Best Oral Surgeons That Accept Medicare (2023)

Dental and medical insurance are usually very clear-cut in what they cover. Dental does teeth, and medical does the rest of you. However, one area that people get confused about is oral surgery. Is it covered by dental insurance or health insurance?

Medicare doesn’t usually cover anything that has to do with your teeth and gums, so it can be difficult to find a dentist or oral surgeon that accepts Medicare. However, there are a few instances when Medicare covers dental work.

If you’re wondering, “Is there a Medicare dentist near me?” you might have to shop around, but you should be able to find one.

Oral surgeons that accept Medicare can help you through your severe tooth, gum, and jaw conditions. Enter your ZIP code in our free tool today to get an idea of what quotes might look like for you.

Oral Surgeons That Accept Medicare

Medicare provides coverage to eligible Americans for medically necessary procedures. This includes surgery, medicine, routine check-ups, and anything else you need to keep you healthy. It’s important to find the best clinics that accept Medicare when looking for a doctor. 

However, dental coverage is not covered by original Medicare. You can opt for more coverage with Medicare advantage, which sometimes adds dental to your plan. The more coverage you add to your Medicare plan, however, the more you’ll pay.

Medicare does provide coverage for certain dental procedures, though. As long as your doctor signs that the procedure is medically necessary, Medicare will cover you.

Oral surgeons work almost exclusively with dental insurance, so it can be difficult to find a dentist that takes Medicare and Medicaid. In fact, it can be a struggle to find a dental doctor that accepts even the best insurance companies at all.

Before you schedule a procedure, you should call your preferred doctor and ask if they accept Medicare. While you have them on the phone, ask about how much your care will cost. Rates for oral surgeons that accept Medicare can vary greatly.

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Does Medicare cover medically necessary dental work?

If you’re looking for affordable oral surgeons that accept Medicare, know that Medicare does cover several types of dental care.

If you’re trying to figure out if your dental needs will be covered, consider the difference between medically necessary and what falls exclusively in the realm of dental insurance.

Procedures that Medicare will cover as long as it’s medically necessary include:

• Tooth extraction before an organ transplant
• Reconstructive surgery after traumatic injury or tumor removal
• Tooth extraction before radiation treatment

There are more dental procedures that aren’t covered by Medicare than procedures that are.

Medicare doesn’t cover:

• Fillings
• Cleanings
• Routine x-rays
• Extraction of an infected tooth
• Tooth replacement and dentures

If you think you qualify for Medicare coverage of a dental procedure, you’ll need a doctor to explicitly say the procedure is medically necessary. Are dental implants covered by Medicare? This depends on the dental insurance plan you have through Medicare. 

How does Medicare pay for oral surgery?

When you’re ready to find oral surgeons that accept Medicare, you should start by understanding how each part works. Medicare has four distinct parts that cover separate areas of healthcare.

Medicare Part A is what covers your hospital stays, both short and long. If you need surgery on a tooth while you are in a hospital or hospice, Part A will cover it.

Medicare Part B covers outpatient care, medical equipment, and doctor appointments. If your procedure is covered by Medicare, it will probably be covered by Part B.

Medicare Part C is also called Medicare Advantage, and you can purchase a plan that includes dental.

Medicare Part D helps you with your prescription medication. Part D can cover any antibiotics or pain killers you’re prescribed after medically necessary oral surgery.

How much does oral surgery cost with Medicare?

The cost of your oral surgery or dental procedure depends on what is performed, your coverage, and where you get the procedure done.

In general, you’ll be responsible for 20% of the price of any procedure. The deductible for Medicare Part B changes yearly, but it’s currently at about $203.

Finally, you’ll be stuck paying the price for all your medications if you don’t have Medicare Part D.

Get Quotes For Oral Surgeons That Accept Medicare

Figuring out if you’re eligible for Medicare coverage of your dental procedures can be a challenge. When you finally figure it out, finding a dentist or oral surgeon that takes Medicare presents another hurdle. 

However, oral surgeons that accept Medicare can be found with a little searching, and you should be prepared when you find them. Shopping for the best comprehensive healthcare providers might also be helpful. If you’re ready to see what quotes might look like for you, enter your ZIP code in our free tool.

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