medicare dentist

Dentists accepting medicare Fort Lauderdale, FL


We are now taking medicare dental for dental implants, sedation dentistry, teeth removal, porcelain crowns and white fillings . Serving Broward county area, neighborhoods and near by cities in south Florida.

The Fort Lauderdale service area in Broward county Florida, includes the cities of Pompano Beach, Wilton Manors, Sea Ranch Lakes, Oakland Park, Lighthouse Point, Plantation, Davie, Tamarac, Boca Raton and Lauderdale By The Sea and many more.

medicare dental

Does Medicare Cover Dental Implants

Dental implants permanently replaces missing teeth and failing dentition. Unfortunately, Medicare beneficiaries are not out of options when it comes to dental implant coverage. There are a variety of plans available to help cover dental implants when enrolled in Medicare. Those on a Medicare Advantage plan may find dental implant coverage built into their plan. If you are on Medicare and wish to have this procedure performed, you will need to ensure you have a secondary form of coverage, like a stand-alone dental plan, to avoid paying the full cost. Call our office and ask for Sandy for details. 

There are several stand-alone dental plans available that will help cover the cost of dental implants. Please note not all dental plans will cover the cost of dental implants, so it is important to speak with our insurance coordinator to understand your oral surgery and dental implant plan’s coverage.

Following a dental implant procedure, if health concerns arise as a result, Original Medicare will cover those costs. For example, if you experience excess pain in your jaw and complication from a full mouth dental implant surgery, Original Medicare will cover those costs.

Further, if complications arise during your initial consultations and your dentist deems it necessary to perform the procedure in an inpatient setting, Medicare Part A will cover the hospital and sedation dentistry expenses.

Medicare Advantage Coverage for Dental Implants Florida

The most coverage for dental implants you will find with Medicare comes from Medicare Advantage plans. Some Medicare Advantage plans provide dental benefits for policyholders which can include coverage for dental implants.

To receive this extra benefit, you may pay a higher monthly premium. However, you will need to keep in mind the maximum dental benefit. Medicare Advantage plans almost always require copayments and deductibles for dental services. On most plans, you will be responsible for 100% of the cost after you meet the plan’s maximum benefit.

When choosing a Medicare Advantage plan to cover dental implants, you want to first be sure your plan offers dental coverage. Secondly, ensure the plan covers dental implants as well. Some Medicare Advantage plans with dental coverage explicitly exclude dental implant coverage. To verify coverage eligibility, you will need to review the plan’s Evidence of Coverage.

medicare dental implants

Medicare Supplement Coverage for Dental Implants

Medicare Supplement plans do not provide the patient with dental coverage. Thus, Medicare Supplement plans do not cover dental implants. However, like original Medicare, if your oral surgery and dental implants procedure occurs in an inpatient setting or additional health issues arise due to dental implants, your Medicare Supplement plan will cover those related costs including sedation dentistry and general anesthesia.

Keep in mind, Medicare Supplement plans only pay secondary to Medicare. So, if Medicare does not pay first, your Medicare Supplement plan may not cover any costs.

Medicare Dentist Palm Beach, FL

If you've been spending a lot of time looking for affordable senior medicare dental insurance, then you aren’t alone. Finding affordable Medicare dental coverage in Palm Beach can be tricky.


Medicare Part D Coverage for Dental Implants

Medicare Part D does not provide beneficiaries with health care coverage. This includes coverage for dental procedures, teeth removal and dental implants. However, Medicare Part D will cover costs related to medications prescribed as a result of dental implants and oral surgery.

If you require pain medication, antibiotics, or any other medication after receiving dental implants, Medicare Part D will help cover those costs.

How to Get Help with Medicare Coverage for Dental Implants

If you need help with coverage for dental implants, do not hesitate to reach out to our certified Medicare insurance coordinator - Sandy. Sandy is a Medicare expert who are trained to give you all the information you need regarding Medicare and dental coverage. Coral Ridge Smile work with many dental plan carriers and can review your needs to recommend the treatment plan.

What does Medicare cover for dental?

