Dentist Near Me
Do Dental Implants Qualify for Medicare Coverage
If you’re considering dental implants, you likely have many questions about whether or not Medicare will cover them. To help answer some of these questions and give further information, we’ve compiled a list of the most vital facts regarding dental implants and Medicare.
What Are Implants for Teeth?
Dental implants are metal posts that are surgically placed into the jawbone to hold artificial teeth that appear and feel identical to natural teeth. They can be used to replace single or numerous teeth, making them ideal for individuals who have lost all of their teeth in one location. Some patients have reported having dental implants for over 30 years! Dental implants are designated durable medical equipment (DME) since they are designed to last at least ten years.
Who is Eligible for Medicare Insurance?
As part of its Advantage plans, Medicare covers certain forms of dental care. Advantage plans are a type of health plan offered by private insurance companies under contract with Medicare. The treatments covered by these plans vary by state, however there are typically restrictions on services rendered by dentists outside of your Advantage plan’s network. Some states also permit the usage of the Advantage plan.
Coverage of Dental Implants by Medicare
Original Medicare does not cover dental implant expenses. However, Medicare Advantage plan holders may have dental implant coverage included in their plan. If you have Medicare and intend to have this surgery performed, you will need supplementary coverage, such as an independent dental plan, to avoid paying the whole price.
There are a number of stand-alone dental policies that cover the expense of dental implants. These plans frequently include supplemental vision and hearing coverage, as Original Medicare does not cover these treatments. Before enrolling, it is essential to consult with an agent about your plan’s coverage for dental implants, as not all policies do.
Does Medicare cover dental implant-related expenses
Original Medicare will cover the costs associated with any health issues that emerge after a dental implant treatment. Original Medicare will cover the costs associated with excessive jaw pain and a hairline fracture resulting from dental implant surgery, for example.
Medicare Part A will also reimburse hospital costs if issues emerge during your first consultations and your oral surgeon judges it necessary to execute the surgery as an inpatient.
Medicare Advantage Dental Implant Coverage
Medicare Advantage plans provide the most coverage for dental implant procedures. Some Medicare Advantage plans offer dental benefits, which may include coverage for dental implants, to policyholders.
For this additional benefit, you may be required to pay a higher monthly premium. However, you must maintain the maximum dental benefit in mind. Medicare Advantage plans almost typically impose copayments and deductibles for dental services. After reaching the plan’s maximum benefit, you will be responsible for the full cost of your care under the majority of policies.
Prior to selecting a Medicare Advantage plan to cover dental implants, you should verify that it includes dental coverage. Secondly, check that the plan includes coverage for dental implants. Some Medicare Advantage dental plans expressly exclude coverage for dental implants. To verify eligibility for coverage, you must study the plan’s Evidence of Coverage.
Medicare Supplement Dental Implant Coverage
Medicare Supplement plans do not offer dental coverage to subscribers. Thus, Medicare Supplement plans do not cover dental implants. However, similar to original Medicare, if your dental implant operation is performed in an inpatient environment or if other health complications arise as a result of dental implants, your Medicare Supplement plan will cover these costs.
