Does Medicare Cover Dental Implants in 2024?

How We Found the Answers

We combed through the EOC documents for the major Medicare providers.

When the EOC clearly stated coverage, we took a screenshot and highlighted the relevant section. If a benefit wasn't mentioned, we assumed it's not covered.

We also looked at different plan types (HMO, PPO, etc.) and noted variations in coverage between plans.

Aetna Medicare

**Aetna Medicare**
Plan Type	Covered Implants?
HMO	Yes
HMO-POS	No
PPO	No
D-SNP	No
C-SNP	n/a
I-SNP	n/a
PFFS	n/a

‍Aetna Medicare Select (HMO): Covers 1 implant per tooth every 5 years.

Aetna Medicare Assure Plus (HMO D-SNP): This enhanced plan does cover dental implants.
Other Aetna Medicare Plans: Most other Aetna Medicare plans do not cover dental implants.

Anthem Blue Cross and Blue Shield

**Anthem Blue Cross and Blue Shield** **Medicare**
Plan Type	Covered Implants?
HMO	Yes
HMO-POS	n/a
PPO	Yes
D-SNP	n/a
C-SNP	n/a
I-SNP	n/a
PFFS	n/a

Screenshot from Anthem Medicare Advantage (HMO) Medicare Evidence of Coverage document showing the section detailing coverage for dental implants. — Anthem Medicare Advantage (HMO) Medicare Plan - Confirmation of Dental Implant Coverage (Page 62)

All Anthem Plans: Cover dental implants, but the coverage amount varies for each plan.

AvMed Medicare

**AvMed Medicare**
Plan Type	Covered Implants?
HMO	No
HMO-POS	Yes
PPO	No
D-SNP	n/a
C-SNP	n/a
I-SNP	n/a
PFFS	n/a

AvMed Medicare Access (HMO-POS): Covers dental implants with a copay.

Other AvMed Medicare Plans: Do not cover dental implants.

Blue Cross Blue Shield

**Blue Cross Blue Shield**
Plan Type	Covered Implants?
HMO	No
HMO-POS	n/a
PPO	No
D-SNP	No
C-SNP	n/a
I-SNP	n/a
PFFS	n/a

All Blue Cross Blue Shield Plans: Do not cover dental implants.

CarePlus Health Plans, Inc.

**CarePlus Health Plans, Inc.**
Plan Type	Covered Implants?
HMO	No
HMO-POS	n/a
PPO	No
D-SNP	No
C-SNP	No
I-SNP	n/a
PFFS	n/a

All CarePlus Plans: Do not cover dental implants, but some plans cover cleaning (prophylaxis) on existing implants.

Cigna Healthcare

**Cigna Healthcare**
Plan Type	Covered Implants?
HMO	No
HMO-POS	n/a
PPO	No
D-SNP	No
C-SNP	n/a
I-SNP	n/a
PFFS	n/a

All Cigna Healthcare Plans: Do not cover dental implants.

Clear Spring Health

**Clear Spring Health**
Plan Type	Covered Implants?
HMO	No
HMO-POS	n/a
PPO	No
D-SNP	No
C-SNP	No
I-SNP	n/a
PFFS	n/a

All Clear Spring Health Plans: Do not cover dental implants.

Clover Health

**Clover Health**
Plan Type	Covered Implants?
HMO	No
HMO-POS	n/a
PPO	No
D-SNP	n/a
C-SNP	n/a
I-SNP	n/a
PFFS	n/a

All Clover Health Plans: Do not cover getting new dental implants but do cover removing and repairing existing implants.

Devoted Health

**Devoted Health**
Plan Type	Covered Implants?
HMO	No
HMO-POS	n/a
PPO	No
D-SNP	No
C-SNP	n/a
I-SNP	n/a
PFFS	n/a

All Devoted Health Plans: Do not cover dental implants.

Freedom Health, Inc.

**Freedom Health, Inc.**
Plan Type	Covered Implants?
HMO	No
HMO-POS	n/a
PPO	n/a
D-SNP	No
C-SNP	No
I-SNP	n/a
PFFS	n/a

All Freedom Health Plans: Do not cover dental implants.

Gold Kidney Health Plan

**Gold Kidney Health Plan**
Plan Type	Covered Implants?
HMO	n/a
HMO-POS	No
PPO	n/a
D-SNP	n/a
C-SNP	No
I-SNP	n/a
PFFS	n/a

All Gold Kidney Health Plans: Do not cover dental implants.

HealthSun Health Plans, Inc.

**HealthSun Health Plans, Inc.**
Plan Type	Covered Implants?
HMO	Yes
HMO-POS	n/a
PPO	n/a
D-SNP	Yes
C-SNP	No
I-SNP	n/a
PFFS	n/a

Screenshot from HealthSun HealthAdvantage Plan (HMO) Medicare Evidence of Coverage document showing the section detailing coverage for dental implants. — HealthSun HealthAdvantage Plan (HMO) Medicare Plan - Confirmation of Dental Implant Coverage (Page 64)

HealthSun HealthAdvantage Plan (HMO): Covers up to two dental implants per year.
HealthSun MediSun Plus (HMO D-SNP): Covers up to two dental implants per year.
Other HealthSun Health Plans: Do not cover dental implants.

