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Medicare and Dentures: Do I Have Coverage?

Medicare does not cover dentures, or most other routine dental care services and supplies. That doesn’t mean there aren’t options to help with expenses though.

Medicare Advantage

Medicare Advantage plans are offered through private insurance companies. They are required to provide at least the same level of coverage as Original Medicare. Most Medicare Advantage plans offer more coverage than Original Medicare, and that may include dental services and dentures.

Coverage can vary based on the plan that you pick, so do the research and check which Medicare Advantage plan is the right one for you.

PACE

A Program of All-Inclusive Care for the Elderly (PACE) is another option when trying to cover dentures. PACE can be combined with other programs that provide healthcare like Medicare and Medicaid.

Your coverage options will depend on what coverage is offered in your state under Medicaid. PACE will provide all services covered under Medicare and Medicaid.

Alternatives

If you don’t have Medicare Advantage or aren’t eligible for PACE, there are other options for helping with costs. The following are some of the options that may be available to you.

  • Dental insurance. Depending on the state that you live in, you may have access to stand-alone dental plans. Typically, these plans cover cleanings, x-rays, oral exams, and fillings. Certain plans may also help with the costs of oral surgeries and dentures. Check your plan options for details.
  • Dental schools. Dental schools will often run low-cost clinics to train their students.
  • Community health clinics. Community centers often provide dental services for low-income individuals.

Medicare may not cover the costs of dentures, but there are options to help with the expenses. For more details on what is available near you, try talking to your doctor or visit medicare.gov to see your plan options.

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