Dental services are not typically covered by Original Medicare. However, many Medicare Advantage plans offer coverage for dentures as an added benefit. Medicare Advantage plans are add-ons to traditional Medicare plans, known as Parts A and B. These supplemental plans are optional and open to people age 65 and older, as well as people with a qualifying disability.
In most cases, you must pay 100 percent for uncovered dental services, including dentures. However, Medicare beneficiaries can still enroll in a stand-alone dental plan that does provide coverage for dentures. Some Medicare Advantage plans may also offer additional benefits, such as eye, hearing and dental coverage. In these cases, Medicare will cover the costs of hospitalization (including room and board, anesthesia, and x-rays).
It will not cover the dentist's fees for treatment or the fees of other doctors, such as radiologists or anesthesiologists. Most Medicare Part C plans cover basic dental care, such as exams, cleanings and fillings, and more comprehensive procedures, such as root canals, tooth extractions, crowns and dentures. This is because a Medicare supplement plan is intended to supplement Medicare coverage, which means offsetting the costs of services already covered by Medicare, not services not covered by Medicare. Some Medicare Advantage plans and other Medicare-related insurance or savings plans may offer options to help pay for dentures or other dental services.
If you have a health condition that requires an emergency tooth extraction as an inpatient in the hospital, it may be covered by Part A. However, while Original Medicare covers hospital and doctor visits, it generally doesn't cover most dental care. To provide an extra level of protection, some Medicare Advantage plans can be combined with a dental insurance plan. Medicare beneficiaries should consult their Massachusetts plan or insurance company for specific information about their dental coverage.
Unless you have separate dental insurance in addition to Medicare or have a Medicare Advantage plan that includes dental coverage, all of this is out of your pocket as well. In conclusion, while Original Medicare does not cover dentures or other dental procedures, many Medicare Advantage plans offer coverage to help pay for dentures as an added benefit. Additionally, some Medicare Advantage plans may also offer additional benefits such as eye, hearing and dental coverage. It is important to consult your Massachusetts plan or insurance company for specific information about your dental coverage.