Does Medicare provide dental and vision coverage?

Original Medicare (Parts A & B) provides some dental and vision coverage, but only in limited situations.

If you need dental and vision coverage, you can enroll in a Medicare Advantage plan that includes these benefits.

Do Medicare Advantage plans cover dental and vision?

Medicare Advantage (Medicare Part C) plans provide the same benefits that are covered by Original Medicare. Many Medicare Advantage plans also include coverage for other benefits that Original Medicare doesn't cover.

Some Medicare Advantage plans offer coverage for things such as:

Medicare Advantage plans in your area may offer some of the benefits listed above and more.

What dental benefits does Medicare cover?

Original Medicare covers limited dental care. It does not cover procedures such as cleaning, fillings, extractions, dentures, and other services.

However, Medicare Part A (hospital insurance) will cover some dental services if they are performed in a hospital.

"Part A can pay for inpatient hospital care if you need to have emergency or complicated dental procedures, even though the dental care isn’t covered," according to Medicare.gov.1

If you need dental coverage for routine services, you may want to enroll in a Medicare Advantage plan that includes that benefit.

Medicare Advantage plan benefits may vary by plan. A Medicare Advantage plan with dental coverage may offer benefits that could include:

  • Dental X-rays
  • Routine teeth cleanings
  • Fillings
  • Tooth extractions
  • Root canals
  • Gum disease treatment
  • Dentures
  • Dental implants
  • Bridges
  • Crowns

The specific coverage offered by your plan may not include all of the items listed above. Check with your plan carrier to learn more about the terms of your Medicare Advantage plan dental coverage.

Does Medicare cover vision care?

Original Medicare also covers limited vision care. It does not cover routine eye exams for contact lenses or glasses.

However, Medicare Part B (medical insurance) will cover some preventive or diagnostic eye exams, including glaucoma tests, yearly eye exams to test for diabetic retinopathy, and eye tests for macular degeneration, according to Medicare.gov.2

If you need vision coverage for routine services, you may want enroll in a Medicare Advantage plan that includes that benefit.

Medicare Advantage plan benefits may vary by plan. A Medicare Advantage plan with vision benefits may cover things like:

  • Routine eye exams
  • Eyeglasses
  • Contact lenses

Some Medicare Advantage plans may even offer coverage for specific retailers, such as frames from Warby Parker.

Check with your plan carrier to learn more about the terms of your Medicare Advantage plan vision coverage.

Copyright © 2019 TZ Insurance Solutions LLC. All rights reserved.

1 CMS. Your Medicare Coverage: Dental services. Retrieved from www.medicare.gov/coverage/dental-services.html

2 CMS. Your Medicare Coverage: Eye exams. Retrieved from www.medicare.gov/coverage/eye-exams

MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC is a licensed and certified representative of A Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan with a Medicare contract. Enrollment in any plan depends on contract renewal.

TZ Insurance Solutions LLC and the licensed sales agents that may call you are not connected with or endorsed by the U.S. Government or the federal Medicare program. This website does not contain a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call (877) 486-2048), 24 hours a day / 7 days a week or consult www.medicare.gov.

Not all plans or products are available in all markets. Additional plans may be available in your service area.

Y0040_MULTIPLAN_GHHJEPKENv4 Accepted

Last Updated: 2/7/2018