Does Medicare cover dental care?
DEAR SAVVY SENIOR — I will turn 65 in a few months and will be enrolling in Medicare, but I am concerned about Medicare’s coverage of dental care. Does Medicare cover dental procedures? And if not, where can I get dental coverage? — Almost 65
DEAR ALMOST — Medicare’s coverage of dental care is extremely limited. It will not cover routine dental care including checkups, cleanings, or fillings, and it won’t pay for dentures either.
Medicare will, however, cover some dental services if they are required to protect your general health, or if you need dental care in order for another health service that Medicare covers to be successful. For example, if you have cancer and need dental services that are necessary for radiation treatment, or if you need surgery to treat fractures of the jaw or face, Medicare will pay for these dental services.
Although Medicare’s coverage of dental services is limited, there are other ways you can get dental care.
• Consider a Medicare Advantage plan:
While dental services are mostly excluded under original Medicare, some Medicare Advantage plans do provide coverage for routine dental care. If you are considering joining a Medicare Advantage plan, find out what dental services, if any, it covers. Make sure any Medicare Advantage plan you’re considering covers the doctors and hospitals you prefer to use and the medications you take at a cost you can afford. See Medicare.gov/find-aplan or call (800) 633-4227 to research plans.
• Purchase dental insurance: If you have frequent gum problems and need extensive dental care, a dental insurance plan may be worth the cost. Expect to pay monthly premiums of $15 to $40 or more for insurance. To find dental plans in your state, go to NADP.org and use the “find a dental plan” tool. Then review a specific plan’s website. •
Consider dental savings plans:
While savings plans aren’t as comprehensive as insurance, they’re a good option for those who can’t get covered. You pay an annual membership fee in exchange for 10 to 60 percent discounts on service from participating dentists. To find a savings plan, go to DentalPlans.com or (888) 632-5353 where you can search for plans and participating dentists.
• Check veterans benefits:
If you’re a veteran enrolled in the VA health care program or are a beneficiary of the Civilian Health and Medical Program (CHAMPVA), the VA offers a dental insurance program that gives you the option to buy dental insurance through Delta Dental and MetLife at a reduced cost. The VA also provides free dental care to vets who have dental problems resulting from service. To learn more about these options, visit VA.gov/dental or call (877) 222-8387.
• Shop around:
FairHealthConsumer.org and HealthcareBlueBook. com lets you look up the cost of different dental procedures in your area, so you can comparison shop — or ask your regular dentist for a discount.
• Try community health centers or dental schools: There are many health centers and clinics that provide low-cost dental care. And all university dental schools and college dental hygiene programs offer care for less than half of what you would pay at a dentist’s office. Students who are supervised by their professors provide the care. See ToothWisdom.org to search for a center near you.
Send questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org.