When considering the cost of dental implants, it’s important to research whether Medicare will cover the procedure or any related charges. Medicare coverage can be provided through Original Medicare or a Medicare Advantage plan.
Depending on the Medicare plan, coverage may include everything from the initial consultation to the implant surgery. However, it’s important to understand the specific coverage available through each Medicare plan before making any decisions.
Overview of Medicare coverage for dental implants
Dental implants are a life-changing procedure that can provide patients with better oral health. Depending on individual needs, they can replace a single tooth, multiple teeth, or complete dentures.
Medicare coverage for dentistry is limited; however, there are some instances where Medicare will provide benefits, such as oral surgery after an injury or accident.
Generally, Medicare only covers services when they are medically necessary. Routine dental care, such as fillings, cleaning, x-rays, and extractions, aren’t typically considered medically necessary.
Medicare Supplement coverage for dental implants
Medicare Supplement plans only cover the costs associated with Medicare Part A and Part B. Since Original Medicare doesn’t provide dental services and implant coverage, Medigap plans won’t either.
Types of Medicare plans that provide coverage for dental implants
Medicare health insurance plans are available to Medicare beneficiaries over 65 or with specific disabilities who meet the eligibility requirements.
While some programs provide coverage for dental implants, the specifics of the coverage and eligibility will vary depending on the plan.
Individuals interested in dental implants may want to consider purchasing a standalone dental coverage or a Medicare Advantage plan that includes dental benefits.
Ultimately, individuals should research the programs they are eligible for to ensure they know what coverage is available to them.
Some standalone dental insurance plans will include vision and hearing coverage.
Medicare Advantage coverage for dental implants
However, dental coverage can be included through a Medicare Advantage plan, and some even cover dental implants.
Since private insurance companies contract with the Centers for Medicare & Medicaid Services to administer Medicare Advantage plans.
These plans will vary in benefits between insurance companies, locations, and the program you select.
Review your Medicare Part C plan materials carefully with a licensed insurance agent to determine if the plan you’re reviewing includes coverage for dental implants.
The cost will vary depending on the plan you choose. These costs can include deductibles, copayments, or coinsurance.
What are dental implants?
Dental implants are a safe and effective solution for missing teeth. They consist of a titanium post surgically placed into the jawbone beneath the gums.
The post acts as a root, and once the implant heals, an artificial tooth is permanently attached to the post.
Implants are designed to mimic the look and feel of natural teeth and can last a lifetime with proper maintenance.
Moreover, they can help restore the ability to chew and speak more clearly, allowing patients to enjoy a normal lifestyle.
In addition, dental implants prevent other teeth from shifting and can help preserve the jawbone structure. With proper care, implants are a reliable option for replacing missing teeth and can last a lifetime.
Additional costs that may be associated with dental implants
Dental implants are an excellent option for patients needing to replace missing teeth; however, additional costs should be considered.
Depending on the number of implants required, the complexity of the procedure, and geographic location, the total price can vary greatly.
In addition to the cost of the implant and posts, the patient should consider the abutment cost. The abutment connects the implant to the post and the crown that covers the implant.
Furthermore, some patients may need to pay for additional procedures such as bone grafting, sinus lifts, x-rays, or CT scans.
As such, it’s important to speak to your dentist to understand all associated costs before deciding on a dental implant solution.
Medicare coverage for dental medications before or after the dental implant procedure
Medicare Part A generally covers medications with dental surgery if the procedure occurs in a hospital. Original Medicare typically does not provide coverage for drugs related to dental services.
Your Part D prescription drug plan or Medicare Advantage covers antibiotics, pain medications, or other prescriptions.
Please review your plan formulary to ensure it includes your dental implant medications.
Does Medicare cover dental implants?
Original Medicare doesn’t include coverage for dental implants. It’s possible to find a Medicare Advantage plan in your area that will pay for dental implants.
Do Medigap plans cover dental implants?
No. A Medicare Supplement will only cover the costs of items or services Original Medicare covers. Since Medicare Part A or B doesn’t cover implants, a supplement plan won’t help pay for the procedure.
Does Medicaid cover dental implants?
Generally, Medicaid doesn’t consider dental implants medically necessary and does not provide coverage for the procedure. Instead, Medicaid categorizes dental implants as a cosmetic treatment that does not impact one’s health or well-being.
Why doesn’t Medicare cover dental?
The U.S. Centers for Medicare & Medicaid Services, established in 1965, has not substantially altered its policy of not providing dental coverage. Dental care wasn’t crucial enough to be included in Medicare for a considerable time.
Are dental implants painful?
Dental implant surgery can be a traumatic experience for the gums and the jaw. However, the patient should not feel pain during the procedure as the mouth will be anesthetized. After the effects of the anesthetic have worn off, there may be some discomfort.
How long after extraction can I get implants?
It’s generally recommended to wait at least 10 weeks after a tooth extraction before getting dental implants. This waiting period allows the mouth to heal post-extraction surgery.
How much do dental implants cost?
The dental implant with a porcelain crown typically ranges from $3,500 to $6,700, with an average cost of $4,800. This cost involves the device itself and the surgical insertion.
For a full set of dental implants, the price is approximately $43,000, but may be higher depending on the patient’s needs, up to $56,000.
How to find a provider that accepts Medicare coverage for dental implants
There are also a variety of online resources available that can help patients determine which providers accept Medicare coverage for implants.
It’s important to research and review the coverage and costs of different providers to find the best option for each patient. With the right tools and resources, it’s possible to find a provider that accepts Medicare coverage for implants.
To review insurance plans in your area that include dental implants, give us a call or fill out our online request form. In addition, we can put you in touch with a licensed insurance agent that can answer any additional questions.