Dental service coverage – Medicare

In most cases, Medicare doesn’t cover dental services like routine cleanings, fillings, tooth extractions (removals), or items like dentures and implants.  

Medicare may cover:

  • Some dental services you get when you’re admitted as a hospital inpatient for your dental procedure, either because of your underlying medical condition or the severity of the procedure.
  • Specific inpatient or outpatient dental services directly related to certain covered medical treatments. In these cases, you must get the dental service because it’s linked to the success of the medical treatment you need, like:
    • An oral exam and dental treatment before you get a heart valve replacement or a bone marrow, organ, or kidney transplant.
    • A procedure (like a tooth extraction) to treat a mouth infection before you get cancer treatment services like chemotherapy.
    • Treatment for a complication you experience while getting head and neck cancer treatment services.
    • Dental or oral exams before and while getting Medicare-covered dialysis services (if you have End-Stage Renal Disease (ESRD)).
    • Medically necessary tests and treatments to remove an oral or dental infection before and while getting Medicare-covered dialysis services (if you have ESRD). 

Author: Health Watch Minute

Health Watch Minute Provides the latest health information, from around the globe.