Updated 25 Jan 2024 
2 Minute Read
If you’re missing teeth and are considering dental implants, you may be wondering if Original Medicare will cover the cost. Unfortunately, Original Medicare doesn’t typically cover dental implants and tooth extractions, but there are a few ways that you may be able to get coverage. Keep reading to learn more about your options.
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What are Dental Implants?
Dental implants are a permanent alternative to dentures or dental bridges. The implant replaces your tooth, giving you the same function and appearance as your natural teeth. Implant teeth are great alternatives to bridgework, and they can be used if you lose or break your real ones. A titanium post will attach closely with gum tissue around it so that the replacement tooth looks just like what’s been missing.
How Much Do Dental Implants Typically Cost?
The cost of each dental implant can vary, depending on the person’s needs. If you have a tooth that’s gone missing or needs to be replaced, the cost can range from about $3,200-$7,000.
According to Real Self, the average cost of dental implants is $7,375. This amount is based on the average price their community members paid. While a single implant for a replacement tooth can cost between $1,000 – $3,000, related fees or the need to replace multiple missing teeth with implants can drive your total cost up to $29,500.
Why Coverage for Dental Implants is Important
According to the CDC, nearly 1 in 5 adults aged 65 or older have lost all of their teeth. If dental care is important to you, keep in mind that your routine dental care must be covered. Medicare Advantage plans usually offer more coverage than Original Medicare and may be an option worth exploring.
How Can You Get Medicare Coverage for Dental Implants?
Medicare Advantage, also known as Medicare Part C, is private senior health insurance regulated and offered by private insurance companies with a license from the federal government. Your Medicare Advantage plan does not come with automatic dental coverage, but some plans may include it. Another option for Medicare beneficiaries who want to protect their teeth should involve considering adding a dental plan/dental insurance to their coverage. The cost of this coverage can be added at an affordable rate, and some plans offer discounts for bundling vision along with it.
Does Medicare Cover Medications Related to Dental Implant Surgery?
Your medical insurance plan may cover medication such as antibiotics and pain meds through your Medicare Advantage plan or Medicare drug coverage Part D. You will have copay or coinsurance costs that vary in price depending on which tier of drug your dentist prescribes. Original Medicare will not cover the cost of these prescriptions.
Does Medicare Cover Other Types of Dental Care?
Medicare has very strict coverage for dental services, only covering costs related to illness or injury. For example, your cardiologist may ask for a dental checkup before surgery, or if you need jaw surgery, Medicare Part A may cover some costs. While Medicare Part A and Medicare Part B won’t cover dental benefits, certain Medicare Advantage plans may cover it. If you’re considering getting implants, this may be your best option.
How to Get Medicare Coverage for Dental Implants
Worried about impending dental implant bills, or want to ensure you are covered if the time comes? Speak with one of our licensed insurance agents today to see which plan is right for you and your oral hygiene.
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