It might come as a surprise to learn that Medicare doesn’t provide coverage for most dental procedures. This means that anyone who relies on Medicare Part A or B for their healthcare could be left paying out of pocket after undergoing a dental procedure. We’ll take you through what’s covered under Medicare, what’s not, and what your alternative options are:
Does my risk of dental problems increase as I age?
As you get older, it becomes easier to neglect your oral health:
This means that as you age, dental coverage is a critical part of protecting your overall physical health.
What services aren’t covered by Medicare?
So, which dental procedures aren’t covered by Medicare?
What dental services does Medicare cover?
Now, let’s explore the dental services which are covered under Medicare. Essentially, if you need dental care to protect your general health, or if a medical procedure is dependent on dental care to be successful, Medicare will cover it.
So, in which situations would Medicare cover your dental health?
Remember, even if Medicare does pay for these dental procedures, it won’t provide coverage for any follow-up care that you might require. You will need to pay the entire cost of the follow-up treatment yourself.
However, Medicare will provide coverage for some hospitalizations arising from dental health. For example:
In these situations, Medicare will cover the costs of your hospitalization (room and board, x-rays, and anesthesia), although you’ll still have to pay the fees incurred by your dental treatment.
What’s covered by Medicare Advantage (Part C)?
If you’re enrolled in a Medicare Advantage plan (a type of Medicare health plan offered by private companies), your dental care options are much more extensive. Many Medicare Advantage plans cover basic dental services, such as x-rays, oral exams, cleanings, and fillings, along with major services such as crowns, tooth extractions, and oral surgery. However, coverage does vary from plan to plan, so it’s best to check to see exactly which services are available.
What can you do if your dental procedures aren’t covered?
So, what are your options when Medicare won’t pay for your dental care and you don’t have a Medicare Advantage plan?