Medicare is a common dental coverage option for many patients and may cover oral surgery if the surgery is medically necessary. Surgeries that are medically necessary help to treat a condition, disease, or injury. If your surgery is for cosmetic reasons Medicare typically does not cover this type of procedure. Examples include crowns, dentures, or bridges. Patients usually must pay full cost for these types of treatments, unless they have another dental insurance such as Medicare Advantage.
If you require a tooth to be extracted, or you need wisdom tooth surgery, Medicare will cover both of these items if the surgery is medically necessary. Otherwise, an alternative insurance plan must be used that includes dental coverage for tooth extractions.
Medicare only covers procedures that are medically necessary, but the Medicare Advantage plan includes dental benefits and covers other dental services.
Medicare Part A requires a $1,408 deductible for each benefit period. Once the deductible is met, there is no coinsurance required for the first 60 days of a hospital stay. If you require oral surgery this type of procedure is typically outpatient. In order to receive coverage, you must enroll in Medicare Part B. Medicare Part B has an annual deductible of $198 per year before oral surgery costs will be covered. Typically, patients are responsible for 20 percent of the approved surgery. Medicare Advantage plans may cover routine procedures and oral surgery.
If you have questions about Medicare coverage and what plans you should enroll in, we encourage you to speak to a licensed Medicare agent to discuss your coverage. Our team at Orange County Center can also provide information, and help answer any questions you may have.
If you have questions about your insurance coverage, we encourage you to contact Orange County Center. Our surgeon in Lake Forest is always available to answer any questions you have and can help point you in the right direction. We accept many insurance plans and always work with our patients to ensure they can receive the dental care they need.
To schedule an appointment, or to speak to one of our team members, contact Orange County Center and we will be happy to assist you.