I have Original Medicare, and I'm wondering if I'd save more on my dental cleanings if I switched to a Medicare Advantage plan instead.

Answered by 18 licensed agents

Yes you can save money on dental cleanings if you switch to a Medicre Advantage plan. Most Advantage plan include $0 copay for cleanings, x-rays, preventive care, and extraction.

Answered by Melissa Barton on March 29, 2025

Agent Licensed in NC, IL, IN & 7 other states

Answered by Melissa Barton Medicare Insurance Agent
Choosing between traditional Medicare with a supplemental plan and a Medicare Advantage plan involves careful consideration of your specific needs and priorities, particularly regarding dental coverage.

Traditional Medicare, along with a supplemental plan, offers the advantage of immediate coverage at any provider that accepts Medicare, providing peace of mind with no unexpected costs. On the other hand, opting for a Medicare Advantage plan means transitioning to a private insurance group that may offer additional options, including dental coverage.

However, it’s important to note that with these plans, you may have access to a more limited network through PPO and HMO options, and pre-approval for certain services might be required. Ultimately, the decision comes down to balancing your desired coverage with your plans for future travel or any specialized care needs outside of your local area.

Answered by Larry Dalton on May 8, 2025

Broker Licensed in OK & TX

Answered by Larry Dalton Medicare Insurance Agent
Most Medicare Advantage plans (MAPD) come with Dental, hearing and vision and if you have an MAPD plan with a zero premium, then you certainly are getting that dental benefit at no charge to you. I'd be glad to help you if you'd like to call.

I'm licensed in 13 states.

Lt Col Tim Brown, LUTCF

Gallatin TN 37066

615-506-9024

Answered by Lt Col Tim Brown on April 17, 2025

Broker Licensed in TN, AL, CO & 10 other states

Answered by Lt Col Tim Brown Medicare Insurance Agent
Quick answer is most likely. Do your research first.. Many Advantage plans have dental coverage. Coverage and benifits will vary.. I would not make dental coverage your primary focus in choosing an Advantage plan.. If one doesn't find what they need for dental care in an Advantage plan there are many stand alone plans that will.

Answered by Michael Ryan on March 26, 2025

Broker Licensed in CA, AZ, CO & 7 other states

Answered by Michael Ryan Medicare Insurance Agent
I would never change to a Medicare advantage plan for something like dental cleanings. Depending on your situation you could save in one area while adding more expense to another. If, however, you need extensive dental, the right plan could help you save.

Answered by Mary Turner on March 31, 2025

Broker Licensed in FL

Answered by Mary Turner Medicare Insurance Agent
Yes you would. Medicare only covers medically necessary services. A stand alone dental plan can cost money. Be sure when considering a Medicare Advantage that your doctors and specialists are in network. Make sure when considering a MA that there is dental embedded in the plan and that it covers your specific needs, such as cleanings, root canals or dentures.

Answered by Carolee Turner on April 18, 2025

Agent Licensed in FL, IL, MI, OH, SC & TN

Answered by Carolee Turner Medicare Insurance Agent
Apparently, you may not recall that Medicare DOES cover anything that is considered to be “routine dental”, like x-rays, cleanings & fluoride treatment. But depending upon when this policy was written, it is imperative that you look in your new updated manual to locate all of the benefits of your policy.

However, you are also remiss if thinking that dental cleaning should take precedence over so many other health benefits that Original Medicare and a Med. Supplemt. can provide you.

Plus, you should insist on having an assigned agent to help you or call 1-800-Medicare.

Answered by Steven Bleicher on April 26, 2025

Broker Licensed in AZ

Answered by Steven Bleicher Medicare Insurance Agent
You definitely would save more on an advantage plan in the dental category. Everybody’s needs vary and so it really depends on what is best for you but if you’re medical needs are very easily managed or non-existent then it’s not a bad idea to invest more into your vision, dental, and hearing (which original Medicare doesn’t cover) and Medicare advantage has a reputation for offering some high dental benefits. The first step is to talk to a broker about “good plans” with a good dental benefit.

Answered by Gregg Matheny on March 26, 2025

Agent Licensed in AZ & UT

Answered by Gregg Matheny Medicare Insurance Agent
Please don’t do that!!! That would be one of the worst decisions of your life!

Currently you are in total control of your health decisions, you have coverage that carries anywhere in the ISA and have the choice of the BEST MEDICAL CARE AVAILABLE! To go to a MA plan is to voluntarily give those things up for the benefit of a dental cleaning? Compare that to needing the best Doctor for cancer, heart, lungs, blood issues, surgeries, and rehabilitation choices.