Some Medicare Advantage plans may offer additional benefits for dental, including services related to dental implants and oral surgery like teeth extractions. Medicare Advantage plans are offered by private Medicare-approved insurance companies, so they are able to include supplemental benefits not available under Original Medicare. For example, many Medicare Advantage plans include coverage for routine dental care such as annual exams and dental cleanings.

Some Medicare Advantage plans even offer supplement dental insurance with coverage for more complex dental procedures such as extractions, crowns, bridge work, and other types of tooth replacement or restoration, which may include dental implants. You may have to get your dental care from a network provider, and your plan may only pay a set amount for these additional services, regardless of the actual charge.

Does medicare cover dental implants in florida

Yes, however, only if medical necessary. For example following a dental implant procedure, if health concerns arise as a result, Original Medicare, will cover those costs. For example, if you experience excess pain in your jaw and a small localized fracture results from dental implant surgery, Original Medicare would cover these related costs.

Does Medicare cover medications for dental implant surgery?

If you have dental implant surgery in the hospital setting, Medicare Part A generally covers any medications you take while you are in the hospital. Otherwise, there is generally no coverage for prescription medications related to dental services under Original Medicare.

On the other hand, if you have a Medicare Part D Prescription Drug Plan or Medicare Advantage plan with prescription drug coverage, your plan will likely cover any sedation dentistry medications, antibiotics, pain medication, or other prescription drugs your doctor orders before and after your procedure.

Medicare may cover oral surgery and dental implants if it is medically necessary

Oral surgery involves procedures performed on the bones, nerves or gum tissue of the jaw or mouth. When such a procedure is considered medically necessary and is performed by a Medicare-participating dentist, it may be covered by Medicare.

Medically necessary is defined as a treatment or service that is required in order to treat a specific injury, illness, disease or condition.

  • For example, if you suffer an injury that results in facial or jaw fractures and are admitted as a hospital inpatient, Medicare Part A may cover some of the costs of your hospitalization and surgery costs.
  • If your oral surgery is performed in an outpatient setting, Medicare Part B may cover the surgery if it is medically necessary and is part of a Medicare-covered service.

How much does oral surgery cost with Medicare?

If you receive oral surgery while you’re a hospital inpatient, your hospital costs may be covered under Medicare Part A.

as of 2022 Medicare Part A carries a $1,408 deductible for each benefit period. You must meet this deductible before your Part A coverage begins. Once that deductible is met, there is no coinsurance requirement for the first 60 days of your inpatient hospital stay.

Oral surgery, however, is often performed in an outpatient setting. And in order to have an outpatient oral surgery covered by Medicare, you must be enrolled in Medicare Part B, which is optional coverage.

You must satisfy the Medicare Part B annual deductible of $198 per year in 2022 before Medicare Part B will cover additional costs of your oral surgery.

Once you meet your Part B deductible, you will typically pay 20 percent of the Medicare-approved cost of the surgery, and Medicare will pay for the remaining 80 percent.

Does Medicare cover tooth removal?

Original Medicare only covers a tooth removal if it’s considered medically necessary.

However, Medicare Advantage plans that include routine dental coverage will often cover a tooth removal. 

Does Medicare cover wisdom teeth removal?

As is the case with other routine dental procedures, wisdom tooth removal may be covered by a Medicare Advantage plan with dental benefits. 

What dental procedures does Medicare cover?

Medicare Advantage plan with dental benefits may provide coverage for the following dental procedures:

  • Dental exams
  • Teeth cleanings
  • Fillings
  • Teeth removal
  • X-rays
  • Gum treatment periodontics.
  • Deep dental cleaning
  • Prosthodontics (crowns, bridges, dentures and implants) 

Medicare Advantage plan availability and benefits may vary, so be sure to check with our insurance agent to find out about dental coverage that may be included in Medicare Advantage plans in south Florida where you live.

Dental procedure cost with Medicare

The out-of-pocket cost of dental without any insurance can vary widely. According to the Health Policy Institute, the average per-patient dental expenditures in the United States in 2013 was $685.