Humana

**Humana**
Plan Type	Covered Implants?
HMO	No
HMO-POS	n/a
PPO	n/a
D-SNP	Yes
C-SNP	No
I-SNP	n/a
PFFS	n/a

Humana Fully Integrated (HMO D-SNP): Covers dental implants with a $5,000 annual maximum.
Humana Gold Plus SNP-DE (HMO D-SNP): Covers dental implants with a $2,500 annual maximum.
Other Humana Plans: Do not cover dental implants.

Kaiser Permanente

**Kaiser Permanente**
Plan Type	Covered Implants?
HMO	Yes
HMO-POS	Yes
PPO	n/a
D-SNP	n/a
C-SNP	n/a
I-SNP	n/a
PFFS	n/a

All Kaiser Permanente Plans: Cover one dental implant procedure per year.

Prominence Health Plan

**Prominence Health Plan**
Plan Type	Covered Implants?
HMO	Yes
HMO-POS	n/a
PPO	n/a
D-SNP	No
C-SNP	n/a
I-SNP	n/a
PFFS	n/a

Screenshot from Prominence Plus HMO Medicare Evidence of Coverage document showing the section detailing coverage for dental implants. — Prominence Plus HMO Medicare Plan - Confirmation of Dental Implant Coverage (Page 52)

Prominence Plus HMO: Covers dental implants (limit of 2) as part of a $4,000 combined limit for preventive and comprehensive dental care.
Other Prominence Health Plans: Do not cover dental implants.

Simply Healthcare Plans, Inc.

**Simply Healthcare Plans, Inc.**
Plan Type	Covered Implants?
HMO	Yes
HMO-POS	n/a
PPO	Yes
D-SNP	Yes
C-SNP	Yes
I-SNP	n/a
PFFS	n/a

Screenshot from Simply Extra Platinum (HMO) Medicare Evidence of Coverage document showing the section detailing coverage for dental implants. — Simply Extra Platinum (HMO) Medicare Plan - Confirmation of Dental Implant Coverage (Page 100)

All Simply Healthcare Plans: Cover dental implants, but some may require prior authorization.

Solis Health Plans

**Solis Health Plans**
Plan Type	Covered Implants?
HMO	No
HMO-POS	n/a
PPO	n/a
D-SNP	No
C-SNP	No
I-SNP	n/a
PFFS	n/a

All Solis Health Plans: Do not cover dental implants.

Sonder Health Plans, Inc.

**Sonder Health Plans, Inc.**
Plan Type	Covered Implants?
HMO	No
HMO-POS	n/a
PPO	n/a
D-SNP	No
C-SNP	No
I-SNP	n/a
PFFS	n/a

All Sonder Health Plans: Do not cover dental implants.

United Healthcare/AARP

**United Healthcare/AARP**
Plan Type	Covered Implants?
HMO	No
HMO-POS	No
PPO	No
D-SNP	No
C-SNP	n/a
I-SNP	Yes
PFFS	n/a

Screenshot from UHC Care Advantage FL-E001 (PPO I-SNP) Medicare Evidence of Coverage document showing the section detailing coverage for dental implants. — **UHC Care Advantage FL-E001 (PPO I-SNP)** Medicare Plan - Confirmation of Dental Implant Coverage (Page 111)

UnitedHealthcare Nursing Home Plans: Covers dental implants with annual maximums‍
Other United Healthcare Plans: Do not cover dental implants

Wellcare

**Wellcare**
Plan Type	Covered Implants?
HMO	No
HMO-POS	n/a
PPO	No
D-SNP	Yes
C-SNP	n/a
I-SNP	n/a
PFFS	n/a

2024 Wellcare Dual Liberty (HMO D-SNP): Covers 2 dental implants (and related services) every 12 to 84 months, depending on the type of service.
Other Wellcare Plans: Do not cover dental implants.

Conclusion‍

While Original Medicare (Parts A and B) generally doesn't cover dental implants, many Medicare Advantage plans do offer some coverage. If you're considering dental implants, it's crucial to carefully review your plan's EOC or contact your provider directly to confirm coverage details.

‍If you have further questions or need help from a licensed professional, you may contact us.

Need More Information? For a deeper dive into Medicare Advantage plans and their benefits, check out our comprehensive guide on Medicare Advantage Plans.

‍Disclaimer: This post is for informational purposes only and should not be considered financial or medical advice. Always consult with a qualified professional for personalized guidance.

‍Important Note: Benefits may vary depending on your location and carrier. Please check your service area for the specific benefits offered by your plan.

Does Medicare Cover Dental Implants?

Key Takeaways: Who Covers Dental Implants?

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