Dental services

In most cases, Medicare doesn't cover dental services like routine cleanings, fillings, tooth extractions, or items like dentures. 

Medicare may cover:

  • Certain dental services you get when you're admitted as a hospital inpatient for your dental procedure, either because of your underlying medical condition or the severity of the procedure. 
  • Specific inpatient or outpatient dental services directly related to certain covered medical treatments. In these cases, you must get the dental service because it’s linked to the success of the medical treatment you need, like:

Your costs in Original Medicare

You pay 100% for non-covered services, including most dental services.

For Part A-covered inpatient hospital stays, you pay this for each benefit period :

  • Days 1-60: $1,632 deductible.
  • Days 61–90: $408 each day.
  • Days 91 and beyond: $816 each day while using your 60 lifetime reserve days .
  • Each day after you use all your lifetime reserve days: All costs.

For Part B-covered dental services, you pay 20% of the Medicare-approved amount after you meet the Part B deductible. If you get the covered service in an outpatient hospital or other facility setting, you’ll also pay a copayment to the facility.

Is my test, item, or service covered?