Medicare: Solutions for Dental Coverage
- 116 views
- 4 times supported
- 17 comments
Does Medicare Cover Dental?
Medicare doesn't cover most dental care, dental procedures, or supplies, like cleanings, fillings, tooth extractions, dentures, dental plates, or other dental devices. However, there are some exceptions, such as Medicare Part A (Hospital Insurance) will pay for certain dental services that you get when you're 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.
What Are Traditional Options To Get Dental Coverage?
Medicare Advantage Plans
Medicare Advantage Plans are a type of Medicare health plan offered by a private company that contracts with Medicare. Medicare Advantage Plans provide all of your Part A and Part B benefits.
You may be able to get dental coverage under some Medicare Advantage plans. Medicare Advantage plans (Medicare Part C) can include extra benefits like routine dental, routine vision, and Medicare prescription drug coverage.
To read more information about Medicare Advantage Plans, check out the following links:
Dental Insurance is dental insurance through a private company. Plans vary by company and within a company; however, they typically cover preventive and basic dental care.
To find out more information on dental insurance plans, you can search through the various private insurance companies that offer dental insurance.
Some companies (neither of which Carenity has any relation to) are mentioned below, but a simple Google search will reveal many more options.
Dental Discount Plans (Dental Discount Cards)
Dental discount plans are different from dental insurance. They are a type of membership that offers discounted prices on dental services.
Dental discount plans vary and are dependent on the network of dentists who have agreed to take part in the plan. Basically, a network of dental profressionals have agreed to be part of a network and offer discounted rates for various dental services to members. The services that are discounted also vary, but often include dental exams, cleanings, fillings, and more.
You often pay an annual fee or monthly fee to join the discount plan network and then can use the card, which grants you the discounts, at any dental professional in the network. Thus, the membership fee is basically the premium you pay for insurance.
To read more information, check out the following links
Some dental care provider organizations offer dental discount cards. This is neither Medicare nor dental coverage, and there are no dental benefits payable to you or the dentist.
You basically have to pay the total cost of your dental care, but with a dental discount card, you get access to a network of dental professionals who agree to discounted rates for dental exams, cleanings, fillings, and more. You pay one annual fee to be in the program and then use the card whenever you receive dental care. Ask your dental care provider if he or she offers these discount cards.
Can't Afford Traditional Options? What Are Other Options?
Often hopsital have/offer dental clinics which offer free or low cost services. Call your local hospital and ask if they have any such dental clinics, how you become a patient, and what services are offered and at what cost (if any). If there is a cost, make sure to ask about a payment plan.
Federally Qualified Health Centers (FQHCs)
FQHCs,are outpatient centers that are located in medically underserved areas that qualify for specific reimbursement systems under medicare and medicais. If you have medicare, you are eligible to receive services from a FQHC health center, and some may offer dental care.
Call around and ask.
Donated Dental Services (DDS)
The Donated Dental Services program provides free, comprehnsive, dental treatment to the elderly, medically fragile, and to those with disabilities. DDS often offers such services to those who cannot afford the neccessary treatment, but cannot get public aid. The program is a network of more than 15,000 dentists across the United States.
Dental schools often provide low-cost dental care. Dental students perform the dental care under the supervision of experienced, licensed dentists.
Call your local dental school and ask about such services, costs, and payment plans.
Reduced-Cost Or Free Dental Cinics
There exists many such clinics across the United States that provide resources of reduced-cost or free dental care and service.
Below you will find some links for more information and services, but a further Google search including your city and/or state may yield better results.
All commentsGo to the last comment
Was this helpful? Please comment and let me know.
Do you have any other resources or information that you feel should be added? Please comment or message me to let me know.
Thank you ... I’ve researched options and Dental schools are pretty much the only option in my area for anything other than routine cleaning under an advantage plan. In my area the wait list is long ... probably because there are no clinics or other options.
@LynndMS I am sorry that the wait list is long at the clinics in your area. Unfortunately, I have found that this seems to be the case with any school, even for barber schools.
Did you not find any luck with the links for Reduced-Cost Or Free Dental Clinics?
Hi @Lee__R I didn’t see a link ...
@LynndMS I hope your Thanksgiving was well and you enjoyed some relaxing time.
Here are the links below for Reduced-Cost or Free Dental Clinics, please let me know if any of them provide any good resources for you:
https://www.unitedway.org/contact-us ( or call 211 from your phone which will transfer you to a trained resource and referall specialist in your area.)
Hi @Lee__R I cooked so it feels like quite the undertaking lately, but well worth it, and I’m thankful I have the resources to make that dinner and I’m still able.
Thank you for the list.
Recently retired (August) and currently paying a small fortune in Medicare parts A-B-D-G and Dental-Vision. My premiums total over $400 per month. The Dental-Vision plan is with Mutual of Omaha.
Last weekend I broke a porcelain crown, went in Monday to have it replaced. Prior to retiring we had dual insurances through work and never payed a co-pay for most medical or any dental. After the crown was repaired I was hit with the bill for $1,000. They told me that the coverage does not include crowns for the first year of the plan.
I also have Humana Enhanced for part D since I take about 10 prescriptions. Each month since retiring, my co-pay has increased. This month the co-pay will be about $450.00 and since I am in the "Donut hole" (whatever the f**k that is) I have about $4,000 more co-pay to pay until I get past the $5,000 threshold for this "Donut hole".
In addition to all of this, the SSA announced last week that since I made too much money up to and until August, 2018 they have cut off all SSA benefits now and until March, 2019 to "pay back" the overpayments made August - November, 2018. The most irritating part of this is that the money in SSA is MY MONEY, PAID OVER THE LAST 50 YEARS OF WORKING!
Enough ranting for one day. Happy Hump Day folks.
See the signature
@Gordon Hi Cordon, Just wanted to let you know I just switched my prescription plan to Silver Script. The premium is about 56$ per month and there is no deductible before it begins to cover perscriptions. The drug costs are as follows Tier 1=1.00, Tier II = 5.00, Tier III = 35.00, Tier IV = 50$. I am afraid you are correct on the Dental. I also have huge dental issues and I just switched plans and now major dental work will not be covered for a year. I believe most dental plans operate this way. I am not due for glasses till next year so by then my new plan should give me at 20% off on my glasses. Hope the info on the prescription plan helps. Have a blessed Christmas and new year.
@Healym19590401 Thank you for the information, however since I am in the "donut hole" on the prescriptions, my copay costs will be about $400/month until I get past the $5000 mark.
Is this any different with Silver Script?
See the signature
Unfortunately it would most likely be the same with silverscript. I also run into this problem usually around October November I hit the donut hole because I do take insulin which is very expensive and unfortunately I usually just forego my insulin until the New year starts. It's the same what it is a shame what people with chronic illness is have to do because of greedy pharmaceutical companies. Insulin is made from the pancreas of pigs I don't understand how this could be so expensive for them to make. I think they realize there are so many diabetics that they could make a killing charging what they do for insulin. I wish you well and your insurance endeavors. Have a happy safe holiday!
Give your opinion
Articles to discover...
02/26/2024 | News
02/24/2024 | News
02/11/2024 | News
02/09/2024 | News
02/20/2019 | Advice
03/11/2019 | News
04/15/2019 | Advice
02/14/2019 | Advice
You wish to be notified of new comments
You have been subscribed