With the increasing dental care costs, people would like to get coverage. Especially, Medicare beneficiaries often ask whether it covers dental implants and dental care costs. Let us discuss whether Medicare pays for dental needs and how Medicare beneficiaries can obtain dental coverage.
Does Medicare cover Dental Costs?
Traditional Medicare, administered by the federal government, doesn’t cover most routine dental care, procedures, or supplies, including cleanings, tooth extractions, fillings, and dentures. Thus, beneficiaries have to pay the total cost of these services. Nonetheless, Medicare Part A, responsible for hospital stays, skilled nursing facilities, and hospice care, covers specific medical and dental services provided during a hospital stay.
Does Medicare Advantage cover Dental Care?
Medicare Advantage, also known as Part C, is an alternative to Original Medicare that provides services not covered by Original Medicare, including vision, dental, and hearing coverage. However, not all Medicare Advantage plans cover dental costs, so beneficiaries must carefully read their plan’s details to know what it covers and does not cover.
What Comes Under Medicare Dental Coverage?
Generally, Medicare Advantage provides three types of dental coverage:
- Direct Member Reimbursement Allowance: You have to pay for your dental care upfront, and later, you can submit receipts for reimbursements (up to a limited amount).
- Network: Covers preventative services, such as dental cleanings and X-rays.
- Optional Supplemental Benefits: You can purchase dental benefits coverage at an additional cost.
How Much Will It Cost for a Medicare Advantage Plan That Includes Dental Coverage?
Medicare Advantage plans, and their associated dental coverage costs vary based on age and location. Some plans offer a $0 monthly premium, while others come at a cost. For example, in eastern Pennsylvania, Medicare Advantage plans premiums range from $0 to $302 a month. In contrast, in the Los Angeles area, they range from $0 to $397 monthly.
Do Medicare Supplement Plans cover Dental Care?
Medicare Supplement or Medigap plans don’t directly cover dental care. However, they help offset out-of-pocket costs like coinsurance, copayments, and deductibles. Some insurance companies that sell Medigap plans may also offer a dental or vision package for an additional premium.
Does Medicaid cover Dental Care?
The dental coverage offered by Medicaid varies depending on state and age. Medicaid is mandated to provide children with dental coverage, but each state determines which dental benefits the adult beneficiaries are entitled to. While most states provide emergency dental services coverage for adults, only a portion currently offer comprehensive dental coverage.
The Best Dental Insurance for Senior Medicare Enrollees
The best dental insurance plan for seniors on Medicare depends on individual needs and preferences. Beneficiaries should consider their network size, budget, and benefits that address specific dental issues. You can compare plans, coverage limits, customer satisfaction ratings, and more to settle for the best one.
Enrolling in Medicare Plans with Dental Coverage
Enrollment in a Medicare Advantage plan can be done during open enrollment or when you first become eligible for Medicare. Medicare’s plan comparison website allows beneficiaries to see which plans they are suitable for and whether they have dental coverage. If you missed the Medicare enrollment period, you can enroll in a Medigap plan that can be done anytime annually.
Cover Your Dental Needs with Our Medicare Plans
At Medicare Advisors, we provide a range of Medicare plans that include dental coverage. Our offerings encompass Medicare Advantage, Medigap, and Medicaid plans. Whether you require routine dental care or comprehensive coverage, we have the right plan to meet your dental care needs. Contact us today to explore the options and find the Medicare plan that suits you best. You can also reach out to us by calling at (702) 803-8163. Experience the peace of mind that comes with having dental coverage through our trusted Medicare plans at Medicare Advisors.