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Dental Insurance

*We are not affiliated with or connected with *Medicare or any other government program or agency.

*Medicare Dental Implants

Original *Medicare does not cover preventative or comprehensive dental benefits like cleanings, x-rays, oral exams, extractions, fillings, dentures, or implants. Except for minimal denture services that you may receive during a hospital stay, *Medicare Part A, hospital, and Part B, medical, does not offer any other dental benefits. For any dental service that you need, you are required to spend out of pocket.

But hope is not lost. You can get coverage for your dental services when you enroll in a Medicare Advantage plan.

Many Medicare Advantage plans offer coverage for preventative and comprehensive dental services such as:

  ➔ Routine Cleaning

  ➔ Oral Exams

  ➔ X-ray

  ➔ Fluoride Treatment

  ➔ Fillings

  ➔ Implants

  ➔ Dentures

  ➔ Root Planning

  ➔ Extractions

  ➔ Periodontics and Endodontic Procedures

These benefits are offered at no additional cost through a *Medicare HMO or PPO plan, as long as one is available where you live,  and plan you choose and must have *Medicare Parts A & B to qualify for a Medicare Advantage Plan 

What does dental care mean?

Dental care refers to the maintenance and preservation of oral health through the prevention, diagnosis, and treatment of various conditions affecting the teeth, gums, and jaw. It encompasses a range of services, from routine cleanings and check-ups to complex surgical procedures. Prioritizing dental care is essential not only for a radiant smile but also for overall well-being, as oral health is intrinsically linked to general health. A dental plan that offers dental benefits has allowances for most if not all,dental benefits may include (but are not limited to):

  ➔ Teeth cleaning and oral exams

  ➔ Fillings

  ➔ Dentures

  ➔ Crowns and Bridges

  ➔ Root Canal

  ➔ Extraction

  ➔ Teeth whitening

  ➔ Porcelain Veneers

  ➔ Gum care and treatments (such as root planning)

  ➔ Braces

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Does *Medicare cover dental implant surgery?

The *Medicare program has many different parts, and some offer dental coverage. Original *Medicare, Part A, and Part B do not cover dental services except for limited and necessary dental services needed as a part of a hospital stay. *Medicare Part A, your hospital insurance coverage, will pay in this case.

What are dental implants?

A dental implant is an artificial tooth ‘implanted’ in the gum using a metal post that acts as the tooth’s root. Implants are used to replace badly damaged or missing teeth where other options like dentures cannot resolve the problem.

The dental implant process is a multi-step process frequently completed in an outpatient setting. The process could take several months to complete, including the time required to remove any damaged teeth, if present, and prep the jawbone to receive the implant. Time is also needed for bone healing once the metal screw is put in place.

The screw is inserted in your jawbone just below the gum line. Once the bone heals completely, the doctor then attaches your new artificial tooth to the metal implant.

How much do dental implants cost?

According to a dental fee survey conducted by the American Dental Association Health Policy Institute, the cost of dental implants could range from $3,200 to $6,000 for a single implant. This cost includes the cost of the metal screw (and abutment), and the replacement tooth (crown). The price varies based on each individual and their unique needs.

While Original *Medicare will not cover the cost of implants, you may have another option to get this dental service through a Medicare Advantage plan. Senior Healthcare Advisors is a licensed Medicare enrollment center specializing in finding all Medicare benefits you qualify for and enrolling you to begin receiving those benefits.

Does *Medicare cover veneers?

Original *Medicare does not cover veneers. While you may be able to get certain preventive and comprehensive dental benefits through Medicare Part C (Medicare Advantage plan), it is rare to find a plan that will provide full or even partial coverage for veneers. Getting veneers is a cosmetic dental procedure and can be costly. Insurance like *Medicare and Medicaid usually cover medically necessary services, in which case veneers would not make the cut since they are cosmetic treatments.   Learn More 

Conclusion: 

In essence, dental care is more than just maintaining a pleasing smile; it’s a fundamental aspect of holistic health. By prioritizing oral hygiene and regular dental check-ups, individuals can safeguard their overall well-being and ensure a lifetime of healthy teeth and gums.

It’s imperative for beneficiaries to thoroughly explore all available coverage options, ensuring alignment with their specific healthcare and financial needs.

 

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    We do not offer every plan available in you’re area. Currently we represent [x]organizations which offer [xxxx] products in your area. Please contact Medicare.gov, [1-800-MEDICARE], or your local State Health Insurance Program (SHIP) to get information on all of your options. Senior Healthcare Advisors, LLC., [in California – SCH Insurance Agency] represents Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that have a Medicare contract. Members may receive a monthly or quarterly allowance in the form of a benefits prepaid card to pay for a wide range of approved healthy groceries and utilities. Unused amounts will expire at the end of the month or quarter. Enrollment depends on the plan’s contract renewal.

    Not all plans offer all of these benefits. Benefits may vary The benefits mentioned are a part of special supplemental program for the chronically ill. Not all members qualify.

    Part B Premium giveback is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower.

    The benefits mentioned are Special Supplemental Benefits for the Chronically Ill (SSBCI). You may qualify for SSBCI if you have a high risk for hospitalization and require intensive care coordination to manage chronic conditions such as Chronic Kidney Diseases, Chronic Lung Disorders, Cardiovascular Disorders, Chronic Heart Failure, or Diabetes. For a full list of chronic conditions or to learn more about other eligibility requirements needed to qualify for SSBCI benefits, please refer to Chapter 4 in the plan’s Evidence of Coverage.

    Enrollment in a plan may be limited to certain times of the year unless you qualify for a Special Enrollment Period or you are in your Medicare Initial Enrollment Period.] by carrier and location. Limitations and exclusions may apply.

    Senior Healthcare Advisors, LLC.,[in California – SCH Insurance Agency] not connected/endorsed by a government entity.
    You also agree to the Terms, Privacy Policy.]] [Part B Premium giveback is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Enrollment in a plan may be limited to certain times of the year unless you qualify for a Special Enrollment Period or you are in your Medicare Initial Enrollment Period.