Original Medicare does not cover routine dental services or procedures, including dentures. This means that you are responsible for 100 percent of the cost of dentures if you have Original Medicare (Medicare Part A and Part B).
Dentures can cost anywhere from a few hundred to a few thousand dollars, depending on the type of dentures you get.1
Some Medicare Advantage plans (Medicare Part C) may include coverage for dental care and may help cover the cost of dentures.
How much you pay out of pocket for your dentures depends on the Medicare Advantage plan you enroll in, as coverage and pricing varies widely from plan to plan.
Medicare Advantage plans are sold by private insurance companies and combine the benefits of Medicare Part A and Part B into one single plan. Some Medicare Advantage plans may provide additional benefits such as dental, vision and hearing coverage. Many Medicare Advantage plans also provide coverage for prescription drugs.
In 2018, the average Medicare Advantage premium was around $35 per month (roughly $420 per year).2
When you consider that dentures can cost hundreds to thousands of dollars, you may find that enrolling in a Medicare Advantage plan that includes dental benefits could help you save you money in the long run.
Not all Medicare Advantage plans offer dental benefits. If your plan offers coverage for dental services, you can check directly with your plan to see how it might cover your dentures.
There are two primary types of dentures:3
Your dentist can help you decide which type of dentures you need based on your bone loss and other specific needs.
If you are interested in learning more about Medicare Advantage plans, you can consider speaking with a licensed insurance agent who can help you compare plans that may be available in your area.
Call TTY Users: 711 24 hours a day, 7 days a week to learn more and to find out if there are Medicare Advantage plans in your area that may cover dentures.
1 Lee, Dave. (Feb. 17, 2017). How much do dentures cost? Bankrate. Retrieved from https://www.bankrate.com/finance/smart-spending/how-much-do-dentures-cost.aspx.
2 MedicareAdvantage.com's internal analysis of CMS Medicare Advantage landscape source files, May 2018. Data retrieved from https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn.
3 American Dental Association. (Aug. 30, 2016). Oral Health Topics. Retrieved from https://www.ada.org/en/member-center/oral-health-topics/dentures.
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