Update from Insurance Committee

Glenn Maron, DDS

Please take note that as of June 1, 2015 all dentists will be required to either opt in or opt out of medicare. If you elect to opt out you must enter into a private contract with all medicare patients that you see in office. If you opt in, you must accept whatever payment you receive for services in your office. Below is a reprint from the ADA for several common questions.

Q. What happens if I choose not to do any of the above?

A: If you choose to do none of the above, your Medicare eligible patients will have their prescription drug coverage denied for the prescriptions you write.

Q: When does this new regulation take effect?

A: This new regulation takes effect June 1, 2015.

Q: When does a private contract need to be signed?

A: When a patient wants to receive a Medicare-covered service and understands that the dentist has opted out of the program and is willing to pay out of pocket, a private contract should be signed. A private contract is not necessary for the patient to be eligible to receive Part D prescription drug reimbursement prescribed by a dentist who has opted out of the program.

Q: Where can I find additional information on the Medicare program, both enrollment and opting out?

A: For information on how to enroll in or opt-out of Medicare, please visit:
http://success.ada.org/en/practice/medicare