Does Medicare Cover Dental Implants?

Does Medicare Cover Dental ImplantsDoes Medicare Cover Dental Implants

Does Medicare Cover Dental Implants? Overview

How to get Medicare to pay for dental implants? – Well, there are several people who are wondering the same. They are looking for opportunities to get Medicare dental coverage for dental implants and routine services.

The truth is that no original Medicare that is Medicare Part A and Medicare Part B cover dental implants. However, if you still want dental implants coverage, you must acquire a Medicare Advantage Plan (also known as Medicare Part C) that offers ways to avail Medicare Part A and Part B benefits. Medicare Advantage plans are also available with private insurance companies that contract with Medicare.

Does Medicare Cover Dental Implants

Does Medicare Cover Dental Implants

How to get Medicare to Pay for Dental Implants? – Medicare and Dental Implants

Despite numerous improvements in dental care, millions of Americans still suffer tooth loss. The cause could be tooth decay, injury or periodontal disease. For many years, the only options of treatment available for missing teeth were dentures and bridges. However, today, dental implants are available.

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What Are Dental Implants?

A dental implant is a surgical procedure in which the roots of the teeth are replaced with metal cylinders. These implants serve as artificial teeth, providing a strong foundation for removable replacement teeth with the same function as natural teeth.

Dental implants are conducted after an extensive review of medical history. It involves a thorough dental examination and treatment plan catering to your needs.

While thinking about the health of your teeth, the first question that strikes your mind must be: does Medicare cover dental implants? Well, this question is common due to the high cost of treatment. Unfortunately, the answer is a bit complicated as most of the part of the dental procedure will not be covered unless there is some complication or emergency.

Key Takeaways

  1. A dental implant work as a root for the artificial tooth. It is a procedure that replaces damaged or missing teeth.
  2. Though Medicare Part A and Part B do not cover dental implants, still one can obtain coverage through Medicare Advantage (Part C).
  3. Medicare only covers dental treatments under inevitable conditions in the event of complications or emergency.
  4. Medicaid and other private dental insurance providers may cover dental implant procedures.
  5. There are some organizations that can offer discount cards on their dental services to the recipients.
  6. For more information, visit https://www.medicare.gov/what-medicare-covers/
Does Medicare Cover Dental Implants - Medicare Part C

Does Medicare Cover Dental Implants – Services Covered by Medicare

Does Medicare Cover Dental Implants? – Services Covered by Medicare

Original Medicare will cover necessary dental procedures under the following circumstances:

  1. Accidental Damage – Accidental damage to the jaw is a case of an emergency that requires immediate surgery.
  2. The emergence of Disease – A disease that affects your gums or teeth. A dental checkup is warranted before the treatment to prevent and detect a condition that can threaten the procedure. After meeting the conditions, the victim automatically becomes eligible for dental coverage through Medicare Part A. It is the hospital insurance portion that provides inpatient hospital care. As long as the victim stays in the hospital of treatment centers, Part A covers dental procedures costs.

Medicare Part A

Though it is rare to get dental implants done in the hospital, some part of care can be covered in the hospital setting. Generally, Medicare Part A covers some dental checkups and dental care, notably before a heart valve replacement or a kidney transplant; however, it will not apply to the dental implant procedure.

Additionally, getting part of your diagnosis or procedure does not necessarily ensure that Medicare will pay for dental implants you need. It might also be possible that Medicare pays only for hospital admittance without covering dental care. Therefore, it is important to double-check this with the hospital beforehand.

Medicare Part D

Medicare Part D provides you with prescription drug coverage offered by private insurance companies that have to be bought separately from the rest of Medicare. It is subject to other limitations that don’t apply to Original Medicare.

The private Medicare Part D covers the required medications specific to the situation or a pain relief medication following the procedure. It has been recommended to always double-check your coverage with private plans before the procedure.

Medigap Plans or Medicare Supplement Plans

Medigap plans are private insurance plans, covering fees like deductibles and coinsurance payments. Medigap plans do not directly help with dental implant coverage. However, Medigap can help cover the Part A deductible when a dental implant procedure is done in a hospital.

Medicare Part C or Medicare Advantage

Medicare Part C or Medicare Advantage is a way to get Medicare benefits through a private insurance company. It may include routine dental, prescription drugs, and dental plans. However, it is worth checking your location for the offered coverage plans as they may vary from one place to other.

Medicare Advantage plans are given through private insurance plan and may involve limitations. Some Medicare Advantage plans cover dental implants, and many plans provide routine dental care, which may cover parts of the dental implant process. Therefore, using Medicare Advantage can be complex than Original Medicare. Make sure to weigh your options before making a final decision.

Does Medicare Cover Dental Implants - Acquire Medicare Advantage Plan

Does Medicare Cover Dental Implants – Cover Additional Benefits

Does Medicare Cover Dental Implants – Conclusion

Original Medicare that is Part A and Part B doesn’t pay for routine dental services. The only dental services covered by Original Medicare are essential parts of a Medicare-covered procedure. So, if you are still wondering how to get Medicare to pay for dental implants – here is the answer. You might want to look into Medicare Part C, also called Medicare Advantage coverage. It covers additional benefits that Original Medicare doesn’t cover. However, additional benefits beyond Part A and Part B may vary; therefore, carefully check all available options.

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About the Author

Abigail Friedland
I am a medical student who dedicated herself helping individuals and non profit organizations for finding medical grants for medical bills, medical treatment, medical education, research and medical equipment.

1 Comment on "Does Medicare Cover Dental Implants?"

  1. I live on 1096. Soc sec. I had caps on all my top teeth yrs ago. In the last yr all of them but 2 caps have broke off at the gum line. My medicate doesn’t cover imPlamts it’s 2000. a yr but it only pays 50% on extractions and I have 7 @ 75. To pay for and now my bottom teeth are real loose cause I have gum disease. I can’t pay 12000. Out of my monthly ck I can’t cover my bills now. Can you tell me where I can get help right away.

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