Does Medicare Cover Dentures?

 

Unfortunately, Medicare generally does not cover dentures or other dental services like fillings, crowns, or cleanings. This exclusion is outlined in the Statutory Dental Exclusion of Section 1862(a)(12) of the Social Security Act.

However, there are a few rare exceptions where Medicare might cover dentures:

• If they are deemed medically necessary: In highly specific cases, if a physician deems dentures medically necessary for your overall health (e.g., for speech or eating after extensive jaw surgery), Medicare Part A (hospital insurance) may cover them. This requires written documentation and approval from your doctor.
• While hospitalized: If you require dentures during an inpatient hospital stay for a medically necessary procedure, Medicare Part A may cover them as part of the hospitalization.

Other than these exceptions, the cost of dentures typically falls on the individual. Some options to help manage the cost include:

• Medicare Advantage plans: Some Medicare Advantage plans offer additional dental coverage, including dentures. Check with your specific plan for details.
• Dental insurance: Purchasing a separate dental insurance plan can help cover the cost of dentures and other dental services.
• Dental payment plans: Many dentists offer payment plans to help make dentures more affordable.
• Financial assistance programs: Some government and non-profit organizations offer financial assistance for dental care, including dentures.
• If you would like to know more about your dental options Click Here and a licensed agent will be in contact.