No, Original Medicare (Part A & Part B) does not cover root canals. Original Medicare doesn't cover routine dental care, such as exams, fillings, cleanings or tooth extractions.
Some Medicare Advantage plans (Medicare Part C) may offer dental benefits that aren’t covered by Original Medicare (Part A and Part B). Some of these Medicare Advantage plans may help cover root canals.
Many Medicare Advantage plans provide dental coverage in addition to the hospital and medical benefits covered by Original Medicare. Some Medicare Advantage plans also offer $0 premiums, though $0 premium plans may not be available in all locations.
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Original Medicare does not provide coverage for routine dental services, such as:
Original Medicare will only cover a dental procedure if it is deemed medically necessary as part of a covered benefit.
For example, if you are hospitalized after suffering a fall that caused damage to your teeth or jaw, your inpatient hospital costs would be covered by Medicare Part A.
Medicare may cover a dental exam that is required as part of preparation for a surgery such as a procedure to treat cancer in the jaw. Medicare will cover the cost of the exam but may not cover all of the dental work that must be performed as a result of the exam.
Medicare Advantage plans are sold by private insurance companies and offer all the same benefits as Medicare Part A and Part B combined into one plan.
Beyond the basic coverage, Medicare Advantage plans may also offer additional benefits not covered by Original Medicare.
These additional benefits can include coverage for:
Many Medicare Advantage plans that provide dental benefits may help cover root canals, routine exams and cleanings, fillings and other dental services.
Plus, many Medicare Advantage plans may also provide coverage for prescription drugs. This means that medication that you might be prescribed as a result of a root canal or other dental work could be covered by your Medicare Advantage plan.
Do you want a Medicare Advantage plan that can help cover root canals? Get help comparing plans available in your area by speaking to a licensed insurance agent.
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