| Does Medicare Cover Dental and Vision? | | | | for one, you should become familiar with this |
| Medicare is the US health insurance plan for | | | | website! |
| seniors and disabled people. It provides basic | | | | Another great resource would be your |
| medical coverage, and it really helps our seniors | | | | supplemental health insurance company. Call the |
| and disabled pay for health care. But original | | | | customer service number and ask. MA plans, |
| Medicare does not pay for everything, and dental | | | | medi-gap health insurance, and retirement benefits |
| or vision benefits are very limited. | | | | will all be run by private companies. If you want |
| Routine care, like checkups, fillings, and glasses, | | | | to seek services you can call to make sure they |
| are not usually covered. Services may be | | | | will be approved. |
| covered if they are associated with a medical | | | | What if a Medicare Beneficiary has No Coverage |
| issue like an illness or injury. | | | | We are all concerned with our eyesight and teeth. |
| For example, Medicare may pay for a hospital | | | | But these services can be expensive. It may be |
| stay in the case of a complicated dental | | | | time to explore some alternatives before you |
| procedure. But it may not cover the actual dental | | | | have an emergency need. |
| work. For another example, Medicare does not | | | | Dental Insurance - I am not surprised to see a lot |
| usually cover eyeglasses or contacts. However, it | | | | of dental insurance that is being marketed to |
| will pay after intraocular lens cataract surgery. | | | | seniors. Keep in mind that not all services will be |
| Does this sound complicated? | | | | covered, and you are likely to have deductibles, |
| Well, it can be hard to understand when services | | | | copays, and yearly maximums that are specified |
| will be covered and when they won't be. In any | | | | in any policy. The coverage can help you plan for |
| case, even covered services may require a | | | | expenses, but is not likely to totally eliminate all |
| deductible and copayments, so a patient is likely | | | | costs. |
| to have out of pocket costs if they have original | | | | Dental Discount Plans - These are not insurance |
| Medicare. | | | | plans, but allow members to access networks of |
| The answer is even more complex if the | | | | service providers who agree to discount services. |
| benificiary has other benefits. Some Medicare | | | | This is similar to the negotiated price benefit |
| Advantage (MA) plans, for instance, do cover | | | | associated with some PPO or HMO health |
| some routine dental work. Other people may | | | | insurance or dental insurance plans. While discount |
| have additional coverage through a retirement | | | | plans do not actually pay for services, they can |
| health insurance plan. But most covered people, | | | | help members save a lot of money. Some also |
| even with supplements or MA plans, do not have | | | | include vision networks. |
| extra dental and vision benefits. So some | | | | Community or Government Dental and Vision |
| beneficiaries may have covered services, while | | | | Care - I have seen ads for dental clinics, ad even |
| some do not. | | | | mobile dental care vans, at local community |
| How do you know what benefits you are entitled | | | | centers. Many church or community sponsored |
| to? | | | | centers will have information on reduced fee |
| Medicare.gov is a great resource. This website, | | | | clinics for seniors, disabled people, or others with |
| run by CMS (Center for Medicare and Medicaid) | | | | low income. The federal government, state, or |
| actually answers many questions like this. You can | | | | county may also run reduced fee clinics in some |
| also look up information on Medicare Advantage | | | | areas. Your local health and human resources |
| plans. If you have trouble using the website, they | | | | offices should have information. There is help out |
| also provide a 1-800 contact phone number and | | | | there for older people, but it can take some |
| email address. If you are a beneficiary, or care | | | | digging to find it. |