CPC – Chief Claims Officer and Director of Education/Brand Management – Dental ClaimSupport – Dental Billing Company
• Dental ClaimSupport: Outsource Dental Billing for More Smiles, Less Stress
• Dental ClaimSupport – Facebook

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