Medicare

Understanding your Medicare options is the first step toward accessing quality dental care. Each type of Medicare coverage offers different levels of dental benefits, and knowing what’s available can help you make informed decisions about your oral health.

What Original Medicare Covers

Original Medicare (Parts A and B) provides extremely limited dental coverage. You’re typically covered only when dental care is considered medically necessary, such as jaw surgery following an accident or dental work required before organ transplant surgery. Routine cleanings, fillings, and extractions usually aren’t covered under traditional Medicare.

Medicare Advantage: A Game Changer

Medicare Advantage plans often include dental benefits that Original Medicare does not. These plans may cover annual cleanings, routine exams, X-rays, and basic restorative work. Some comprehensive Medicare Advantage plans even provide coverage for major dental procedures, such as crowns, bridges, and partial dentures.

Standalone Dental Plans

Medicare beneficiaries can purchase separate dental insurance to supplement their coverage. These plans typically focus on preventive care and basic treatments, though coverage for major work may come with waiting periods and annual maximums.

We believe Medicare patients deserve transparent, compassionate care that respects both their health needs and financial circumstances. Our approach goes beyond simply accepting insurance. We actively work to help you maximize your benefits while receiving the highest quality dental care. We verify your specific Medicare coverage before recommending any treatment, ensuring you understand exactly what’s covered and what your out-of-pocket responsibility will be. We provide written estimates that break down costs clearly, so you can make informed decisions about your dental care.

For treatments not fully covered by Medicare, we offer financing options through CareCredit and LendingClub, allowing you to spread the costs over time with manageable monthly payments. This makes comprehensive dental care accessible regardless of your Medicare plan’s limitations, because we believe financial constraints shouldn’t prevent anyone from maintaining their oral health.

Why Medicare Patients Choose Esteem Dental

Our commitment to Medicare patients extends beyond insurance acceptance to creating an environment where seniors feel comfortable, respected, and well-cared for. We understand the unique challenges older adults face, from medication-induced dry mouth to age-related gum recession, and we’re experienced in addressing these concerns while working within Medicare coverage limitations.

Both our Lake Nona and Winter Garden locations offer the same high standard of care and Medicare expertise, allowing you to choose the office that best suits your schedule and location. What makes us truly special is our multi-generational approach. We invite the grandkids along, as our practice serves patients of all ages. While you receive your Medicare-covered cleaning, younger family members can access pediatric dentistry and orthodontic services, making dental visits convenient for the entire family.

Common Medicare Dental Questions

Many Medicare patients have similar concerns about coverage and costs. Let us address some of the most frequently asked questions to help clarify what you can expect when choosing our practice for your dental care needs.

Will My Medicare Advantage Plan Cover My Cleaning?

Most Medicare Advantage plans include coverage for routine preventive care, including cleanings and exams. We’ll verify the specific benefits of your plan and schedule your appointment accordingly, ensuring you understand any applicable copays or deductibles.

I Need Dentures—What Will I Pay Out of Pocket?

Coverage for dentures varies significantly between Medicare plans. After reviewing your benefits, we’ll provide a detailed cost breakdown and discuss financing options for any uncovered expenses, helping you access the prosthetic care you need.

Can I Use My Medicare Coverage for Emergency Dental Work?

Emergency coverage depends on your specific plan and the nature of the emergency. We accept most Medicare plans for urgent dental situations and will work with you to minimize out-of-pocket costs while addressing your immediate needs.

Taking the First Step at Esteem Dental

Understanding Medicare dental coverage shouldn’t prevent you from getting the care you need. Approximately 178 million Americans are missing at least one tooth, and many delay treatment due to concerns about the cost. Don’t let Medicare confusion keep you from maintaining your oral health and quality of life.

At Esteem Dental, we’ve streamlined the Medicare process so you can focus on what matters most—your health and comfort. Our Lake Nona and Winter Garden offices are equipped with the latest technology and staffed by professionals who genuinely care about helping Medicare patients access affordable, high-quality dental care. Ready to put your Medicare dental benefits to work? Call us at (407) 476-5650 or contact us online to schedule your consultation and discover how we can help you achieve optimal oral health within your Medicare coverage.