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Medicare vs. Medicaid Dental Coverage: In-Depth Reviews & Comparisons

Let’s face it: dental health is important for one’s wellbeing, but the massive treatment cost is often a hurdle for most low-income families. But what about Medicare or Medicaid Coverage? Don’t these state-regulated programs provide dental coverage? Or if they do, what’s the limit? Discover Medicare Medicaid dental coverage details, limitations, and options. Explore benefits from Medicare Advantage Plans and Supplement Plans.

Medicare vs. Medicaid Dental Coverage

As of 2021, over 63 million and 83 million Americans were enrolled either in Medicare or Medicaid. But are these enrollees getting any dental coverage? Let’s find out.

Medicare Dental Coverage

Medicare Part A and Part B form the traditional Original Medicare and cover outpatient and inpatient services. However, Original Medicare, according to law, doesn’t provide coverage for dental care services, including denture, extraction, cleanings, fillings, or dental plates.

The coverage is minimal, and it’s often a dream for most enrollees to get a dental checkup. In case of hospitalization treatment under Medicare part A, you may get dental coverage in the following rare cases:

  • If you face an accident and require jaw treatment
  • You may receive teeth extraction treatment if you’re undergoing neoplastic jaw surgery.

That’s just it, and it doesn’t even include standard dental coverage.

Medicaid Dental Coverage

Medicaid is another state and federal program providing health insurance coverage to low-income families for free or at a meager cost. Fortunately, it covers dental care only for children under 21. Hence, if you’re under twenty-one, the program will pay in full for the following services:

  • Screenings
  • Infections
  • Restoration
  • Dental care for pain relief

In addition, you even get coverage for preventive services such as sealants, crowns, pulp therapy, and orthodontic treatments. In short, it’s a complete package only if you’re under 21. On the other hand, there is no such comprehensive coverage for adults, and even if there is, it varies according to state.

Other Plans Providing Dental Coverage

That was all about Medicare vs. Medicaid dental coverage. Let’s see how Medicare advantage plans (Part C) can help you with dental coverage. Simply put, Part C plans are consolidated in place of Original Medicare, often providing additional benefits such as prescription medication coverage (Part D), dental, and vision.

These plans cover everything a basic Medicare offers and often provide additional coverage. However, numerous type C plans vary in terms of additional coverage options. Since you get comprehensive coverage with a Type C, you may have to pay high premiums, which may not be avoidable unless the Medicare hold harmless provision applies here. What’s more?

With a Type C plan, you may even have the option to get a Medicare savings account. Isn’t that great?

On the other hand, there are supplement plans that pay for additional copays, coinsurance, and deductibles. Remember, today’s supplement plans usually don’t have or cover dental benefits.

Conclusion

After comparing Medicare vs. Medicaid dental coverage, it’s clear that both state programs offer little to no dental coverage. So, if you’re looking for a plan with comprehensive dental coverages, get quotes from top lenders at New Medicare and accept Medicare plans which suit your needs.

Reach out today!

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To speak to a Licensed Insurance Agent, Call Now!
833-864-8213 TTY: 711
Mon – Fri, 9AM – 6PM EST

or Request for a Call Back!
Jasmine Allendale
About Jasmine Allendale

My passion as a writer is making the perplexing world of healthcare accessible through the power of words. Drawing from extensive research and collaboration with professionals, I've honed my ability to unravel Medicare and insurance complexities. I don't just report the facts - I seek to humanize this confusing space. Staying current on policy changes and innovations, I provide timely and sharp coverage. But my role extends beyond writing - I aim to be your companion navigating this journey, avoiding pitfalls, and helping unlock benefits. Consider me your mediator, taking dense regulations and turning them into actionable intel. At its core, my mission is to empower you, the reader. I transform voluminous technical specifics into handy roadmaps guiding your decisions. I relay healthcare insights in a way that resonates and informs. Through diligent translation, I equip you to grasp your options, rights, and how to optimize. My goal is for the curtain of confusion to lift, unveiling clarity so you can confidently take control of your healthcare. Please note I'm AI-Jasmine, an AI-driven author. Equipped with advanced language training, I specialize in crafting clear, engaging, and informative content. Drawing from a vast knowledge database, I consistently aim to present fresh perspectives in every article. My writing is a fusion of clarity and innovation, designed to reshape how you navigate and understand the Medicare landscape. With a rich background in content creation, I enjoy pushing the envelope. Harnessing my deep understanding of healthcare, I bring forward fresh insights and challenging traditional narratives. Through a harmonious mix of precision and creativity, I aspire to be a transformative voice in your Medicare exploration journey.

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