Adding Dental And Vision Care To Your Medicare Plan
Why You May Need Extra Coverage
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.
Dental And Vision Plans For You
If you have a Medicare Supplement plan, Part D plan, or both, you may want to purchase an Anthem Extras package to cover dental and vision care.
Most Anthem Medicare Advantage plans include built-in coverage for routine dental and vision care. However, if you need to increase your coverage, Anthem offers additional dental and vision packages to meet your needs.
Add Dental And Vision To Original Medicare,‡ Medicare Supplement, And Part D
From standard plans to premium benefits, Anthem Extras can provide the right dental and vision coverage to complement your existing Medicare coverage.
Anthem Extras Dental And Vision Coverage
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Benefits
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Standard Dental & Vision
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Premium Dental & Vision
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Premium Plus Dental & Vision
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Premium Plus Dental Only
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|---|---|---|---|---|
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Average Monthly Premium
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$23
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$38
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$51
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$43
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Annual Maximum Benefit
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$500
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$1,000 |
$1,250 |
$1,250 |
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Annual Deductible*
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$50 Annual Deductible |
$50 Annual Deductible |
$50 Annual Deductible |
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Dental Benefits
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|---|---|---|---|---|
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Routine Exams, Cleanings, & X-Rays Covered At 100%
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Fillings Covered At 80% After 6-Month Waiting Period
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Scaling & Root Planing, Root Canals, & Oral Surgery Covered At 50% After 12-Month Waiting Period
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Crowns, Dentures, & Bridges Covered At 50% After A 12-Month Waiting Period
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Vision Benefits
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|---|---|---|---|---|
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Vision Exam (Once Every 12 Months)
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$20 Copay |
$20Copay |
$10 Copay |
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Eyeglass Frames (Once Every 24 Months)
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$100 allowance 20% off remaining amount
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$100 allowance 20% off remaining amount
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$130 allowance 20% off remaining amount
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Eyeglass Lenses (Standard Plastic; Once Every 24 Months)
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$20 Copay |
$20 Copay |
$10 Copay |
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Contact Lenses (Once Every 24 Months)
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$80 allowance Non-elective 100% covered
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$80 allowance Non-elective 100% covered
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$80 allowance Non-elective 100% covered
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*The dental deductible doesn’t apply to diagnostic and preventive care services (routine cleanings, exams, and X-rays), whether dentists are in the plan or not.
Note: These benefits apply to in-network providers only. Dental and vision packages are not available in every state. Monthly premiums are rounded to the nearest dollar amount for display purposes and subject to change at any time.
In Virginia only, these plan names are Senior Standard, Senior Premium and Senior Premium Plus.
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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$8 - $30
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$23 - $37
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$41 - $67
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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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20% Cost of Crowns; Once Per Tooth Every 5 Years (See Plan Details)
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20% See Plan Details |
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50% Cost of Dentures; Every 5 Years (See Plan Details)
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50% See Plan Details |
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50% Cost of Dentures Adjustment, Replacement, & Repairs (See Plan Details)
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50% See Plan Details |
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50% Cost of Anesthesia (See Plan Details) |
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50% See Plan Details |
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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. Plan availability and costs may vary depending on location.
Our Broad Dental And Vision Network
Anthem 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 Anthem cover 50% of your costs.
If you have Original Medicare‡ or Medicare Supplement, 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.
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‡Original Medicare: Part A (Hospital Insurance) and Part B (Medical Insurance).
Anthem Blue Cross and Blue Shield, a Medicare Advantage Organization with a Medicare Contract in Colorado, Connecticut, Georgia, Indiana, Kentucky, Missouri, New Hampshire, Nevada, New York, Ohio and Wisconsin, offer HMO, HMO D-SNP, HMO C-SNP, HMO I-SNP, LPPO, LPPO D-SNP and/or RPPO. Anthem Blue Cross and Blue Shield offers PDP plans in Colorado, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia and Wisconsin. Anthem Blue Cross and Blue Shield HMO D-SNP and LPPO D-SNP plans contract with state Medicaid programs. Anthem Blue Cross and Blue Shield Retiree Solutions, a Medicare Organization with a Medicare Contract in New York, offers LPPO plans. Enrollment in Anthem Blue Cross and Blue Shield and Anthem Blue Cross and Blue Shield Retiree Solutions plans depend on contract renewal.
For Medicare Supplement only: Not connected with or endorsed by the U.S. government or the federal Medicare program.