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:
- An oral exam and dental treatment before you get a heart valve replacement or a bone marrow, organ, or kidney transplant.
- A procedure (like a tooth extraction) to treat a mouth infection before you get cancer treatment services like chemotherapy.
- Treatment for a complication you experience while getting head and neck cancer treatment services.
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.