How Much Are Dentures with Medicare?

Christian Worstell
In this article...
  • Older adults with tooth loss often ask, "Does Medicare cover dentures?" Read on to learn what dental services Original Medicare and Medicare Advantage pay for.

Some older adults who experience tooth loss opt for dentures to replace missing teeth. Many people ask, "Does Medicare cover dentures?" and are surprised to learn they must pay for them out of pocket.

Full or partial dentures aren't covered through Original Medicare (Medicare Parts A and B), although some Medicare Advantage (Part C) plans may pay for this expense.

Does Medicare Cover Dentures?

Dentures aren't considered a medically necessary expense through Medicare Parts A or B. This means that if you have Original Medicare through the federal government, you must pay 100% of the costs of dentures.

Dentures may be eligible for coverage in some Medicare Advantage (Part C) plans provided by private insurers.

Are Any Dental Services Covered by Original Medicare?

According to the Kaiser Family Foundation, nearly half of all Medicare beneficiaries don't have any dental coverage. 20% of Medicare beneficiaries who needed dental care spent more than $1,000 out of pocket on these services.

Original Medicare doesn't cover any of the following dental services or supplies:

  • Cleanings
  • X-rays
  • Fillings
  • Crowns
  • Extractions
  • Dentures
  • Dental plates and other devices

In some cases, Part A hospital insurance pays for dental procedures if you require them during an inpatient hospital stay because of a health condition. This may include:

  • Procedures needed before radiation treatment involving the jaw
  • Oral examinations needed before kidney transplants or heart valve replacements

Do You Need Dentures?

Older adults lose teeth because of injury, tooth decay and gum disease. Missing teeth can make it hard to chew food, affecting diet and nutrition. It can also make people self-conscious about how they look and affect whether they smile or even socialize.

About 15% of Americans over the age of 65 don't have any teeth at all. Full or partial dentures, also known as false teeth, can be inserted in the mouth to replace missing teeth.

Private Medicare Dentures Coverage

Medicare covers dentures through some, but not all, Medicare Advantage plans. These plans are provided by private insurance companies to give Americans a greater choice of health coverage beyond Original Medicare Parts A and B.

Medicare Advantage plans, known as Medicare Part C, cover the same services as Medicare Parts A and B and additional supplemental benefits. These extra benefits may include dental, vision, hearing and fitness. The specific benefits vary by plan, and not all plans are available in every service area.

In 2022, 96% of Medicare Advantage plans offered dental benefits. These benefits can often include coverage for some or all of the costs of dental implants or dentures.

Medicare Advantage plans differ significantly in terms of coverage, premiums, deductibles and cost-sharing. If you need Medicare to cover dentures, be sure to compare plans carefully before enrolling to ensure that you find the best policy for your needs.

Christian Worstell
About the Author

Christian Worstell is a senior Medicare and health insurance writer with HelpAdivsor.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.

Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.

While at HelpAdvisor, Christian has written hundreds of articles that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.

Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.

A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism. You can find Christian’s most recent articles in our blog.

If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at Mike@MyHelpAdvisor.com.

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