Does Medicare Cover Dentures?


Key Takeaways
- Original Medicare (Parts A and B)Original Medicare is a fee-for-service health insurance program available to Americans aged 65 and older and some individuals with disabilities. Original Medicare is provided by the federal government and is made up of two parts: Part A (hospital insurance) and Part B (medical insurance). does not provide coverage for dental care, procedures, or supplies.
- Medicare Advantage (Part C)A Medicare Advantage (Medicare Part C) plan is offered by a private insurance carrier to substitute for Original Medicare (Parts A and B). A Medicare Advantage plan must at least match the coverage you would receive from Original Medicare and may include additional benefits. Details vary by plan, and plan availability depends on your ZIP code. plans may offer additional benefits such as dental coverage.
- Coverage and out-of-pocket costs for dentures and other dental services vary by plan.
Does Medicare Cover Dentures in 2025?
Original Medicare is public health insurance for U.S. adults who are over 65 or have certain disabilities, does not cover routine dental services or dentures. With few exceptions, the federally administered program does not help with the costs of dental care, procedures, or supplies.
A Medicare Advantage plan from a private insurance carrier substitutes for Original Medicare and may provide additional benefits. That could include dental coverage, but benefits vary by plan, and plan availability depends on where you live.
Keep reading to find out more about denture coverage.
We’re here to help you navigate your choices.
How Do I Get Medicare to Pay for Dentures?
Original Medicare does not provide dental coverage. The major exceptions are when you need certain hospital-related dental services. Medicare Part A is typically the Medicare portion that pays for these dental services. Some examples include:
- A cancer diagnosis requires the extraction of a tooth or teeth before removing a tumor.
- Your surgeon requires a dental examination before undergoing a heart valve replacement.
People on Original Medicare have the option to join a standalone dental plan, but many don’t. An estimated 47% of Medicare beneficiaries had no dental coverage in 2019, according to the health policy nonprofit KFF.
However, federal data shows that 98% of Medicare Advantage plans did offer some dental benefits in 2024. Medicare Advantage, also known as Medicare Medicare Part C, plans are sold through private insurance companies. You must be enrolled in Medicare Part A and Part B before you can purchase a Medicare Advantage plan.
What Medicare Plan Covers Dentures?
Medicare Part C plans may offer additional services such as dental coverage. However, it’s important to carefully consider the details of a Medicare Advantage policy carefully before choosing one.
Plans with differing levels of coverage for dental needs may charge a range of monthly premiums, deductibles, and out-of-pocket costs.
For example, some plans cover only preventive services, like annual cleanings or X-rays. On the other hand, Medicare Advantage policies that cover restorative treatments may include crown placements, dental bonding and dentures.
Discover how GoHealth can help you.
How Much are Dentures with Medicare?
Before enrolling in a Medicare Advantage plan covering restorative dental services, you should understand what the plan covers and how much you’ll pay. Some plans will contribute a flat rate for specific denture services. Others will pay a percentage of the denture’s costs. You can expect plans will set a maximum benefit they will pay on an annual basis.
You are usually responsible for cost sharing because dentures can be very expensive.
The costs of dentures depends on the type you need, such as:
- Partial: Replacing a portion of teeth in the upper or lower jaw.
- Full: Replacing an entire upper or lower row of teeth.
- Removable: Made from specialized plastics for daily removal and cleaning.
- Implant-supported: Typically more expensive because they require initial placement of dental implants in the jawbone to anchor the new denture.
A dentist can provide an estimate of how much your dentures should cost. This can help you calculate what portion, if any, your policy will cover.
According to the American Dental Association, the costs for a full or complete set of dentures range from hundreds to thousands of dollars. Suppose you need a full set of upper and lower dentures and you have a policy that will pay for 40% of denture costs up to $1,000 (when choosing an in-network dentist). If your dentures cost $3,000, you would be responsible for $2,000 of the cost.
Many insurance carriers limit how often they will help pay for new dentures. Carefully read your policy to understand these limitations.
Does Medicaid Cover Dentures in Every State?
Medicare Part C plans are region-specific. An insurance company will work with networks of providers to provide the fullest coverage. Depending upon the costs of care in a particular state or region, a Medicare Advantage plan may reimburse at different amounts or have a different maximum amount they will pay by state.
Some people may have both Medicare and Medicaid. Medicaid is a state- and federally sponsored program that helps pay for care for those below a certain income level. In 2021, 31 states helped pay for dentures through their Medicaid programs, according to the Medicaid and CHIP Payment and Access Commission.
The states where Medicaid pays for partial or full dentures include:
- Alaska
- Arkansas
- California
- Colorado
- Connecticut
- District of Columbia
- Florida
- Idaho
- Illinois
- Indiana
- Iowa
- Louisiana
- Maine
- Massachusetts
- Michigan
- Minnesota
- Montana
- Nebraska
- Nevada
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oregon
- Pennsylvania
- Rhode Island
- South Dakota
- Washington
- Wisconsin
The coverage and reimbursement rates for Medicaid vary by state.
Sources
- Dental services. Medicare.gov.
- Medicare and Dental Coverage: A Closer Look. KFF.
- Medicare Advantage in 2024. KFF.
- Dentures. ADA.org.
- Medicaid coverage of dental benefits for adults. MACPAC.