Page 40 - 2021 AGD ADVOCACY

What Does Expansion Potentially Mean for Dentists?

• Impact on commercial insurance reimbursement rates

• Confusion for patients

• Dentists will not be required to participate, but current rules

regarding enrollment and opting-out will apply.

• If a dentist opts-out of Medicare, they are permitted to contract

privately with Medicare patients to provide covered services.

• Each dentist would need to consider whether all their Medicare-

covered patients will be amenable to forgoing their Medicare

benefit and signing a private contract with them to pay out of

pocket.

• Medicare Advantage cannot pay claims to providers who have opted

out of Medicare once there is a core dental benefit in Part B.