According to 2018 statistics provided by CostHelper.com, certain dental care can often come with the following costs. The costs provided are typical costs and are not intended to illustrate set or known prices for dental care where you live.

The dental services listed could come with higher or lower out-of-pocket costs than those listed below.

Dental checkup

  • Standard teeth cleaning: $80 to $200
  • Dental X-rays: $20 to $250
  • Dentist exam: $50 to $150

Porcelain and resin filling

  • Tooth-colored composite: $90 to $450

Extractions - Teeth removal

  • Non-surgical (the tooth is erupted from the gum): $75 to $450
  • Surgical (the tooth is covered by gum or bone): $150 to $650
  • Simple wisdom tooth removal: $75 to $200 per tooth
  • Pulling four wisdom teeth in one appointment: $1,000 to $3,000

Porcelain and metal crowns

  • Porcelain fused to metal: $500 to $1,500
  • Gold or other metal alloys: $600 to $2,500
  • All porcelain: $800 to $3,000

Root canals

  • Front tooth: $300 to $1,500
  • Bicuspid: $400 to $1,800
  • Molar: $500 to $2,000

When you add it up, simply visiting the dentist every six months for a routine dental exam and teeth cleaning could cost over $700 a year, and that’s not taking into account any necessary fillings or procedures.

Does Medicare cover dental in New York?

Medicare Advantage—also called Medicare Part C — is senior health insurance provided by private insurance companies and regulated by the federal government. Strictly speaking, if you live in New York your Medicare Advantage plan does not come with automatic dental coverage. However, many Medicare patients can add a dental plan to their plan at an affordable rate. Some plans may even offer discounts for a dental coverage package.

Medicare coverage and All-On-4 Dental Implants

Original Medicare (Part A and Part B) do not offer coverage options for All-On-4 Dental Implants. That means you have one options for dental implants procedures:

  • Get a Medicare Advantage plan.
  • Your Medicare dental plan could have a maximum annual benefit on dental implants.This means that there is a cutoff on how much your dental insurance will cover in one year. For example, if your maximum annual benefit is $2,000, your medicare will pay no more than $2,000. In the above scenario, you’d have to pay the difference out of pocket.

When shopping for dental coverage, look for generous and affordable coinsurance plans. Be sure to find a maximum annual benefit appropriate to your dental implants related expenses. You can speak with our dentist about estimating the cost of the implants you need. You can also speak with one of our qualified insurance expert to help you find the plan that saves you the most.

Dental implants can be expensive, costing somewhere between $3,000 and $5,000 on average per tooth. Given that investment, it’s natural to wonder if UnitedHealthcare, one of the largest insurance companies in the U.S., covers the cost of dental implants. 

UnitedHealthcare Medicare Advantage (Medicare Part C) plans may not always cover the cost of dental implants, though some UHC Medicare plans do cover them. That’s because dental implants are sometimes considered cosmetic, and some insurance plans may not cover cosmetic procedures. 

However, some UnitedHealthcare Medicare Advantage plans that include dental coverage may cover the cost of the crown, bridge or denture that is supported by the implant. 

Dental benefits vary by plan, so be sure to check with your UHC Medicare plan carrier directly if you already have a plan, or carefully review the coverage information of a prospective plan you’re considering. You can compare Medicare Advantage plans online or get help by calling to speak with a licensed insurance agent.

United HealthCare Medicare for Dental Implants

Dental implants can be expensive, costing somewhere between $3,000 and $5,000 on average per tooth. It’s logical natural to wonder if United Healthcare, Medicare one of the largest insurance companies in the U.S., covers the cost of dental implants. 

United Healthcare Medicare Advantage (Medicare Part C) plans may not always cover the cost of dental implants, though some UHC Medicare plans do cover them. That’s because dental implants are sometimes considered cosmetic, and some insurance plans may not cover cosmetic procedures. 

However, some UnitedHealthcare Medicare Advantage plans that include dental coverage may cover the cost of the crown, bridge or denture that is supported by the implant. 

