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Tooth loss is a common problem with aging, and many older adults will need some form of tooth replacement, including dentures or false teeth, at some point in their lives.
Original Medicare does not cover the cost of dentures, and seniors enrolled in only Medicare Parts A and B must pay for dentures out of pocket.
Many optional Medicare Advantage plans do offer additional dental coverage, including coverage for the cost of dentures.
Original Medicare is made up of two parts: Part A, which is hospital insurance, and Part B, which is medical insurance. While Part A will cover some dental services, coverage is only applicable if the beneficiary suffers a traumatic injury that affects their teeth, mouth and/or jaw, and the trauma is so severe the injury requires hospitalization.
Medicare Part B does not typically cover dental care or dental procedures and supplies, including dentures. Seniors enrolled in Medicare Parts A and B alone who need dentures or false teeth must unfortunately cover 100% of the costs of these vital items out of pocket.
Tooth loss is a common problem associated with aging. According to reports from the National Institute of Health, seniors over 65 years have, on average, 18.90 remaining teeth out of the standard 32, while 27.27% of seniors above the age of 65 have no remaining teeth at all. The chances of experiencing tooth loss only continue increasing as you age into your 70s and 80s.
Many Americans suffer from tooth loss and rely on dental appliances like full or partial dentures and false teeth to maintain quality of life. Dentures help those who have lost teeth continue to eat and speak regularly, as well as maintain facial structure. Seniors who have missing teeth but do not use some form of tooth replacement may have trouble getting adequate nutrition due to their inability to chew a variety of healthy foods.
It is important for seniors who use dentures to consider the costs, especially because Original Medicare will not provide any coverage.
Although most dental care is not covered by Medicare Part A and Part B, there are many Medicare Advantage plans, or Medicare Part C plans, that do include dental benefits like dentures and false teeth . These alternatives to Original Medicare, offered by private insurance carriers, combine the same benefits you would receive with Part A and Part B into a single plan that must be approved by the Medicare program.
In addition to covering the same treatments and procedures as Parts A and B, Medicare Advantage plans often include coverage for additional types of care, making them a great value for many seniors.
Need help reviewing Medicare Advantage plans? Looking for a plan that will help you afford your dentures? Call us at (800) 950-0608 for immediate assistance.
In addition to coverage for dentures, Medicare Advantage may offer other benefits, like vision coverage or hearing coverage – including for hearing aids. Most plans include prescription drug coverage as well. The coverage provided by each individual Medicare Advantage plan varies, but if you are looking for one that specifically covers full or partial dentures or other items related to tooth loss, chances are there is one available near you. It is important to review your options carefully.
Medicare Advantage plans commonly offer the following popular coverage options:
This is only a short list of the potential benefits of Medicare Advantage. Comparing plans and coverage options
When it’s time to enroll in or review your Medicare coverage, remember that Medicare does not cover dentures through Parts A and B alone.
With tooth loss being such a common issue for older and elderly Americans, many seniors may wish to consider Medicare Advantage options that will provide coverage for dentures instead, to avoid taking on a significant financial burden if and when tooth loss does occur.
If you need help finding a plan that covers dentures and dental care in your city, we can help you make sure your needs are met by your insurance plan. You can reach us by phone at at (800) 950-068, or you can send us a message to learn more.