Best Oral Surgeons That Will Accept Medicare (2024)

For the most part, understanding what’s covered by health insurance and what’s covered by dental is relatively straightforward. One area that people tend to consider gray is oral surgery. Is it medical or dental?

Even trickier is finding a dentist that takes Medicare and Medicaid. This is because, as a general rule, Medicare does not cover dental procedures. However, there are some cases where Medicare will cover dental procedures.

While you’re looking for oral surgeons who accept Medicare, you should shop around for Medicare rates. Enter your ZIP code in our free tool to start looking at quotes.

Oral Surgeons That Accept Medicare

Medicare provides coverage for medical procedures. These procedures include surgery, routine check-ups, medicine, and many other services a doctor provides. Dental coverage is usually not provided by Medicare. If you wonder, Does Medicare Advantage cover dental implants? The answer is that it rarely does.

However, you can find some Medicare plans that offer dental coverage. These are Medicare Advantage plans. Some of these plans have an additional cost, but there are Advantage plans with no added premium.

Medicare will cover certain dental procedures, though. When a medical procedure is deemed necessary by your doctor, Medicare will pay for it. For example, Aetna is known as one of the best overall Medicare insurance companies. See details in our Aetna Dental Insurance Review.

Since oral surgeons typically work with dental insurance, it can be difficult to find a doctor who accepts any medical insurance, Medicare or not. Before you make an appointment, you should call and check to see if they accept Medicare.

To find an oral surgeon who accepts Medicare, you can follow similar principles to those found here: Best Primary Care Doctors That Will Accept Medicare

Additionally, you should ask your dentist about prices before you agree to any procedure. Since Medicare doesn’t always cover dental procedures, you should check on procedure rates from oral surgeons who accept Medicare.

Does Medicare cover medically necessary dental work?

Wondering, “Where are Medicare dentists near me?” You should know that Medicare will cover medically necessary operations, and many oral surgeons will work with you.

It’s important to realize the distinction between dental procedures and medically necessary oral operations.

Medicare and Dental Coverages

If you have an issue that you think might be covered under Medicare, you’ll need a note from a doctor saying that the procedure is necessary.

How does Medicare pay for oral surgery?

To find affordable oral surgeons that accept Medicare, you should understand how Medicare works. Medicare is split into four different parts. Each of these parts covers different types of medical care.

Medicare Part A – Covers inpatient stays at hospitals, nursing facility services, and hospice or home care. If you need oral surgery while in the hospital, Part A might cover it.

Medicare Part B – Can help you with doctor visits, outpatient care, preventative appointments, and medical equipment. You might be covered for outpatient care for oral surgery under Part B.

Medicare Part C – This is also known as Medicare Advantage. If you get a plan that covers dental, you’ll be covered for most dental procedures. You have to pay for Medicare when you turn 65, but may be able to get Part C at no additional cost.

Medicare Part D – Covers prescription medicine. If you’ve had medically necessary oral surgery, Part D can cover antibiotics and painkillers.

How much does oral surgery cost with Medicare?

As with any other type of procedure, the cost of your care depends on what you have done and what coverage you have.

Generally, however, you can expect to pay 20% of the total price as coinsurance. Medicare Part B has an average deductible of $203.  The monthly cost of Medicare is $148.50 on average.

Additionally, if you don’t have Medicare Part D, you’ll have to pay the total cost of any medication you are prescribed.

You can learn more by reading, What is the maximum out-of-pocket expense with Medicare?

Oral Surgeons That Accept Medicare: The Bottom Line

Understanding what Medicare will cover can be confusing.  Finding a dentist that takes Medicare and Medicaid can be even harder.

Read more:

• Best Gynecologists That Will Accept Medicare
• Best Neurologists That Will Accept Medicare 

Your first step when you look for oral surgeons that accept Medicare should be looking at Medicare quotes to save on out-of-pocket costs. Enter your ZIP code in our free tool to see quotes available in your area.