As written on for AADOM’s Observer by Colleen Huff
WHAT IS A MEDICARE ADVANTAGE PLAN?
Medicare Advantage is a type of Medicare health plan offered by private companies that are Medicareapproved. They are considered an alternative to Original Medicare and cover all the expenses incurred under Medicare. They include the same Part A hospital and Part B medical coverage, but not hospice care. These are purchased by your patients in addition to their straight Medicare plan. These plans have expanded to include more comprehensive coverage vs. a bi-annual check-up and cleaning. Lack of dental coverage has consequences for our senior patients. Without coverage, many seniors tend to skip routine care as well as necessary treatment.
This has a negative impact on their overall health. Poor health exacerbates chronic diseases, including diabetes and cardiovascular disease. Periodontal disease treatment was not typically covered in the plans offered a few years ago. The expansion in coverage is now allowing for coverage that includes three to four perio maintenance cleanings along with SRP when necessary. Seniors who delay treatment tend to have more expensive needs later. Tenthousand people turn 65 every day. What does this mean to your dental practice? Forty-one percent of Medicare beneficiaries select a Medicare Advantage plan and this number is expected to increase in 2023.
Ninety four percent of these plans offer preventive dental and 93% now offer comprehensive dental.
How can these plans help MY practice?
- Increase your patient base
- Continued care for your seniors
- Make you top in your area for customer service
Knowledge of the types of plans being offered in your area is essential. Did you know that you can find out what is being offered even before the plans start in January? Go to medicare.gov and search your area.
Related Articles
Related
October News: Dental Insurance Is Changing – Is Your Practice Keeping Up?
21 new dental insurance reform laws. 14 states. One important reminder: your payer contract may not tell the whole story. Fall is here and many of you are looking towards the end of year and making plans to end the year strong. Feel free to check out my End of the...
Dental Insurance EFTs and ERAs: Get Paid Faster
ERAs and EFTs. What are they? Do you need both? How do they work with Dentrix? And, most importantly, are they really worth setting up?
Going Out of Network with Dental Insurance Carriers
Thinking about going out of network? Learn how to analyze PPO plans, review fee schedules, assess cash flow, and create a smart, phased exit strategy for your dental practice.