Is it true that Medicare pays for dental implants?

Answered by 16 licensed agents

Who told you that? It does not! A few Medicare Advantage plans MAY have dental coverage that includes implants, but Original Medicare itself does not.

Answered by Helena Foutz, RSSA on March 4, 2025

Broker Licensed in CA, AK, AR & 12 other states

Answered by Helena Foutz, RSSA Medicare Insurance Agent
Original Medicare—Parts A and B—does not cover dental implants or routine dental care like cleanings or fillings, limiting its scope to hospital and medical services, which leaves those costs entirely on you unless you have other coverage. This limitation is a big reason more seniors are turning to Medicare Advantage plans, many of which—around 70% in 2025—include dental benefits that can cover implants, depending on the specific plan and provider. I’ve noticed clients often assume Medicare handles more than it does, so if implants are something you need, you’d either pay out of pocket with Original Medicare or look into an Advantage plan that lists them in its benefits.

Answered by Brian Moore on March 27, 2025

Broker Licensed in OH

Answered by Brian Moore Medicare Insurance Agent
NO. ABSOLUTELY NOT. Original Medicare (OM) does not cover any dental. Dental coverage can be purchased separately.

Answered by William Lawler on April 7, 2025

Broker Licensed in MO, FL, IA & 12 other states

Answered by William Lawler Medicare Insurance Agent
Medicare does NOT cover dental implants. There are some Med on care Advantage programs that might but there are limits.

There are stand alone Dental plans that do cover implants.

Answered by William Gray on April 19, 2025

Broker Licensed in FL, GA, KS & MI, OH, TX & VA

Answered by William Gray Medicare Insurance Agent
Dental is jot covered by original Medicare, UNLESS MEDICALLY NECESSARY.

It is much more likely you will be paying a dental professional to pull your teeth amd set you up with dentures

Answered by Joseph Meyers on May 12, 2025

Broker Licensed in MI & TN

Answered by Joseph Meyers Medicare Insurance Agent
Generally, Original Medicare Parts A & B does not cover dental services like cleanings, fillings, dentures, or dental implants. However, some Medicare Advantage (Part C) plans offer limited dental benefits that may include partial coverage for implants. Coverage varies widely, so it's important to check the specifics, including annual maximums, waiting periods, and which providers are in-network.

Answered by Patrick Hecht on May 21, 2025

Broker Licensed in VA, CA, MD, PA & WV

Answered by Patrick Hecht Medicare Insurance Agent
Wherever you got that idea, please cross that person’s name off your advisor list! That is totally NOT true. The only aspect of Medicare that pays anything are for routine Dental, Vision and Hearing. The reason is that when Medicare was established in 1965, the Feds wanted to only be responsible for the inexpensive healthcare treatments. For example, in the Dental area, Medicare pays for x-rays cleanings and fluoride treatment. But, if you are seeking an umbrella policy that covers the more expensive procedures, buy a “DVH” (Dental, Vision & Hearing) individual policy that covers “some” aspects of implants, root canal, partial dentures extractions, etc. Your best option is one that can cost about $65.00 per person depending on your state.

Answered by Steven Bleicher on April 10, 2025

Broker Licensed in AZ

Answered by Steven Bleicher Medicare Insurance Agent
Medicare Part A & B do not cover dental implants, however, some of the Medicare Advantage plans (Part C) that offer dental benefits may cover implants and/or other services.

There may also be some other standalone dental plans that offer coverage for dental implants.

Answered by Diana Garner on April 18, 2025

Broker Licensed in KY, FL, IN, OH & TN

Answered by Diana Garner Medicare Insurance Agent
Medicare does not routinely pay for dental. Only certain dental if it is sustained in an accident. Most dentists do not want to bill Medicare due to limiting charges and not being participating.

Answered by Shelly Hefley on April 10, 2025

Broker Licensed in IN, AL, IL, KY & TN

Answered by Shelly Hefley Medicare Insurance Agent
No, it is not true that Medicare will pay for dental implants. Medicare does not cover dental except for a few exceptions like impacted wisdom tooth.

Answered by Walt Smith on April 14, 2025

Agent Licensed in NJ, PA & VA

Answered by Walt Smith Medicare Insurance Agent
Medicare generally does not cover dental implants or most dental care, as it considers them non-medically necessary. Original Medicare (Parts A and B) typically only covers dental procedures if they are integral to a covered medical procedure, like jaw reconstruction after an accident. However, some Medicare Advantage (Part C) plans may offer limited dental coverage, including implants, but this varies by plan and often comes with restrictions or additional costs.

Answered by Leslie Kaz on April 28, 2025

Agent Licensed in CA, AL, AZ & 7 other states

Answered by Leslie Kaz Medicare Insurance Agent
If we are talking about Original Medicare Parts A and B the answer is No. Original Medicare never included coverage for dental expenses. Covered isureds have the option of purchasing individual dental insurance which may or may not cover dental implants. Depending on circumstances, Original Medicare may cover some of the medical costs of implant insertion like prescription medication.

Answered by Jerry Cohen on April 21, 2025

Broker Licensed in NY

Answered by Jerry Cohen Medicare Insurance Agent
No, original Medicare has no dental benefits other than related to an illness or maybe an accident, but not implants in either case. Most Advantage plans do include dental benefits of varying degrees, but very, very few include implants.

Answered by Andrew Kramer on May 15, 2025

Agent Licensed in FL

Answered by Andrew Kramer Medicare Insurance Agent
No, Dental Implants are not covered by Medicare Part A or Medicare Part B. However, if you have dental implants already and experience a problem or have health concerns after the procedure Original Medicare may help to pay for some of the cost associated with the issue. There are a few Medicare Advantage plans that will help with the cost of Dental Implants, so I would encourage you to ask your Medicare Specialist if these options are available to you.

Answered by Jami Mead on April 28, 2025

Broker Licensed in OH, FL, GA & 11 other states

Answered by Jami Mead Medicare Insurance Agent
Original Medicare does not cover dental at all and by extension dental implants. Therefore, if you do go through the option of using original Medicare, in order to get dental coverage and in particular coverage for implants, you would have to get separate dental coverage. Keep in mind this separate coverage would be outside of Medicare, and it would be a separate dental policy.

However, if you wish to get your Medicare through a Part C, Medicare Advantage plan, most plans will cover dental but only a few might cover dental implants. Having a trusted broker would help guide you through and find you the best plan is important in this situation. I hope this helps.

Answered by Joseph Lombardo on May 5, 2025

Agent Licensed in NY, CT, NJ & PA

Answered by Joseph Lombardo Medicare Insurance Agent
No

Some Advantage plans will help pay for implants and some dental insurance will help pay for implants.

Medicare will only cover medical necessary dental (like you lost your teeth due to cancer)

Answered by Lowell Ryals on March 31, 2025

Broker Licensed in MO, AR, FL, KS, LA & TX

Answered by Lowell Ryals Medicare Insurance Agent

Tags: Coverage

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