does medicare cover dentures in texas

Does Medicare cover dentures?

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Dear Connie,

My husband, Charles, is about to retire at 65. He needs dental work, and even though he might not like the idea, he might need dentures. Does Medicare cover dentures?

I appreciate your help,
Patricia from Willis, Texas

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Dear Patricia,

It’s good that you’re thinking about your husband’s dental care. Good oral hygiene has many health benefits, including prevention of gum disease and lowered risk for diabetes and cancer.

You do not want to delay getting the treatment your husband needs.

Dentures have many benefits, including improved self-esteem and reduced oral health issues. Modern dentures are designed to be comfortable and function like natural teeth. They improve your speech and prevent facial muscles from sagging, which could lead to an older appearance. If he still has teeth, partial dentures can prevent further wear and tear.

Denture options include:

  • Removable dentures are a complete set or partial dentures to fill in the gaps.
  • Implant dentures are surgically implanted into your mouth.

Original Medicare coverage (Parts A and B) does not include dental care. Medicare Part A may cover any dental procedures you need if you’re in the hospital. Some Medicare Supplement plans may offer discounts on dental care, but in general, Medicare does not cover routine dental care.

If dentures are likely in his future, a Medicare Advantage plan may be the best option for Charles. He would receive all the benefits covered by Medicare in a Medicare Advantage plan, which may include dental coverage. Your husband will still need to pay the Medicare Part B monthly standard premium of ($185.00 or more based on your income for 2025).

Even if you primarily seek coverage for dentures and other routine dental care for him, Medicare Advantage plans offer additional hearing and vision care benefits. While a Medicare Advantage plan may be the best option for your husband, you do not need to choose the same plan. Medicare is not one-size-fits-all, and your insurance plan should be what’s best for you, Patricia.

Private insurance companies offer Medicare Advantage plans (Part C) that cover most dental procedures, including cleanings, fillings, dentures, and tooth extractions. Some plans also cover dental implants.

Agent tip:

“Medicare Advantage plans may cover one or both kinds of dentures. You need to discuss which type is the best for him with your dentist. Dental plans may vary, so you will want to research the available options in your county.“

Medicare Advantage plans may cover one or both kinds of dentures, depending on the plan. It would be best if you discussed his best type with your dentist. Dental plans may vary, so you will want to research the available options in your county.

Connie Health has a plan comparison tool that sorts your many plan options. Enter your doctors, prescription medications, and dental benefits, and our technology will compare available plans tailored to your needs – quickly narrowing your choices.

If you’d like help ensuring that you pick a plan that best fits your needs, a local licensed Connie Health agent can help. Call (623) 223-8884, and an agent will find a Medicare insurance plan covering dental care.

Need Help Deciding The Right Medicare Coverage For You?

  • Free, unbiased service
  • Compare all major plans and carriers
  • Local, licensed insurance agents with 25+ years of experience
Speak with a local licensed insurance agent
David Luna Co-founder and
Licensed Insurance Agent
(623) 223-8884 (TTY: 711) Monday-Saturday 8am - 8pm, Sunday 9am - 5pm
There's no obligation to enroll

Because of his oral health issues, Charles may be prone to social isolation. Once he gets the treatment he needs, increasing social activity can help him maintain his health.

I hope this information has guided you in figuring out your next steps. Connie Health’s insurance agents can help you find the right plan with the benefits you need. I wish you both the best. If you have additional questions or need help, call us at (623) 223-8884.

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Frequently Asked Questions

How much do dentures cost with Medicare?
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Original Medicare Part A and B do not cover dentures; therefore, the entire cost would be out-of-pocket. That cost depends on the type of dentures that you choose. Here are the averages according to Authority Dental:

Traditional dentures: $1,000 – $3,000
Implant-supported dentures: 8,000 – $28,000
Immediate dentures: $1,000 – $3,500
Partial dentures: $450 – $3,100

Out-of-pocket dental expenses include exams, tooth extractions, anesthesia, diagnostic casts, x-rays, tissue conditioning, denture adjustments, denture relining, and more.

The only plans that offer denture coverage are Medicare Advantage plans. Coverage does vary from plan to plan, so you should check the plan’s Evidence of Coverage (EOC) before enrolling. The EOC will outline the dental products and services covered by the plan. Ensure that the dentures and dental services you need are covered, or you could incur high out-of-pocket costs.

Does Humana Medicare cover dentures?
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Yes, Humana Medicare can cover dentures under certain plans, but it depends on the specifics of your coverage. Original Medicare (Parts A and B) typically does not cover dentures. However, many Humana Medicare Advantage (Part C) plans include dental benefits that may help cover the cost of dentures and other dental services like cleanings, exams, and X-rays.

To confirm if your Humana plan covers dentures, review your plan details or contact Humana directly. If you’re unsure where to start, a Connie Health agent would happily guide you through your options and ensure you get the necessary benefits. After all, your smile is worth it! Call (623) 223-8884 to speak with a local licensed Connie Health agent.

Does Medicare Advantage cover dentures?
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Medicare Advantage plans (also known as Part C) often include dental benefits not covered by Original Medicare, but coverage specifics can vary by plan. Some Medicare Advantage plans may provide partial or full coverage for dentures, while others might not include dentures at all. These plans are offered through private insurance companies, and each plan has rules about what dental services are included.

If you’re a Medicare beneficiary and need dentures, it’s essential to review the details of your plan carefully. Check for dental coverage specifics, such as whether dentures are included and what out-of-pocket costs you might need to cover. Some plans may also limit coverage to certain dentists or require pre-approval.

Need help finding a plan that fits your needs? A local licensed Connie Health agent would love to assist you in reviewing your Medicare Advantage options and ensuring you have the coverage you need for your dental health. Please don’t hesitate to reach out—call (623) 223-8884.

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Read more by Jasmine Alberto

I am a Spanish-speaking Texas Life and Health Insurance Licensed Agent and have been helping people with Medicare since 2007. I am on the the Advisory Committee for Foster Grandparents, Senior Companions, and RSVP Houston. I enjoy traveling, a backyard BBQ, and volunteering in my community.

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