Does Medicare Cover Dental ?

by Staff

Medicare presents a very confusing platform to the different types of covers presented by Medicare. If your focus is on oral health, it is crucial to note the available options. If Medicare does not cover oral health, it is also essential to know the options available for you. Initially, Medicare did not cover a big part of dental care.

Suppose you are looking to have a regular dental care session, like the extractions, x-ray, dentures, dental filling, among others. Medicare does not cover such medical procedures. However, there are other ways to obtain such services in Medicare under different types of Medicare plans says Clearmatch Medicare. Therefore, this only means that Medicare does not offer routine oral health services.

You can get an oral health plan with Medicare. Therefore, this means that you can pay for an oral examination, dental care, and cleanings. However, this option is the best as it offers more benefits with the oral health plan. Medicare helps you make the best decision regarding oral health and explains how and when Medicare offers dental services.

Medicare Dental Care Coverage

As we have noted above, Medicare does not cover regular oral health sessions. However, they have some exemptions like required dental care when someone is ill and under hospital stay. Here are some cases when Medicare may cover your dental health.

  • Medicare will cater to tooth extraction when your doctor recommends removing a tooth before radiotherapy, before heart surgery, among other covered health procedures.
  • If you are involved in an accident and your jaw is fractured, Medicare will cater for the surgery to fix the bone structure in your jaw and repair any damaged teeth.
  • You may get dental care coverage if you require any oral health procedure due to oral cancer or any other illness covered by Medicare.
  • Other complicated oral health procedures are performed in hospitals. However, such practices can be determined when Part A or B covers them, although they are determined whether you are an outpatient or an inpatient.

Part A

In cases where you may require any necessary dental care session to help treat another medical condition, Medicare will help you get a cover under Part A only if you are an inpatient.

Part B

In cases where you require necessary oral health care services and you are an outpatient, Medicare will cover the dental session under Part B.

Part C

Advantage plans covered by Medicare are provided by private organizations that Medicare has approved. However, these plans are alternatives to the original Medicare services. Thus, they pay for procedures that are not covered by Part A and B. With Part C, you are required to spend every month that is also known as coinsurance payment.

It is also essential to confirm if there is an inclusion of a dental plan for the covered services. To ensure that your Medicare Part C covers the oral sessions, you should inquire from the representatives from your insurance company or carefully read the documents you received after you enrolled in your medical insurance plan.


Medigap insurance medical plan helps you access deductible services that the Original Medicare covers. However, in most cases, Medigap does not cover extra services like oral health procedures.

How to Get a Dental Cover When Medicare Does Not Include One

Various dental programs may help you acquire oral health care without any dental coverage.

  • Some dental schools provide dental treatment, although their services are offered at a reduced cost.
  • With the help of an online tool called Brighter, one can access all the self-pay dental prices. Hence, you can get pre-negotiated oral health rates.
  • You can also get a separate dental plan from any other insurance company. There are different types of oral health plans one can choose. The basic plans provide preventive oral health services at low monthly payments. At the same time, the elaborate plan offers comprehensive coverage with a little higher monthly payment.
  • For anyone with a low income, oral health care services are offered at low fees charged at all community health care centers.
  • You can also check in with your State’s health department. They may have good information regarding where and how you can get dental services at a low cost.
  • Some of the dentists offer payment plans to their patients. It means they offer low initial payment rates. These types of interest rates may reach the credit card level after the introduction level is over.
  • Some people may decide to have their oral health services in foreign countries, finding it cheaper even after considering the travel cost. Anyone would go for less expensive dental health care.
  • Before attaining the age of 65, you should consider getting a healthcare savings account. However, once you enroll with the Medicare plan, you cannot contribute to the funds. Instead, you can use your savings to pay for the covered expenses that include dental care.

Dental health is a vital part of leading a healthy life. If you are looking to get dental coverage under Medicare insurance, another Medicare plan may offer basic oral health coverage. There are varieties of stand-alone oral health plans you can consider. Ensure to read the details of any dental health care plan before enrolling.

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The New Jersey Digest is a new jersey magazine that has chronicled daily life in the Garden State for over 10 years.

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