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FYI

Dentist blog from Delta Dental

Get to know Medicare Advantage

Every day for the next decade, about 10,000 Americans will turn 65. It’s estimated that by 2030, approximately 18% of the nation’s population will be 65 or older.

This means that every single day, more and more people become eligible for insurance coverage through Medicare and can purchase supplemental Medicare Advantage dental plans through approved vendors like Delta Dental. If you want your practice to serve this growing population of patients, joining Delta Dental’s Medicare Advantage network is the perfect place to start.

Why should you join Delta Dental’s Medicare Advantage network?

Joining Delta Dental’s Medicare Advantage network can provide a substantial boost to both attracting and keeping patients:

  • Enrollment in Medicare Advantage has more than doubled over the past decade, and enrollment continues to increase by as much as 9% a year.
  • Most Medicare Advantage groups offer a closed-panel benefit package. This means patients covered under these plans must see a dentist contracted in the Medicare Advantage network.
  • When you join our network, you’ll appear in our online Medicare Advantage directory, which can help new patients find you.
  • Being part of Delta Dental’s Medicare Advantage network can help you keep your existing patients as they reach age 65 and become eligible for Medicare.

What if you’ve already opted out of participation in Medicare?

You can still join our Medicare Advantage network.

Rules that prohibit payment to providers who have opted out of participation in Medicare don’t apply to supplemental benefits like dental, according to the Centers for Medicare & Medicaid Services (CMS). The policy became effective on January 1, 2022. Even if you’ve opted out of Medicare through CMS, you can still join the Delta Dental Medicare network and provide services to our Medicare Advantage members.

What about non-covered services?

If you’re contracted with Medicare Advantage networks, you can charge Medicare Advantage patients for any non-covered service. Members must simply give informed consent so they are aware of any out-of-pocket costs.

How do you join Delta Dental’s Medicare Advantage networks?

If you’re interested in joining, all you need to do is send us an email.

Email ProviderConcierge@delta.org for the DHMO Medicare Advantage network and medadv@delta.org for the PPO Medicare Advantage network. We’ll email you an application.