Commercial Carriers include but are not limited to Blue Cross Blue Shield, Aetna, United Health Care and Cigna. If you would like to become an in-network provider, chose this option. Please keep in mind, there are no guarantees of successful enrollment and these fees are non-refundable.
Commercial Carrier Enrollment
Are you providing Oral Appliance Therapy for sleep apnea to your Medicare patients? In order to bill Medicare and have your patients use their Medicare benefits, you must enroll in Medicare as a DME supplier. Yes, dentists are considered DME or Durable Medical Equipment suppliers for the delivery of oral appliances. The process is long and tedious. Chose this option if you would like us to direct you and complete the application for your office. Remember, this does not include the fee you will owe Medicare which is currently $544. These fee’s are non-refundable.
Medicare Part B is required if you want to bill Medicare for office visits and X-rays. The oral appliance is paid as a global fee which means nothing but the appliance can be billed for 90 days. After 90 days, if you want to charge for any exams, you need to be enrolled in Part B. This is a long and tedious application. This fee allows us to do the paperwork for you. There is no additional fee from Medicare to enroll in Part B. This fee is non-refundable.
As of June 1st, 2015, all dentists must make a choice. We must enroll in Medicare Part B or opt out. If we do not do one of these options, anytime we refer a patient for testing or treatment or write an rx for any patient over the age of 65 or on Medicare, the patient will not have any coverage from their Medicare insurance plan. This option allows you to become enrolled in Medicare Part B as an ordering and referring provider only. This will allow your patients to use their Medicare benefits but you will not be able to bill Medicare for any exams or procedures. There is no additional fee from Medicare for this application. This fee is non-refundable.