Dental benefits vary by plan, so be sure to check with your UHC Medicare plan carrier directly if you already have a plan, or carefully review the coverage information of a prospective plan you’re considering. You can compare Medicare Advantage plans online or get help by calling to speak with a licensed insurance agent.

A United Healthcare Medicare plan that includes dental coverage may charge you a copay or coinsurance for dental services, and some preventive dental care may be offered with $0 copays and no costs towards your deductible. Plan costs vary from one plan to the next.

Medicare Advantage plans are an alternative way to receive Original Medicare (Medicare Part A and Part B) benefits, and many Medicare Advantage plans – such as those offered by United Healthcare – offer extra coverage for things not covered by Medicare Part A or Part B.

Some of these extra benefits may include things like dental and vision care, prescription drugs, gym memberships, transportation, meal delivery and more. 

In addition to regular dental exams and teeth cleanings, some of the dental services covered by a United Healthcare Medicare Advantage plan may include things like:

  • X-rays, exam and evaluation of gum tissue. 
  • White fillings,porcelain crowns, bridges and dentures
  • Endodontics root canals
  • Periodontics, Gum treatment for gingivitis and periodontitis
  • Tooth extractions, or the removal of teeth. 
  • Prosthodontics and oral surgery services.

A Medicare Advantage plan with dental benefits may charge a monthly premium and annual deductible, although some plans may offer $0 monthly premiums, and some may offer $0 deductibles.

Best Medicare insurance for dental

The best Medicare dental plans will depend on your needs. Original Medicare doesn’t cover routine dental services, such as cleanings, fillings and extractions. For dental coverage, seniors on Medicare can buy a separate policy or turn to Medicare Advantage plans, most of which offer some form of cost help for dental care.

Medicare Advantage plans are a bundled alternative to Original Medicare, sold by private insurers. They include Medicare Part A (hospital coverage) and Part B (medical insurance) and usually Part D (prescription drug benefits). These plans charge a monthly premium or (frequently) no premium, and they often include extra benefits such as some coverage for hearing and vision care

In 2021, 42% of Medicare beneficiaries were enrolled in a Medicare Advantage plan, accounting for more than 26 million people. If you’re looking for the best dental insurance for seniors on Medicare Advantage, here are the top picks for 2022.

Medicare and Sedation Dentistry

When sedation dentistry like general anesthesia and twilight anesthesia is a procedure considered medically necessary and is performed by a Medicare-participating dentist, it may be covered by Medicare.

medicare dental fort lauderdale

Medically necessary is defined as a treatment or service that is required in order to treat a specific injury, illness, disease or condition.

  • For example, if you suffer an injury that results in facial or jaw fractures and are admitted as a hospital inpatient, Medicare Part A may cover some of the costs of your hospitalization and surgery costs.
  • If your dental procedure is performed in an outpatient setting, Medicare Part B may cover the surgery if it is medically necessary and is part of a Medicare-covered service.

If you require this type of surgery, you will likely pay the full cost of your treatment unless you have dental insurance or a Medicare Advantage (Medicare Part C) plan that offers dental benefits

If you’re concerned about pain or experience surgical anxiety, there are many anesthesia options to choose from. Our doctors are specially trained to safely administer many forms of IV anesthesia and sedation.

Fear of visiting the dentist is one of the most common types of phobias. Fortunately, sedation dentistry can help put you at ease, from having your teeth cleaned or getting a filling, to more serious dental procedures. Our Coral Ridge Smile dentists explain how sedation dentistry can help you soothe your dental anxieties.

Give yourself a fully completed smile again with dental implants! Contact Coral Ridge Smile in Fort Lauderdale, FL at (954) 889-5590 to learn more today about your medicare dental coverage!

Contact Us

Send Us an Email

Fort Lauderdale, FL

Driving direction to our location

Fort Lauderdale Schedule

Hours

Monday:

9:00 am-8:00 pm

Tuesday:

9:00 am-8:00 pm

Wednesday:

9:00 am-8:00 pm

Thursday:

9:00 am-8:00 pm

Friday:

9:00 am-8:00 pm

Saturday:

Closed

Sunday:

Closed