What Dental Services Are Covered by Medicare?
If you are a senior citizen then you may be in a quandary when it comes to what dental services are covered by Medicare. There is actually a lot of confusion as to what you will have to get your mouth fixed for. Before starting to worry, take a deep breath and realize that you are not alone in this regard. Most people are not aware of what they will need to do in order to get all of the necessary work done for their care. The fact is that if you are covered by Medicare you will most likely find that there are many benefits that are not immediately apparent. Once you start looking into what is covered, you may be shocked to learn that there are quite a few things that are not actually included in the network.
In order to make sure that what you have is actually included in the network, you will need to contact your local Medicare representative. They can tell you what you are eligible for, and what services are covered. You can also ask them about what services are covered by the supplemental benefits. This is one of those rare times when it really is as easy as calling the office and talking to someone. Unfortunately, because this program is so new, there are not enough trained staff to answer all of the questions that you may have.
One of the first things that you will need to know is what the scope of care is for oral services. Many people assume that they are going to be covered for all of the basic preventative procedures that they will ever need. In most cases that is not the case. Depending on where you live, you may be covered for routine cleaning such as teeth trays, and cleanings, and even some preventative measures such as fluoride treatments.
You may be able to use what are called “designer” or “comprehensive” dentists, but that is only if your oral health needs are especially bad. If you have a lot of decay or severe periodontal disease, then you really need to see a specialist for both your preventative care and for comprehensive oral surgery. These types of specialists are very expensive because they must perform very extensive and intricate dental work.
Another thing that you should find out is what is covered completely by your selected plan. What about surgeries? Are there limits to what is covered? If you do not have anything major in your mouth at all, then it probably will not matter how much your plan pays for oral surgery. But remember, most plans have restrictions on what you can have done to repair severe problems.
Are you going to need root canals or any of the other expensive types of cosmetic procedures? Again, you may not need to spend a lot for these. It just makes sense to go to a regular dentist, who can perform these things at a low cost. What about braces? In some cases, they can be covered by Medicare. Just ask your regular dentist what you can expect when you get your braces.
Just because a service is considered cosmetic does not mean that it is necessarily cosmetic in nature. A great example is having a dental implant, which is basically just another name for a tooth implant. Many people think that they need a cosmetic procedure when what they need is just some basic oral work done. So if you are looking for what dental services are covered by Medicaid, make sure that it covers basic procedures like teeth cleanings.
If you want what dental services are covered by Medicaid, the first step is to call your local Medicaid office and ask what is offered. Usually, if it is not, it can be added later. Once you find the right policy for your situation, you can take it to your regular dentist for an estimate. Since there are many options, it can take some time to find what works best for you and your budget. But it is well worth the time.