Medicare Advantage Plans

How Are Dental, Vision, and Hearing Covered with Medicare

Original Medicare does not cover most dental care, dentures, eye exams for prescribing glasses, or hearing aids or exams for fitting them. For this coverage, you should consider a Medicare Advantage (Part C) Plan that offers these benefits.

Dental

Part A will pay for certain dental services if you get them when you’re in a hospital. If you have an emergency or complicated dental procedures, Part A will pay for inpatient hospital care but not the dental care. Medicare does not cover cleanings, fillings, tooth extractions, dentures, dental plates, or dental devices.

Vision

Medicare does not cover eyeglasses or contact lenses. If you have cataract surgery to implant an intraocular lens, Part B helps pay for corrective lenses. This includes one pair of eyeglasses with standard frames or one set of contact lenses.

Hearing

Medicare does not cover hearing aids or exams for fitting hearing aids. Part B will cover the diagnostic hearing and balance exams if your doctor or healthcare provider orders them to see if you need medical treatment.

Medicare Advantage

Medicare Advantage Plans (also known as Part C) offer more coverage than Original Medicare. Most plans have prescription drug coverage as well as programs for dental, vision, and hearing care.

These plans cover all the services that Medicare Part A and Part B cover. Original Medicare will cover the cost of hospice care and clinical research studies while you have Medicare Advantage. Part C may choose not to cover services that are not deemed medically necessary under Medicare but will always cover emergency or urgently-needed medical care.

For services that the plan determines are not medically necessary, you will likely pay the full amount. You can appeal that decision. You can also request to see if the plan covers an item or service in advance, which is called an organization determination. Your plan will need to tell you in writing if they deny coverage.

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