Finding A Dental Practice That Accepts Medicare May Not Be Easy, But It’s Worth it.
Finding A dental practice that accepts medicare near you May not be the easiest task, but as many who are covered under Medicare Part-B find, it is definitely worth the time.
If you have medicare and are looking for a dental practice that accepts medicare we know it can be difficult and frustrating. Needless to say, it is very important to make sure that your insurance (medicare) is accepted before you schedule an appointment as this will avoid any surprise bills for extensive treatments you may be looking to get.
Throughout every state there are only about 1% of practices that accept medicare and are used to working through all of the paperwork that accepting this form of coverage entails. These dentists/oral healthcare providers know what you need to have to get treatment, but also are used to guiding patients through how to utilize their medicare part-b coverage.
With a number of different supplemental plans available, it isn’t always easy to know if a dentist will accept your form of medicare insurance as a primary form of coverage.
Searching online for “a dental practice that accepts medicare” will often bring up dentists who accept some form or another, but their services may be limited or you may need a referral in order to get treatment. Generally practices that advertise online will give you information about the plans that they accept and a broad list of services that they provide, allowing you to make your own decisions. They should state clearly that they accept medicare part-b and often list the types of treatments that are covered.
Generally speaking, unless you have a supplemental plan, you won’t be covered for things like cleaning and supplies, but will be covered for anything considered medically necessary.
This means if you break a tooth, have a filling come out, or are having huge amounts of pain you can usually get your care covered. Supplemental plans on the other hand generally have yearly benefits that cover and include procedures like: cleanings, check-ups, better quality materials for fillings, and may even cover some aspects of oral surgery depending on the case.
Tooth removal is generally covered under most medicare plans as an emergency service, but replacement with anything more than a flipper may come from your own pocket. In some cases plans will cover teeth implants or the creation of dentures or partial sets of dentures.
If you are worried that you will be unable to get a replacement once a tooth is pulled, talk to your dentist about available local programs that support and work alongside medicare for better coverage or what your options are.
Calling in and speaking with the office manager is generally going to be the best way to confirm that your specific procedure/treatment is covered under your plan. You can look up the information about what is covered in your policy, but different procedures often have names that aren’t obvious to lay people upon first glance. Speaking with a dental staff member will confirm both the type of coverage you have and any obligations that you will have from dental care after it has been completed.
A dental practice that accepts medicare will generally also be able to offer payment plans and recommendations for upgraded coverage to those who are eligible. The government requires that staff understand how to bill and assess based on the needs of the patient, making the staff your first place to go for information. Be sure to have your policy information and number at hand when you call for more information.
If you’re a medicare patient looking to learn more about coverage options and providers in your area, be sure and reach out to OneMedAll so we can put you in touch with someone who can help!