How Much Do Dentures Cost With Medicare?

Original Medicare Part A and Part B do not cover dentures or other dental devices, including partial plates. Medicare does not cover routine dental care such as dental exams, cleanings, X-rays, or other dental benefits.

Furthermore, it excludes coverage for numerous dental procedures, including extractions and root canals. Denture expenses can vary significantly depending on the material, type of dentures, geographical location, and individual requirements.

The estimated out-of-pocket cost for lower or upper removable dentures, which are traditional false teeth that rest on the gums and are secured with adhesive, typically ranges from $1,600 to $3,000.

This cost may vary depending on factors such as the type of denture material used, the complexity of the dental procedure, and additional services required for customization and fitting.

It is advisable to consult with a dental professional to discuss your specific needs and obtain an accurate cost estimate for dentures that best suit you.

Types of Dentures

The cost of dentures depends on the type of dentures you need. There are two types of dentures: partial and complete. Partial dentures are used when some natural teeth remain intact, while full dentures are necessary when all teeth are missing.

Partial dentures cost less than comprehensive dentures as they need fewer materials. The average price of partial dentures ranges from $500 to $2,500, while complete dentures cost between $1,000 to $15,000, depending on the quality level and materials used.

Denture Materials

The choice of materials for dentures also impacts the overall cost. For instance, porcelain dentures are pricier than those made with acrylic resin. Porcelain offers enhanced strength and durability, providing a more natural appearance.

On the other hand, acrylic resin is more affordable, lightweight, and easier to adjust. Your dentist will collaborate with you to determine the most suitable material for your dentures, considering your budget, lifestyle, and desired outcome.

In some cases, a combination of materials may be employed to ensure the best fit and aesthetic appeal.

Dental Plan Options

Dental insurance coverage or a discount plan may ease the costs of dentures or other dental services with Medicare. Private dental insurance may cover some of the expenses associated with denture treatment, depending on your plan size and coverage.

Medicare Advantage plans, or Part C is another option to consider if eligible. These plans offer services beyond what traditional Medicare covers, sometimes including dental coverage, with some plans covering dentures.

Discount dental plans work to provide an exclusive deal to program members; however, it is not insurance. Do your research, and weigh your options carefully before making any decisions.

Bottom Line

Dentures represent a practical solution to restore missing teeth, improve nutrition, and support quality of life, especially for Medicare beneficiaries. The cost of dentures with Medicare depends on several factors, such as the type of dentures, materials, Medicare coverage, and out-of-pocket costs.

Being informed and consulting with your Medicare provider and dentist can help you make the best decision for your needs. Dental issues often occur unexpectedly, so being prepared and armed with the proper knowledge will help alleviate any concerns when the time comes.

Sources: Medicare.govKFF.orgCMS.org

FAQ's

  • Does Original Medicare cover dental care?

    No, Original Medicare does not cover dental care. It excludes coverage for routine dental procedures, such as cleanings and extractions. It also does not protect dentures or other dental devices.

  • Does Medicare cover partial dentures?

    No, partial dentures are not covered by Medicare due to their cosmetic value; however, they generally cost less than complete dentures.

Mark Prip

Since 2003, Mark Prip has been leading  Policy Guide, Inc., providing knowledgeable information about Medicare, life insurance, and dental coverage to clients in over forty states. With his unparalleled hands-on experience aiding countless Medicare beneficiaries in selecting an appropriate health plan, he is a prime example amongst other competitors for expertise and assistance. Mark has held his Florida Health & Life Insurance License (E051889) since 2003. View his license profile on the Florida Department of Insurance website.