Does Medicare Cover Braces and Orthodontic Care?

Home » Resources » Does Medicare Cover Braces and Orthodontic Care?

Medicare is a federal health insurance program primarily designed for individuals aged 65 and older, as well as certain younger individuals with disabilities. While Medicare provides coverage for various medical services, it is essential to note that traditional Medicare (Part A and Part B) does not typically cover orthodontic care or braces.

Medicare Part A Coverage

Medicare Part A, also known as hospital insurance, focuses primarily on inpatient hospital stays, skilled nursing facility care, and hospice care. Unfortunately, orthodontic care and braces fall outside the scope of coverage provided by Medicare Part A.

Medicare Part B Coverage

Medicare Part B covers outpatient medical services, including doctor visits, preventive services, durable medical equipment, and some types of home health care. While Part B offers coverage for certain dental services that are medically necessary, such as oral examinations before heart valve replacement surgery or kidney transplants, routine orthodontic care and braces are generally not covered.

Alternative Coverage Options

Although traditional Medicare does not cover orthodontic care and braces, there are alternative coverage options you may consider to help with the cost of these treatments. Here are a few alternatives to explore:

  1. Medicare Advantage Plans (Part C): Medicare Advantage Plans, also known as Part C, are offered by private insurance companies approved by Medicare. These plans provide the same coverage as traditional Medicare, and many also offer additional benefits such as dental, vision, and hearing coverage. Some Medicare Advantage Plans may include coverage for braces and orthodontic care.
  2. Medicaid: Medicaid is a joint federal and state program that provides healthcare coverage to individuals with limited income and resources. While Medicaid coverage varies by state, it typically includes dental benefits for children and may extend to orthodontic care. Eligibility requirements and coverage details can vary, so it’s important to check with your state Medicaid office for more information.
  3. Dental Discount Plans: Dental discount plans are not insurance but can help you save on dental procedures, including orthodontic care. These plans offer discounted rates at participating dentists and orthodontists. While the savings can vary, they can provide some relief when it comes to the cost of braces and orthodontic treatments.

Conclusion

In summary, traditional Medicare (Part A and Part B) does not generally cover orthodontic care and braces. However, there are alternative coverage options available, such as Medicare Advantage Plans, Medicaid, and dental discount plans, that may provide assistance with the cost of braces and orthodontic treatments. It’s important to explore these options and check the specific coverage details to determine the best solution for your needs.

Remember, maintaining good oral health is vital, and if you require orthodontic care, it’s crucial to consider the available options to ensure you receive the necessary treatment.

Summary:

  • Traditional Medicare (Part A and Part B) does not typically cover orthodontic care and braces.
  • Alternative coverage options include Medicare Advantage Plans, Medicaid, and dental discount plans.
  • It’s important to explore these alternatives and check specific coverage details for assistance with the cost of braces and orthodontic treatments.

Helpful Resources:

  1. Medicare.gov – Medicare Advantage Plans
  2. Medicaid.gov – State Medicaid Offices
  3. American Dental Association – Dental Discount Plans

Insurance Facts

Join the 65+ million Americans
looking for insurance options

Description: Health insurance is a crucial form of coverage that helps protect you and your family from high medical costs. It provides financial support by covering medical expenses such as hospitalization, doctor visits, prescription drugs, and preventive care. Having health insurance ensures that you can access necessary healthcare services without facing significant financial burdens. Additionally, many countries mandate health insurance to ensure that their citizens receive essential medical care.

Description: Auto insurance is a legal requirement in most countries for anyone owning a vehicle. It offers financial protection in case of accidents, theft, or damage caused by your vehicle to others or their property. Different types of auto insurance, such as liability, collision, and comprehensive coverage, cater to various needs. It is crucial to have appropriate auto insurance to avoid potential financial losses and legal issues in the event of an accident.

Description: Life insurance is a policy that provides a lump sum payment to beneficiaries upon the insured’s death. It is an essential financial planning tool that offers peace of mind, knowing that your loved ones will have financial security and stability after you are gone. Life insurance can be used to cover funeral expenses, outstanding debts, mortgage payments, and even provide income replacement for the family. The amount of coverage needed depends on individual circumstances, such as family size, outstanding debts, and future financial goals.

Description: Homeowners insurance is designed to protect your home and personal belongings against unexpected events like fire, theft, vandalism, or natural disasters. It provides coverage for both the physical structure of your home and your possessions inside it. Moreover, homeowners insurance often includes liability coverage, which protects you if someone is injured on your property. Lenders typically require homeowners insurance for anyone with a mortgage to safeguard their investment.

Description: Travel insurance offers coverage for unforeseen events that may occur during your travels, both domestically and internationally. It can include benefits such as trip cancellation/interruption, medical emergencies, lost luggage, travel delays, and emergency evacuation. Travel insurance is especially important when planning expensive trips, traveling to remote locations, or engaging in adventurous activities. It helps mitigate financial losses and provides assistance when facing unexpected challenges away from home.

Newsletter Sign-Up:

Stay in the Loop!

Receive important insurance information right in your inbox weekly!

Newsletter Form | Email Verication