In this episode, Ben Tuinei and Tessina Bullock explore the complexities of Medicare in dentistry. They discuss how dental practices unknowingly become credentialed with Medicare through PPO contracts and the importance of reviewing fee schedules. Tessina highlights changes in Medicare benefits for 2025, the challenges of treating Medicare patients on fixed incomes, and the lack of government support for provider disputes. They also cover out-of-network considerations and strategies for helping patients access care.
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Time stamps
- 00:01:39 – How are medicare contracts tied to PPO contracts?
- 00:04:46 – Can you enroll in Medicare plans under the same PPO agreements with the same fees?
- 00:05:44 – Should Medicare be continued or avoided after joining PPO plans at the same fees?
- 00:08:53 – What type of treatment do doctors see for Medicare subscribers?
- 00:13:13 – From an out-of-network perspective, how much does Medicare currently cover for out-of-network providers?
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