Medicare Coverage of Dental Care

What It Is

Dental care performed by a dentist or oral surgeon

What's Covered

Medicare Parts A, B, and C don't cover doesn't cover dental care.

Note: Under limited circumstances, Medicare Part B or a Medicare Part C Medicare Advantage plan covers oral surgery that involves a problem with jaw or mouth bones or tissue. Medicare Part B or a Medicare Part C plan might cover this type of care even if the surgery is performed by a nonphysician oral surgeon, as long as it's the kind of treatment that physicians also perform.

What Medicare Pays

Medicare pays nothing for dental care.

Medicare Part B pays 80 percent of the Medicare-approved amount for covered oral surgery.

If you have a Medicare Part C Medicare Advantage plan: Sometimes a Medicare Part C Medicare Advantage plan charges different co-payments than Medicare Part B does. To find out whether your plan requires different co-payments for covered oral surgery, contact the plan directly.

Important: Regardless of the rules regarding any particular type of care, in order for Medicare Part A, Medicare Part B, or a Medicare Part C plan to provide coverage, the care must meet two basic requirements:

  • The care must be "medically necessary." This means that it must be ordered or prescribed by a licensed physician or other authorized medical provider, and that Medicare (or a Medicare Part C plan) agrees that the care is necessary and proper. For help getting your care covered, see FAQ: How Can I Increase the Odds That Medicare Will Cover My Medical Service?

  • The care must be performed or delivered by a healthcare provider who participates in Medicare.

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7 Comments So Far. Add Your Wisdom.

almost 2 years ago

It is important that you closely follow any tooth extraction aftercare instructions that the dentist gives you.

almost 2 years ago

Dentist are so expensive. Have never found one that takes medicare. what is a senior citizen in Texas suppose to do? They tell you all these things but dentist want cash or credit cards. I broke a front tooth..explained my situation they still wanted excellent credit or cash. I love it that the children have access to dental care, but seniors want to be able to chew and smile. Plus it is not healthy for your heart to have dental problems, actually it's dangerous. Please helpmen

almost 2 years ago

I enjoy your work. Also I am now one of the five members that represent the people 60 and over in southern part of Texas known as the Rio Grand Valley. This organization is part of The Agency On Aging. Thanks a bunch, John Veracruz

Anonymous said over 2 years ago

I am with a Medicare Advantage Plan and needed to know if Medicare would pay for any type of dental services under my medical plan.

almost 3 years ago

My disabled daughter needs a lower 'denture implant' (the kind that snaps in place) She has severe spasmodic dystonia and neurological tongue/swallowing issues. Would Medicare possibly help to at least get the pins/screws in place by an oral surgeon? A regular lower denture would cause her to choke and gag dangerously.

over 3 years ago

Hello springladybu­g, Thank you very much for your question. Unfortunately, we are unable to diagnose medical problems for our site members, or provide medical guidance online. While members of our community may respond to your question, we recommend that you contact a medical professional offline regarding this medical issue. Take care -- Emily | Community Manager

over 3 years ago

i am i desperate care of dental repair.i needall my top teeth pulled in so much pain have no insurace and an make small payments i can get buy with partial bottom dentures


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