{"id":7629,"date":"2017-04-10T09:05:12","date_gmt":"2017-04-10T14:05:12","guid":{"rendered":"https:\/\/digitalblogs.wpengine.com\/?p=7629"},"modified":"2019-09-30T18:53:39","modified_gmt":"2019-09-30T23:53:39","slug":"new-active-duty-military-dental-plan-takes-effect-may-1","status":"publish","type":"post","link":"https:\/\/www.cainwatters.com\/digitalblogs\/new-active-duty-military-dental-plan-takes-effect-may-1\/","title":{"rendered":"New Active-Duty Military Dental Plan Takes Effect May 1"},"content":{"rendered":"<p>A new Tricare Dental Plan will have active-military, National Guard, Reserve members and their families switch from MetLife to United Concordia on May 1. The contract negotiations expand some of the benefits for military families \u2013 however, dental providers may see adverse effects to their bottom line.<\/p>\n<p>The <span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https:\/\/www.unitedconcordia.com\/dental-insurance\/home\/TRICARE-contract\/\" target=\"_blank\" rel=\"noopener noreferrer\">five-year United Concordia contract<\/a><\/span> could have a negative impact on practice collections. For one CWA pediatric client, the numbers are startling.<\/p>\n<p>An analysis was done by pulling the total procedure counts for the last 12 months for all Tricare patients. It was determined their Usual and Customary Rate (UCR) \u00a0fees for those procedures were about $1,175,000; MetLife reimbursed about $1 million and United Corcordia will pay them about $430,000.<\/p>\n<p>If broken down even further, the average hygiene appointment for this particular pediatric practice at UCR fees is $350, MetLife paid them about $300, United Concordia Insurance will pay $128.<\/p>\n<p>\u201cThis is going to affect about 30 percent of his practice\u2019s patients, I have some clients where it will effect closer to 70 percent,\u201d said Brenda McNulty, Chief of Pediatric and Orthodontic Development at Jameson Management. \u201cIt\u2019s more or less something they need to be aware of, and make their decision carefully. I would recommend their accounting team and business advisors look at the numbers to see what kind of impact it will have on the practice.\u201d<\/p>\n<p>If offices are already accepting United Concordia, they will automatically be enrolled in this military contract unless they opted out by April 1. However, dentists can opt in or opt out at any time.<\/p>\n<p>Steven Anderson, Founder and President of Total Patient Service, said practices should consider these three items when making their decision to opt in or out of the network:<\/p>\n<ul>\n<li><strong>Total number of patients<\/strong>: \u201cHow many patients does the practice have that will be impacted?\u201d Anderson said. \u201cHow a practice approaches this issue may be determined by that percentage. There is some math to be done here so that is why it needs to be done carefully.\u201d<\/li>\n<li><strong>Survey both options<\/strong>: \u201cIn the many practices that have faced similar issues, we have been able to go in and optimize their coding and billing and often find that there are huge opportunities for improvement even if they do stay on the plan,\u201d he said. \u201cIf you look at things differently, you can get a different result.\u201d<\/li>\n<li><strong>How to communicate<\/strong>: \u201cWe typically recommend discussing this with patients verbally over the phone or face-to-face when they are in the office,\u201d he said. \u201cThe verbal skills here are essential if the goal is to retain the patient.\u201d<\/li>\n<\/ul>\n<p>About 1.8 million people are currently enrolled in Tricare Dental Plan through MetLife, <span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https:\/\/www.unitedconcordia.com\/dental-insurance\/home\/TRICARE-contract\/\" target=\"_blank\" rel=\"noopener noreferrer\">according to United Concordia<\/a><\/span>. Military retirees and their families are covered separately by Delta Dental, <span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https:\/\/www.military.com\/daily-news\/2017\/01\/30\/expanded-tricare-dental-coverage-hits-may-1.html\" target=\"_blank\" rel=\"noopener noreferrer\">which is a separate contract<\/a><\/span> and will not be affected.<\/p>\n<p><span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https:\/\/www.military.com\/daily-news\/2017\/01\/30\/expanded-tricare-dental-coverage-hits-may-1.html\" target=\"_blank\" rel=\"noopener noreferrer\">To learn more about what the change means for active-duty military families, National Guard and Reserve members, click here<\/a><\/span><strong><span style=\"color: #0000ff;\">.<\/span><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A new Tricare Dental Plan will have active-military, National Guard, Reserve members and their families switch from MetLife to United Concordia on May 1. The contract negotiations expand some of the benefits for military families \u2013 however, dental providers may see adverse effects to their bottom line. The five-year United Concordia contract could have a [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":7630,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[29],"tags":[],"ppma_author":[48],"class_list":["post-7629","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>New Active-Duty Military Dental Plan Takes Effect May 1 - Cain Watters Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.cainwatters.com\/digitalblogs\/new-active-duty-military-dental-plan-takes-effect-may-1\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"New Active-Duty Military Dental Plan Takes Effect May 1 - Cain Watters Blog\" \/>\n<meta property=\"og:description\" content=\"A new Tricare Dental Plan will have active-military, National Guard, Reserve members and their families switch from MetLife to United Concordia on May 1. 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