You are better to find a dental plan through private options or AAA or AMAC. But don’t give the freedom of the best health options for that!

Answered by Norman Smith on April 12, 2025

Agent Licensed in FL & PA

Answered by Norman Smith Medicare Insurance Agent
Seeing as Original Medicare offers no coverage for dental cleanings, the general answer is yes. But exactly how much you would save depends on the details of the individual Medicare Advantage (MA) plan. Some MA plans offer extensive dental benefits no matter which dentist is seen, whereas some MA plans offer specific benefits, for example, cleanings, for in network dentists only. Please call me directly at 239.848.8893 for more information.

Answered by Paul Dzierzanowski on March 31, 2025

Agent Licensed in FL

Answered by Paul Dzierzanowski Medicare Insurance Agent
Most Medicare Advantage plans include a dental benefit. Preventive services like cleanings, exams often are covered. However, some plans may charge a small extra premium for these services. If you're working with an agent, check with them, or the individual carrier. Stand-alone dental insurance plans often provide better coverage. Worth considering.

Answered by Frank Woerner on April 14, 2025

Broker Licensed in IN & IL

Answered by Frank Woerner Medicare Insurance Agent
Original Medicare, generally does not cover routine dental care, such as:

dental exams,

cleanings,

fillings,

dentures,

and extractions.

However, there are limited exceptions where Medicare may cover dental services.

e.g.

1.) dental care necessary for a medical condition, such as before or after surgery

2.) dental care provided as part of inpatient hospital care and/or

3.) dental care related to an emergency situation

NOTE: Medicare Advantage (MA) plans, which are private health insurance plans, often include dental services that traditional Medicare does not. Individuals should do a side-by-side comparison of separate dental insurance policies to supplement their Medicare coverage in order to obtain comprehensive dental care.

Answered by Fred Manas on April 11, 2025

Agent Licensed in NY, CT, DC & 7 other states

Answered by Fred Manas Medicare Insurance Agent
You might save money at the dentist, if they accept your plan, but end up spending more on your medical needs.

Medicare Advantage plans have copays for most medical services. With Original Medicare you are responsible for 20% of Medicare Assignment after deductible, so if Medicare allows $72 for an office visit, 20% of that would be $14.40, but a Medicare Advantage plan may charge a flat $20 for an office visit copay. Also, Original Medicare allows you to see any doctor that accepts Medicare, while most Medicare Advantage plans require that you see only doctors that participate in their network.

Before you make this change, make sure you understand all of the provisions of the Medicare Advantage plan, and check to be sure the dentist and doctors you want to see will all accept the plan.

Answered by Barbara Barnes, CMIP® on April 3, 2025

Agent Licensed in PA

Answered by Barbara Barnes, CMIP® Medicare Insurance Agent
If you get a MAPD or MA plan, don't get it just for the dental benefits. You must look at the ability to have a plan that will include your PCP and your hospital of choice . You can keep the original Medicare Part A and Part B with a separate dental plan that will cover all your needs .

Answered by Jaye Maxx Alexander II on April 21, 2025

Broker Licensed in NC, AK, AL & 47 other states

Answered by Jaye Maxx Alexander II Medicare Insurance Agent
It depends on other types of coverage you may have. If you do not have a Medicare Supplement to work with your Original Medicare, and you do not have a stand alone dental plan, then the short answer would be Yes. I recommend finding a local agent/broker to sit down with and discuss your current coverages specifically.

Answered by Babs Atwell on May 1, 2025

Broker Licensed in OH

Answered by Babs Atwell Medicare Insurance Agent
Original Medicare does not cover dental cleanings. Most advantage plans do. You could add a stand-alone dental plan to your original Medicare.

Answered by Darko Bozic on April 17, 2025

Broker Licensed in OH

Answered by Darko Bozic Medicare Insurance Agent
On the dental cleanings themselves, absolutely, but it could cost you way more than that on medical expenses. Find a good broker to walk you through the impacts.

Answered by Angela Olson on May 2, 2025

Broker Licensed in UT, AZ, CO & 5 other states

Answered by Angela Olson Medicare Insurance Agent
Although you would save on your biannual cleanings, you would need to start paying copays for some of your care. There are many things to consider before switching plans.

Answered by Theresa Waltersdorff on April 22, 2025

Broker Licensed in PA & MD

Answered by Theresa Waltersdorff Medicare Insurance Agent

Tags: Medicare Advantage

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