All the types of dental procedures covered by Medicare in the US
Medicare is a government-run health insurance program in the United States that provides coverage for specific medical procedures. While Medicare does not cover many procedures, many dental procedures are. So if you are wondering does Medicare cover dental, in this article, we'll take a look at all the dental procedures covered by Medicare in the US.
What dental procedures are covered by Medicare in the US?
The dental procedures covered by Medicare in the US are as follows: exams, cleanings, X-rays, fillings, extractions, dentures, and implants.
- Exams: An exam is a routine check-up performed by a dentist to check for any problems with your teeth or gums. This procedure is covered by Medicare Part B (Medical Insurance).
- Cleanings: A cleaning is a preventive measure performed by a dentist to remove plaque and tartar from your teeth, and this procedure is also covered by Medicare Part B.
- X-rays: X-rays are diagnostic procedures that allow dentists to check for problems such as cavities or gum disease. They are typically performed every 1-2 years, and Medicare Part B covers the cost of dental X-rays.
- Fillings: It is a standard dental procedure used to treat cavities. The filling material is placed in the cavity and then hardened, restoring the tooth to its original shape and function. Medicare Part B covers the cost of fillings.
- Extractions: An extraction is a dental procedure in which a tooth is removed from the mouth. It is typically done when the tooth is severely damaged or decayed and cannot be repaired, and Medicare Part B covers the cost of extractions.
- Dentures: These are artificial teeth that are used to replace missing teeth. They are custom-made to fit your mouth and can be removable or permanent. Medicare Part A (Hospital Insurance) covers the price of dentures if they are medically necessary.
- Implants: Dental implants are a popular way to replace missing teeth, and they are titanium screws placed in the jawbone and then topped with a prosthetic. Medicare does not cover the cost of dental implants, but it does cover the cost of the implant surgery itself.
How does Medicare coverage for dental procedures work?
Medicare coverage for dental procedures works the same way as other medical procedures. You'll need to visit a dentist who accepts Medicare and make an appointment for an exam. During the exam, the dentist will determine what procedure(s) you need and submit a claim to Medicare. Once the claim is approved, Medicare will pay for a portion of the procedure(s). You may be responsible for paying the remaining balance, depending on your specific plan.
It's vital to note that not all dentists accept Medicare, so be sure to check with your dentist before making an appointment. Also, remember that dental procedures can be expensive, so you may consider getting supplemental insurance to help cover the costs.
How to find a dentist who accepts Medicare
If you're looking for a dentist who accepts Medicare, there are a few ways to find one. You can start by searching the Medicare website, entering your location, and selecting "dentist" from the search options. It will show you a list of dentists in your area who accept Medicare.
The Medicare hotline is available 24/7 at 1-800-MEDICARE (1-800-633-4227), and representatives will be more than happy to help you locate a dentist in your area. You can also contact your local dental society, which will provide an up-to-date list of dentists accepting Medicare patients.
The limitations of Medicare coverage for dental procedures?
Medicare does not cover every dental procedure. For example, cosmetic procedures such as teeth whitening are not covered. Also, routine dental care, such as exams and cleanings, is only covered once every six months.
In addition, Medicare does not cover the cost of dental implants, however, it does cover the cost of the implant surgery itself.
Finally, keep in mind that dental procedures can be expensive. You may have to pay a significant portion of the costs out of your pocket, even if you have insurance. Be sure to check with your dentist and insurance provider to get an estimate of what your out-of-pocket costs will be before you schedule any procedures.
How much can you expect to pay for each type of dental procedure?
Dental procedures can be expensive, especially if you don't have insurance. Be sure to check with your dentist and insurance provider to get an estimate of what your out-of-pocket costs will be before you schedule any procedures.
- Fillings: The average cost of a filling is $50-$200.
- Extractions: The average cost of extraction is $75-$200.
- Dentures: The average cost of dentures is $1,000-$3,000.
- Root canals: The average cost of a root canal is $500-$1,500.
- Crowns: The average cost of a crown is $500-$3,000.
- Bridges: The average cost of a bridge is $500-$5,000.
- Inlays and Onlays: The average cost of an inlay or onlay is $500-$1,500.
- Veneers: The average cost of veneers is $500-$1,000.
What's not covered by Medicare and how to finance those procedures
Medicare does not cover every dental procedure. For example, cosmetic procedures such as teeth whitening are not covered. Also, routine dental care, such as exams and cleanings, is only covered once every six months.
In addition, Medicare does not cover the cost of dental implants, however, it does cover the cost of the implant surgery itself. If you need a procedure that Medicare does not cover, you will have to pay for it.