What Dental Services Does Medicare Cover?
Original Medicare (Parts A and B) generally does not cover routine dental care, including exams, X-rays, cleanings, fillings, crowns, bridges, dentures, or implants. Dental services may be covered in limited circumstances when they are directly connected to a covered medical treatment, such as certain procedures performed in a hospital.
If you have Original Medicare without dental benefits, you may still have options for accessing the dental care you need. Some beneficiaries choose to purchase a separate dental plan, while others pay for dental services out of pocket.
Medicare Advantage Plans Can Help
Medicare Advantage (Part C) plans are offered by private insurance companies approved by Medicare and may include additional benefits that Original Medicare does not, including dental, vision, hearing, prescription drug coverage, fitness programs, transportation, and over-the-counter allowances.
Dental benefits vary by plan. Some Medicare Advantage plans may cover preventive services, while others may offer an annual allowance toward certain restorative procedures. Copayments, coverage limits, and covered services also vary, so it’s important to review your specific plan to understand your benefits and expected out-of-pocket costs.
When you visit Sage Dental, we’ll verify your benefits, explain what’s covered, and review any expected out-of-pocket costs before treatment begins, so there are no surprises.
Brighter smiles accessible to all
We believe price should never get in the way of quality dental care. From accepting a variety of dental insurance to flexible financing options to SageCare+, we believe dental access should be all about easy.
It's all about easy
We make dental care easy. With convenient locations, doctors and staff who live in your community, and flexible scheduling, we believe dental care should be all about easy.
No insurance? No problem.
If your Medicare plan doesn't include dental benefits, Sage Dental offers a full range of senior dental services, from routine cleanings and preventive care to dentures and more, with options to help make the care you need more affordable. Eligible new patients can receive a complimentary exam and X-rays, and we offer payment options and financing that may help you manage unexpected out-of-pocket expenses.
For patients looking for year-round savings, SageCare+ is a membership program that provides savings on eligible dental services. Members can save up to 65% on eligible general, cosmetic, and specialty dental care.
SageCare+ is not dental insurance and does not provide insurance coverage. Instead, it's a membership program that can help reduce your out-of-pocket costs when paying for eligible dental care.
Frequently Asked Questions
Original Medicare (Parts A and B) generally does not cover routine dental care, including exams, X-rays, cleanings, fillings, crowns, bridges, dentures, or dental implants. Dental services may be covered in limited circumstances when they are medically necessary as part of a covered medical treatment. However, many Medicare Advantage (Part C) plans do include dental benefits, although covered services, coverage limits, and out-of-pocket costs vary by plan.
Many Medicare Advantage (Part C) plans include dental benefits, but coverage varies by plan. Some plans may cover preventive services like exams and cleanings, while others may provide benefits toward restorative procedures. Your specific plan determines what is covered and what you may pay out of pocket.
Original Medicare generally does not cover dentures or dental implants. Many Medicare Advantage plans may include benefits for these services, although coverage, limitations, and out-of-pocket costs vary by plan. Review your specific plan or contact Sage Dental to learn more about your available benefits.
Sage Dental accepts many Medicare Advantage dental plans. Accepted plans and benefits can vary by location, so it’s important to provide your insurance information when scheduling your appointment so we can help determine your options.
You can review your Medicare Advantage plan documents or contact your insurance provider directly. You can also provide your insurance information to Sage Dental, and our team can help verify your dental benefits.
Yes. When you provide your insurance information, the Sage Dental team can help verify your available dental benefits and review your expected out-of-pocket costs before treatment begins.
If your plan does not cover the full cost of your treatment, Sage Dental offers payment options and financing that may help make out-of-pocket expenses more manageable. Depending on your situation, SageCare+ may also provide savings on eligible dental services.
SageCare+ is a dental membership program that provides savings on eligible dental services for members. It is not Medicare insurance or dental insurance and does not provide insurance coverage. Instead, it can help reduce out-of-pocket costs for eligible dental care.
Yes. Sage Dental offers several options to help make dental care more affordable for patients without dental insurance, including new patient offers, payment options, financing, and SageCare+. SageCare+ provides savings on eligible dental services for members.
Regular dental visits can help identify cavities, gum disease, cracked teeth, oral cancer, and other concerns before they become more serious. Preventive care can help protect your natural teeth, support comfortable eating and speaking, and contribute to your overall quality of life as you age.
