CMS Rules for Opting Out of Medicare Advantage Plans

Until this year, CMS rules stipulated that if a provider opted out of Medicare, neither the patient nor the provider would get paid by a Medicare Advantage (MA) plan except for emergency or urgently needed services. However, as of January 1, 2022, the Medicare opt-out status no longer applies to supplemental dental services covered by dental insurance companies through MA plans, so providers who opted out of Medicare (and their patients) can still get paid by MA plans.

Learn more about our MA network at  floridabluedental.com/providers/our-dental-plans/medicare-advantage or email us at dentalproviderrelations@fclife.com.