Does Medicare Cover Dental Care?

About 17.8 percent of people in the United States in 2018 had a Medicare cover. Medicare is a health insurance program by the federal government for people 65 years and above, people with end-stage renal diseases, and young people with disabilities.

There are various types of Medicare plans that offer different services. The plans include Medicare part A, Medicare part B, and Medicare part D. The costs involved in getting benefits from the various techniques are due to whether there is a monthly premium, whether the Medicare plan has yearly deductions, among others.

Since not all Medicare Advantage plans cover dental care, you should well understand the different strategies regarding your medical needs before you sign up for one.

What Medicare Covers

The basic Medicare does not cover dental care activities such as teeth cleaning, x rays, fillings, and more. These services are, however, protected by the Medicare plan. Medicare plan A, also known as hospital insurance, can pay for the dental services you can get in a hospital. Part A can cover for inpatient needs and any complicated dental procedures that may arise.

Medicare Advantage Plans

Medicare Advantage plans can only be offered through private insurance companies after the government has approved them. Medicare advantage plans comes in numerous parts that help to cover certain services:

  • The first part of Medicare is called Medicare part A. Also known as hospital insurance, it covers inpatient stay in the hospital and access to hospice care.
  • Medicare part B is medical insurance that covers outpatient services, preventive services, and medical supplies.
  • Medicare part D, on the other hand, is coverage through drug prescription.

There is also Medicare Part C, which is a combination of Medicare part A and part B.

Dental services covered by Medicare

Before you join any Medicare advantage plans, you should understand the plan’s details well since the methods differ based on your location and your insurance company. Medicare Advantage plans cover dental services that include fillings, routine x-rays, teeth cleaning, and extractions.

Make sure to review all details of any Medicare Advantage Plan before you enroll. Plans may differ based on the insurance company and even your location. The number of services per year you can access and the costs involved should also be exact.

In case you need a dental procedure during a life-threatening condition, your Medicare will cover for that. Examples of such practices in the hospital may include a dental exam before a kidney transplant, radiation, or jaw reconstruction surgery. It is worth noting, however, that Medicare only covers for the hospital but not the surgery.

The daily routine checks ups of your teeth, among other services, are not covered by Medicare, though it will cover any dental use vital in protecting your health in general.

Costs Involved in the Medicare Advantage Plans

The amount you will pay for your Medicare Advantage Plans depends on various factors such as how often you need health care services and whether your plan provides any additional benefits which might require more premiums. As you analyze the costs, you should also get to know whether it has yearly deductions.

You can choose from whatever amount of premium plans is favorable to you. The Medicare advantage monthly average premiums are $144.60. Though part B 2020 monthly premiums are $144.60, the figure may vary with the level of your income. When the advantage plan has additional drug coverage, it’s average premium per month is $36.

Other Costs You Will Pay with An Advantage Plan

Even with additional benefits of routine vision, routine dental, and regular hearing, Medicare Advantage plans tend to have lower costs compared to original Medicare.

The Medicare advantage plan incurs costs in terms of premiums, deductibles, and copayments that you may pay from your pocket. In copayment, a certain amount of money is set for you to pay before getting a covered service.

Some of the services that will need your copayment include a visit to a specialist, an ambulance ride, prescription drugs, outpatient surgery, and inpatient hospital days. When you need to visit a primary care doctor, an emergency room, outpatient rehabilitation, and undergo a CT scan, you will also need to copay.

Where to Go for Dental Care

Private health insurance companies’ Medicare plans cover preventive dental care, gum disease treatment, among others, at a premium. Although not all the programs offer daily routine dental care, some offer additional benefits that cover vision, dental, and hearing.

Would you like a dental care plan? Contact us today for more information on Medicare plans on the same.