Are dental implants covered by Medicare?

Does Medicare Advantage cover dental implants, and under which circumstances? What about Original Medicare? In short, Medicare will not directly pay for most dental work, which includes dental implants.

That said, Medicare will pay for care related to dental implants in certain circumstances. Of course, you may have some coverage for dental implants if you choose the right health insurance plan.

Read on to know about how plans under Medicare cover dental implants and how much you can expect to pay for the procedure. But if you want to see quotes from Medicare partners right now, enter your ZIP code into our free quote tool above.

Does Medicare cover dental implants regardless of your plan?

Original Medicare will not cover dental implants. Medicare Part A only covers hospital costs, and Part B only covers medical services. However, many Medicare Advantage plans do include dental insurance.

Medicare Part A will only cover your hospitalization if you need emergency dental surgery.

Also, the Centers for Medicare & Medicaid Services state that Part A may cover an oral examination in preparation of a procedure like renal surgery or a heart valve replacement surgery. However, a dentist on the hospital staff must do the exam in such a case.

Part B will cover dental procedures you need in preparation for other medical procedures, like radiation or the removal of a tumor. Also, Part B will cover an oral examination related to renal or heart valve replacement surgery if a physician does the exam.

Also, if you are wondering, “Can I get dental coverage from a Medigap policy?” Medigap plans do not offer dental coverage. These plans only supplement Original Medicare to cover out-of-pocket costs.

Getting an implant is an elective dental procedure, so only advanced dental plans will help you cover the costs. You must choose the right dental plan through Medicare Advantage (also known as Part C).

According to data from the Kaiser Family Foundation, 94% of Medicare Advantage enrollees have plans that include some dental coverage. However, many dental insurance plans do not include dental implant services.

Compare The Best Insurance Quotes In The Country

Compare quotes from the top insurance companies and save!

Auto Home Health Life Business Motorcycle Medicare Rental

 Secured with SHA-256 Encryption

Which Medicare Advantage plans cover dental implants?

The following dental insurance companies offer coverage for dental implants for seniors on Medicare.

Note that even with this coverage, you are still responsible for paying much of the cost for your dental implants. On average, a single implant may cost you between $3,000 and $6,000.

You will also need to pay monthly, semi-annual, or annual rates for your dental plans, make Medicare Part B payments, and meet your deductibles.

How much does Medicare pay for dental implants?

Now, you must be wondering, “How can I get Medicare to pay for dental implants?” Unfortunately, Medicare does not pay for the procedure itself in any circumstance.

Even with a Medicare Advantage plan, Medicare itself will not directly cover your costs for dental implants. However, Medicare may pay for 30%-50% of the costs for any medically necessary oral surgeries related to your dental implant treatment.

For example, if you need to stay in a hospital after getting a dental implant, Part A will cover those costs. Part B covers corrective surgery if it promotes your overall health.

The Final Word on Medicare Dental Implants

Let’s review:

• Medicare will not directly cover dental implant procedures or materials.
• There are a limited number of Medicare Advantage plans that cover dental implants.
• Regardless of your dental plan, you will need to shoulder much of the cost.

Check with your primary dental care provider to know if any discounts are available. Some dental offices offer discounted prices for Medicare recipients. You may also enroll in separate discount programs or receive coverage from Medicaid if you live in a state that allows it.

Now that you know whether Medicare Advantage covers dental implants, are you ready to see rates from insurance companies that work with Medicare? Just enter your ZIP code into our free quote tool below to get started.

Compare The Best Insurance Quotes In The Country

Compare quotes from the top insurance companies and save!

Auto Home Health Life Business Motorcycle Medicare Rental

 Secured with SHA-256 Encryption