Adding Dental And Vision Care To Your Medicare Plan
Regular eye exams and teeth cleanings can help you stay healthy by catching issues and illnesses early. However, Original Medicare‡ does not cover routine dental and vision care. This means you’ll have to pay out of pocket for routine teeth cleanings and eye exams, as well as more costly procedures and services.
Enhance Your Medicare Advantage Plan With Dental And Vision
While most Medicare Advantage plans cover preventive dental care like teeth cleanings and exams, as well as vision care with eye exams and eyewear allowances, sometimes that’s not enough.
If you need crowns or dental repair work, or if you have special eyewear needs, your out-of-pocket costs could add up.
You might want to consider adding more coverage with these optional benefits.
Upgrade Your Medicare Advantage Dental And Vision Benefits
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Benefits
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Preventive Dental
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|---|---|---|---|
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Average Monthly Premium
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$7 - $28
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$25 - $36 |
$39 - $64 |
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Annual Plan Coverage Limit
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$500
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$1,000 |
$2,000 |
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$0 Copay For The Following Preventive Dental Benefits
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|---|---|---|---|
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Two Oral Exams Per Year
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Two Routine Cleanings Per Year
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Dental X-Rays
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Two Fluoride Treatments Per Year
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Additional Dental Benefits
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|---|---|---|---|
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20% Cost Of Replacing/Repairing Teeth
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20% replace/repair |
20% replace/repair |
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50% Cost Of Root Canal; Periodontal Scaling & Planing; Simple & Surgical Extractions (See Plan Details) |
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50% See Plan Details |
50% See Plan Details |
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Crowns (Once Per Tooth Every 5 Years)
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Dentures (Every 5 Years)
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Denture Adjustment, Replacement, & Repairs
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Dental Implants |
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Anesthesia |
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Vision Benefits
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|---|---|---|---|
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Reimbursement For Prescription Glasses, Lenses, Frames And/Or Contact Lenses(Safety eyewear, non-prescription sunglasses, glass lenses, non-prescription lenses or contacts, or lens treatments are not covered.)
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$150 |
$200 |
Note: These benefits apply to in-network providers only for PPO and many HMO plans. Additional benefits are available for out-of-network PPO providers. Plan availability and costs may vary depending on location. Costs reflect 2023 rates.
Our Broad Dental And Vision Network
Empire has a large network of providers that make it easy to get care when and where you need it.
You can easily check if your providers are covered. And we’re always here to help. Reach out with questions or if you need additional guidance.
Frequently Asked Questions About Dental And Vision Care
Routine dental, vision, and hearing care are included with the majority of Medicare Advantage plans. Some plans give you more enhanced coverage for your teeth and eyes, while others provide only basic checkups. It's important to carefully review the details of your Medicare Advantage plan to know what kind of dental and vision care is covered.
If you think you’ll only need routine checkups and occasional fillings, then a basic dental plan might be a good choice. But, if you expect to need more serious dental work done, like oral surgery or a crown, you may want an enhanced plan. While these plans can be more expensive, they can help you save money down the road.
Typically, Medicare does not pay for dentures. However, certain plans from Empire cover 50% of your costs.
If you have Original Medicare‡, it probably doesn’t include dental or vision benefits. Adding coverage for routine teeth cleanings and eye exams, or for enhanced care like root canals or progressive lenses, can help you stay healthy by catching issues early.
With Medicare Advantage, basic dental and vision care typically is included, but you can add optional packages for more comprehensive coverage.
Read Our Medicare Articles
Get more details about insurance coverage for dental care and vision care. You can also take a deeper dive into other articles offering detailed information about Medicare plans, benefits, eligibility, enrollment, and more.
Attend A Free Event
Sign up to learn how Empire Medicare plans help cover costs that Original Medicare‡ doesn’t. You can attend a virtual webinar, or a live seminar where a Medicare licensed agent will be present to answer your questions.
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‡Original Medicare: Part A (Hospital Insurance) and Part B (Medical Insurance).
Empire BlueCross BlueShield is a Medicare Advantage plan with a Medicare contract. Empire BlueCross BlueShield is a SNP plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in Empire BlueCross BlueShield depends on contract renewal.