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Medicare provides coverage for many medically necessary services, treatments, supplies, equipment, and more. But are vision and dental care part of this basic coverage?
This brings up a common question many people have… “does Medicare cover vision and dental?” In this article, we answer that question in clear, plain English. You will also find the average costs of vision and dental care and other helpful info.
The short answer is no. In most cases, Medicare will not cover the cost of vision and dental care. That said, there may be some situations where you can get these costs covered. Below we’ll take a closer look at this to see when you might be able to get Medicare to pay for your vision and dental care.
Original Medicare (Medicare Part A and Part B) does not provide coverage for routine vision and dental care and services. However, in some cases, Original Medicare may provide coverage for some vision and dental services. For Original Medicare to provide coverage for your vision and dental care, it must be medically necessary to treat a medical condition.
Original Medicare does not provide coverage for the following dental services when they are only for your dental health:
However, if you need a dental service as part of treatment for your overall health, Medicare may provide coverage for it. Here are some situations where Original Medicare may provide coverage for your dental care:
Original Medicare also does not provide coverage for routine vision services such as eye exams and the purchase of eyeglasses. However, if you have a chronic eye condition such as a cataract or glaucoma, Medicare may provide coverage for your treatment and services. Original Medicare will provide coverage for the following vision treatments and services:
Original Medicare provides coverage for vision care if you:
However, some Medicare Advantage plans (Medicare Part C) provide coverage for vision and dental care. Medicare Advantage plans cover everything Original Medicare covers and usually offer some additional benefits as well. Coverage and out-of-pocket costs will vary depending on the specifics of your plan.
Many Medicare Part C plans provide coverage for routine vision and dental care.
Vision and dental costs vary greatly depending on the type of care. An average pair of prescription eyeglasses costs around $350. A routine dental checkup and cleaning usually costs around $100.
Note: Medicare coverage changes all the time. And your specific coverage may vary from plan to plan for Medicare Advantage and Medigap plans. Always be sure to double check with your health care provider and/or Medicare insurance provider about what your plan covers and what it does not.
This article is part of our series on “What does Medicare cover?”
Also, you can check out other articles in this series including: Does Medicare cover penile implants?