It’s a straight answer that Medicare does not cover that majority of routine dental care such as extractions, fillings, cleanings, oral exams, and dental appliances, including dentures. However, in some cases you can be covered for oral exams and extractions if they happened to be related to the covered procedure.
For instance, Medicare may cover oral exams if they’re part of a pre-op exam prior to a heart valve replacement or getting kidney transplant surgery. You will also be covered for teeth extractions when they are necessary to prepare your mouth for radiation such as in treating oral cancer. But, Medicare won’t cover dentures or fittings for dentures you may need after the tooth extractions. Typically, you have to pay the full cost for dental care and dentures.
Medicare Part C coverage of dentures
There are Medicare Advantage plans that cover additional benefits that Original Medicare does not cover. Also known as Medicare Part C, this program offers an alternative way to get your Original Medicare benefits.
Medicare Advantage plans are available through private insurance companies that are approved by Medicare and are required to offer at least the same level of coverage as the federal program. However, many Medicare Advantage plans offer coverage which is beyond Original Medicare. This may include dentures and routine dental services. Since coverage can vary from plan to plan, always double-check with the Medicare Advantage plan you’re considering to see if a specific benefit is included.
Alternative ways to pay for dentures
If you do not have a Medicare Advantage plan, you may have other ways to pay for the costs. Bear in mind that the options below are separate from the Medicare program.
Medicaid
Dental services and dentures may be covered by Medicaid in your state. Medicaid projects are state-run, and individual states are allowed to grow their projects past government rules. Dental care and dentures are discretionary advantages, so not each state covers them. In the event that you have constrained salary and fit for Medicaid, contact your state’s Medicaid office to learn if dentures are covered.
Dental insurance
Many significant restorative wellbeing arranges incorporate dental scope, but stand-alone dental plans may likewise be accessible in your state. These plans typically cover oral exams, cleanings, X-rays, fillings, and other preventive dental care. Plans may also help with a portion of the expenses for oral surgery, implants, and dentures. Benefits will vary by plan, so check with the specific plan for more details. You can start browsing dental plans in your location using eHealth’s plan finder tool.
Dental schools
Some dental schools may run minimal effort facilities as an approach to offer back to the community and prepare dental practitioners. Discover dental schools close to you and see if programs are available in your location.
Dental Lifeline Network
This program offers free dental services to vulnerable groups who cannot afford care, including the seniors and disabled individuals.
Community health clinics
Local community centers may provide dental services for low-income individuals. The National Council on Aging and Eldercare Locator can help you find resources for seniors in your area.