Does Medicare Cover Dental Implants?

NerdWallet
Original Medicare doesn't cover dental implants, but you may be able to find coverage elsewhere.

Original Medicare doesn’t cover dental implants, but you may be able to find coverage elsewhere. NerdWallet

Original Medicare doesn’t cover most dental care or services, including dental implants, although there may be cases where Medicare will cover part of the dental costs related to an inpatient hospital stay.

If you’re looking to get dental implants covered by insurance, you may need to sign up for a Medicare Advantage plan or separate dental insurance.

What are dental implants?

A dental implant is a dental device that acts as a replacement for the root of a tooth. Typically, this is a post made out of titanium. Along with the post, there’s a replacement tooth designed to match your natural teeth and a connector (known as an abutment) that connects the two parts.

Dental implants are an option for people who were born without a tooth or who have lost teeth for other reasons. They’re meant to fit and function like natural teeth, and they are a more permanent option than dentures or dental bridges.

How much do dental implants cost?

The cost of each dental implant can vary, depending on the person.

“There are so many different issues that go into placing the implant, such as bone and tissue, it is challenging to give one across-the-board price,” says Marilyn Mages, a spokesperson for the American Academy of Implant Dentistry.

Estimates for the total cost of a single implant — which includes the implant, the abutment and the crown, or replacement tooth — could range from $3,200 to $6,000, according to the American Dental Association Health Policy Institute’s Survey of Dental Fees. If you require multiple implants, of course, the total cost will be much higher.

Medicare and dental coverage

Medicare doesn’t cover dental care or services needed for the health of your teeth, including cleanings, fillings, dentures and tooth extractions. This also includes dental implants.

Medicare will pay for services that are part of another covered procedure, such as the reconstruction of your jaw after an injury. It will also sometimes cover oral exams required for a kidney transplant or heart valve replacement, although not for any dental treatment you may need. A required oral exam would be covered under Medicare Part A if a hospital dentist performs it and under Medicare Part B if a doctor performs it.

If you think dental implants are in your future, you may want to investigate joining a Medicare Advantage plan, most of which (94%) offer dental benefits, according to the KFF, a health policy nonprofit. You may have to pay a higher premium for coverage that goes beyond routine dental care.

If you’re sticking with Original Medicare, consider a stand-alone dental plan that offers coverage for dental implants. This likely won’t pay for all costs — there may be coinsurance and a maximum annual benefit amount — but it may cover enough to be worth it.

Copyright 2021 Nexstar Media Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

Utah Coronavirus

More Coronavirus Updates

IN FOCUS

More In Focus

Justice Files

More Justice Files