Medicare Advantage Plans, sometimes called “Part C” or “MA Plans, is an alternative to Original Medicare for enrollees who want dental coverage. In 2020, 88 percent of Medicare Advantage plans provide at least some dental coverage. “Medicare Advantage Plans” are provided by private companies that have been approved by Medicare and can offer extra dental coverage.
These PPO Plans have network doctors, other health care providers, and hospitals. You pay less if you use doctors, hospitals, and health care providers that are part of the plan’s network. You pay more if you use doctors, hospitals, and providers outside of the network. In most cases, you can get your health care from any doctor, other health care provider, or hospital in PPO Plans. Each plan gives you flexibility to go to doctors, specialists, or hospitals that aren’t on the plan’s list, but it will usually cost more. Because certain providers are “preferred,” you can save money by using them.
Dental plans commonly have benefit maximums of $1,000 or $2,000 per year, and a single root canal can cost upwards of $1,500, while an implant can be as much as $7,500 per tooth. In general, the best thing to do is discuss funding options with your dentist before you purchase supplemental insurance.
If you have had dental services rendered in the last year, you can check with your Medicare Advantage Plan for their reimbursement policies. We will be happy to provide you with two copies of your receipts so that you can submit your claim directly. Pi Dental Center does not submit claims to any Medicare related plans.
Information about Dental Insurance
Link to Medicare Advantage Plans at Medicare.gov