Last Updated on February 27, 2022 by Anne-Sophie Reinhardt
Only Medicare Part A and Medicare part B indeed cover dental implants. However, if you want to have dental implants coverage, you must purchase a Medicare Advantage Plan (also called Medicare Part C). This plan allows you to access Medicare Part A and Part B benefits.
Private insurance companies can also offer Medicare Advantage plans if they contract with Medicare.
How to get Medicare Cover Dental Implants?
Millions of Americans still experience tooth loss despite numerous advances in dental care. Tooth decay, injury, or periodontal disease could all be the causes. For many years, dentists and bridges were the only treatment options for missing teeth. Today, however, dental implants are now available.
What Are Dental Implants?
Dental implants are a procedure that replaces the roots of teeth with metal cylinders. These implants can be used as replacement teeth or as a foundation for natural-looking teeth.
After a thorough review of your medical history, dental implants can be performed. This involves a comprehensive dental exam and a treatment plan that suits your needs.
When you think about your dental health, the first thing that comes to mind is whether Medicare covers dental implants. This is a common question due to the high price of treatment. The answer is complicated because most dental procedures will not be covered unless there are complications or an emergency.
Things to Remember
- Dental implants are a root that supports the artificial tooth. It replaces missing or damaged teeth.
- Although Medicare Part A and B don’t cover dental implants, one can still get coverage through Medicare Advantage (Part C).
- Medicare does not cover dental treatment for unavoidable conditions, such as complications or an emergency.
- Medicaid and private dental insurance providers might cover dental implants.
- Some organisations offer discounts cards for their dental services.
- Visit the Medicare page for more information.
Dental Services that Medicare Pay For
In the following situations, Original Medicare will cover dental treatment:
- Accidental Damage – Jaw injuries can be a severe emergency and require immediate surgery.
- Disease – A condition that affects your teeth or gums. A dental checkup should be done before treatment to prevent or detect any potential problems. Once victim meets all the requirements, they are automatically eligible for Medicare Part A dental coverage. This is the hospital insurance section that covers inpatient hospital care. Part A pays for dental costs as long as the victim is in the hospital or treatment centres.
Medicare Part A – Does Medicare Cover Dental Implants?
Although it is not common to have dental implants done in a hospital, there are some instances when the hospital can cover some of the costs. Medicare Part A generally covers dental care and checkups, but not dental implants.
Also, Medicare may not pay for the dental implants you require if Medicare covers only a portion of your procedure or diagnosis. Sometimes, Medicare may pay only for hospital admissions and not dental care. It is crucial to confirm this with the hospital before you go.
Medicare Part D – Does Medicare Cover Dental Implants?
Medicare Part D offers prescription drug coverage provided by private insurance companies. The patient must purchase this coverage separately from the rest. Other limitations apply that do not apply to Original Medicare.
Private Medicare Part D covers any medication required for the particular situation. Before the procedure, it is a good idea to double-check your coverage under private plans.
Medigap Plans or Medicare Supplement Plans
Medigap plans cover fees such as deductibles or coinsurance payments. However, their plans don’t directly cover dental implant coverage. Medigap plans can cover Part A deductibles if a dental implant procedure takes place in a hospital.
Medicare Part C | Medicare Advantage
Medicare Part C, also known as Medicare Advantage, is a way to receive Medicare benefits through private insurance companies. This could include routine, prescription, and extended dental care. It is important to verify your exact location in order to determine if you qualify for any of the coverage plans.
Medicare Advantage plans can be purchased through private insurance plans. They may have limitations. Medicare Advantage plans may include coverage for dental implants. Many plans also provide routine dental care that could cover some aspects of the dental implant process. Using Medicare Advantage is more complicated than Original Medicare. Before making a decision, make sure you weigh all options.
Does Medicare Cover Dental Implants? Yes, But…
Original Medicare, which is Part A and part B does not cover routine dental services. This plan only covers essential dental services.
Medicare Part C is also known as Medicare Advantage coverage. This coverage provides additional benefits that Original Medicare does not cover. There may be other benefits beyond Part A or Part B. Therefore, make sure to review all options carefully.
Suppose you do not fall under these brackets to get Medicare coverage; it’s okay. You can find more information about 4 Best Insurance Plans Cover Dental Implants that provide dental implants coverage.