What are dental implants?
Dental implants are dental prosthetics used to replace one or more missing teeth. They are typically made of titanium and are surgically implanted into the jawbone. Once in place, they can be used to support a dental crown, bridge, or denture.
Will Medicare pay for dental implants in 2022?
It depends on what type of Medicare plan you have.
- Original Medicare doesn't cover dental.
- Medicare Supplement plans don't cover dental.
- Some Medicare Advantage plans do cover dental implants.
How to get Medicare to pay for dental implants?
First, you have to pick a Medicare Advantage plan that covers dental implants. Not all plans do, so you'll need to compare your options and find one that meets your needs. Then, you'll need to find a dentist, and that dentist will create a plan of care to get your dental implants covered by your insurance company.
Which Medicare Advantage plans cover dental implants?
Some HMO, D-SNP, and C-SNP plans cover dental implants. However, no PPO or PFFS plans are currently known to cover dental implants.
Check our list below and you'll see which company and plan cover dental implants in your area.
Does Bright Healthcare cover dental implants in 2022?
Yes, all Bright Healthcare HMO plans cover dental implants in 2022. But, the copay is $0 to $1,100 for in-network services.
Here is a screen capture of the implant benefit from the EOC:
Bright Healthcare does not have a PPO, D-SNP, C-SNP and PFFS plans.
To conclude, we can see that Bright Healthcare covers dental implants in their HMO plans for 2022. The copay could be expensive, but it is worth checking out if you need implants.
Does Humana medicare cover dental implants in 2022?
No, Humana does not cover dental implants as of 2022. We researched and checked HMO, PPO, D-SNP, C-SNP, and PFFS plans. Their Evidence of Coverage states that dental implants are an excluded benefit. Here is a clipping of Humana Evidence of Coverage; implants are only mentioned once in the entire EOC.
As you can see in the Evidence of Coverage, implants are under Chapter 4. Medical Benefits Chart in the Dental Mandatory Supplemental Benefit Exclusions. Exclusions are insurance language for not covered. Also, the language for the exclusion is the same for all plan types.
To conclude, as of 2022, Humana does not cover dental implants in any of its Medicare plans.
Does Aetna Medicare advantage cover dental implants in 2022?
The excellent news, Aetna Medicare covers dental implants for some of their plans. Check the table for a quick scan to see which type of plans cover implants.
Only one of Aetna's HMO plans covers implants at a $0 copay. Check out the screenshot to see how Aetna format the implant benefits on their EOC and the copays.
Aetna DSNP covers dental implants at a $0 copay. Also, they cover not only dental implants but also cochlear implants if anyone needs them.
Aetna does not have any PFFS or C-SNP plans. Additionally, none of Aetna's PPO plans in any area covers implants.
To conclude, for 2022, one of Aetna's Medicare HMOs and all its DSNP plans covers dental implants.
Does United Healthcare Medicare Advantage cover dental implants?
No, but the D-SNP plans removes broken retaining implant screws. Check out this EOC screenshot showing you the benefit of removing implant screws.
So to confirm, non of United Healthcare HMO, PPO, PFFS, D-SNP, and C-SNP plans cover dental implants.
As of 2022, United Healthcare will only remove broken dental implant screws.
Does Simply Healthcare Medicare cover dental implants for 2022?
Simply Healthcare Medicare covers dental implants at a fixed copay and others by allowance. So let's break it down.
Simply Healthcare Medicare HMO plans cover implants. Some HMO plans have a $0 copay for dental implants. Others have a yearly allowance for all dental services, including implants. Since they have different wording, I will put the screenshot for both so you can see how it's worded.
Simply Healthcare PPOs do not cover dental implants.
Simply Healthcare D-SNP plans cover dental implants at a $0 copay for dental implants.
A special mention Simply Healthcare Chronic Special Needs Plans(C-SNP) also cover implants at a $0 copay.
In conclusion: Simply Health care covers dental implants in most plans HMO, D-SNP, and C-SNP.
Does Kaiser Medicare Advantage cover dental implants?
A list of plan types table shows which Simply Healthcare Medicare plans cover dental implants.
No, Kaiser plans for Medicare do not cover dental implants. Yet, implants are mentioned under Section 3.2 – Dental exclusions and limitations for all the HMO and D-SNPs.
The no-covered language is the same for the HMOs and D-SNPs. So we will post one screenshot as an example.
They don't have PPO plans.
Conclusion: Currently, in 2022, Kaiser Medicare plans do not cover dental implants in any of their plans.
Does Medicare with Blue Cross cover any dental procedures like implants?
Blue Cross Medicare does not cover dental implants. Blue Cross Blue Shield is called Florida Blue in Florida.
Blue Cross Medicare Advantage HMO, PPO and D-SNP plans do not cover dental implants. Dental implants are excluded from all plans.
Here's a screen shot from the Blue Cross Medicare Advantage evidence of Coverage that shows dental implants are not a covered service.
Conclusion: Blue Cross Medicare Advantage plans do not cover dental implants in any of their plans in 2022.
To sum up, dental implants are a great way to replace missing teeth. But when it comes to Medicare, the answer is a little more complicated. Some Medicare plans do cover implants, while others do not. It depends on your specific plan and insurance company. So if you're considering getting dental implants, check with your agent and insurance company first to see if you're covered.
Does Medicare cover dental implants in Florida?
Yes, the companies that offer dental implants in Florida are Aetna, Bright Healthcare, and Simply Healthcare.