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Andrew Smith

Andrew Smith

The Truth About Medicare Part B’s Dental Coverage


The Truth About Medicare Part B's Dental CoverageIs dental care covered by Medicare Part B? There’s a lot of room for debate here. While Medicare Element B is an important part of your coverage, it may leave you uninsured for treatments that you still require.

Original Medicare consists of two sections — A and B. Many outpatient medical expenses, including doctor’s appointments, preventative treatments, and mental health care, are covered by Part B, which is separate from Part A.

Many, but not all, of a Medicare beneficiary’s medical expenses will be paid by the program.

Dentistry, as well as other services that go beyond hospital and doctor visits, may not be covered. However, if the correct conditions are met, it is possible to obtain the Medicare Part B dental coverage required.

cover routine dental servicesDoes Part B of Medicare Cover Any Dental Expenses?

The answer is yes, but Medicare Part B only pays for dental expenses that are medically necessary as part of a covered medical procedure. For example, it does not cover normal dental services such as cleanings or other standard operations such as dentures and crowns.

Dental care is not covered by Medicare for approximately 24 million Medicare recipients. An independent senior dental plan or a Medicare Advantage plan that offers coverage for dental services would be required to pay for these services.

medicare coverageWhat Dental Services Are Covered by Medicare Part B?

Even though Medicare Part B dental Medicare coverage does not cover routine dental care, treatment, removal, or replacement of teeth, dental treatments performed by a physician as part of another covered operation are covered by Medicare Part B. As a starting point, here are some examples:

  • Preparation for a kidney transplant includes oral exams.

  • To prepare the jaw for radiation treatments, extractions are performed.

  • After-accident jaw reconstruction

  • Before any type of oral surgery may be performed, a series of outpatient examinations is required.

dental procedureBecause none of these procedures are routine or preventative, it would be advantageous for Medicare recipients to purchase a separate dental insurance plan to cover the costs of routine oral health. In Medicare Part A and Part B, there is no coverage for services such as dental cleanings and fillings, tooth extractions, dentures, dental plates, and routine dentist visits.

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