Dental And Vision Plans From Anthem

Need to add dental and vision care benefits to your current Medicare coverage? Anthem offers a range of options to meet your needs and budget.

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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

Benefits	Standard Dental & Vision	Premium Dental & Vision	Premium Plus Dental & Vision	Premium Plus Dental Only
Average Monthly Premium	$23	$38	$51	$43
Annual Maximum Benefit	$500	$1,000	$1,250	$1,250
Annual Deductible*		$50 ANNUAL DEDUCTIBLE	$50 ANNUAL DEDUCTIBLE	$50 ANNUAL DEDUCTIBLE

Standard Dental & Vision
Benefits
Average Monthly Premium	$23
Annual Maximum Benefit	$500
Annual Deductible*

Premium Dental & Vision
Benefits
Average Monthly Premium	$38
Annual Maximum Benefit	$1,000
Annual Deductible*	$50 ANNUAL DEDUCTIBLE

Premium Plus Dental & Vision
Benefits
Average Monthly Premium	$51
Annual Maximum Benefit	$1,250
Annual Deductible*	$50 ANNUAL DEDUCTIBLE

Premium Plus Dental Only
Benefits
Average Monthly Premium	$43
Annual Maximum Benefit	$1,250
Annual Deductible*	$50 ANNUAL DEDUCTIBLE

Dental Benefits	Standard Dental & Vision	Premium Dental & Vision	Premium Plus Dental & Vision	Premium Plus Dental Only
Routine Exams, Cleanings, & X-Rays Covered At 100%
Fillings Covered At 80% After 6-Month Waiting Period
Scaling & Root Planing, Root Canals, & Oral Surgery Covered At 50% After 12-Month Waiting Period
Crowns, Dentures, & Bridges Covered At 50% After A 12-Month Waiting Period

Standard Dental & Vision
Dental Benefits
Routine Exams, Cleanings, & X-Rays Covered At 100%
Fillings Covered At 80% After 6-Month Waiting Period
Scaling & Root Planing, Root Canals, & Oral Surgery Covered At 50% After 12-Month Waiting Period
Crowns, Dentures, & Bridges Covered At 50% After A 12-Month Waiting Period

Premium Dental & Vision
Dental Benefits
Routine Exams, Cleanings, & X-Rays Covered At 100%
Fillings Covered At 80% After 6-Month Waiting Period
Scaling & Root Planing, Root Canals, & Oral Surgery Covered At 50% After 12-Month Waiting Period
Crowns, Dentures, & Bridges Covered At 50% After A 12-Month Waiting Period

Premium Plus Dental & Vision
Dental Benefits
Routine Exams, Cleanings, & X-Rays Covered At 100%
Fillings Covered At 80% After 6-Month Waiting Period
Scaling & Root Planing, Root Canals, & Oral Surgery Covered At 50% After 12-Month Waiting Period
Crowns, Dentures, & Bridges Covered At 50% After A 12-Month Waiting Period

Premium Plus Dental Only
Dental Benefits
Routine Exams, Cleanings, & X-Rays Covered At 100%
Fillings Covered At 80% After 6-Month Waiting Period
Scaling & Root Planing, Root Canals, & Oral Surgery Covered At 50% After 12-Month Waiting Period
Crowns, Dentures, & Bridges Covered At 50% After A 12-Month Waiting Period

Vision Benefits	Standard Dental & Vision	Premium Dental & Vision	Premium Plus Dental & Vision
Vision Exam (Once Every 12 Months)	$20 COPAY	$20 COPAY	$10 COPAY
Eyeglass Frames (Once Every 24 Months)	$100 ALLOWANCE 20% off remaining amount	$100 ALLOWANCE 20% off remaining amount	$130 ALLOWANCE 20% off remaining amount
Eyeglass Lenses (Standard Plastic; Once Every 24 Months)	$20 COPAY	$20 COPAY	$10 COPAY
Contact Lenses (Once Every 24 Months)	$80 ALLOWANCE Non-elective 100% covered	$80 ALLOWANCE Non-elective 100% covered	$80 ALLOWANCE Non-elective 100% covered

Standard Dental & Vision
Vision Benefits
Vision Exam (Once Every 12 Months)	$20 COPAY
Eyeglass Frames (Once Every 24 Months)	$100 ALLOWANCE 20% off remaining amount
Eyeglass Lenses (Standard Plastic; Once Every 24 Months)	$20 COPAY
Contact Lenses (Once Every 24 Months)	$80 ALLOWANCE Non-elective 100% covered

Premium Dental & Vision
Vision Benefits
Vision Exam (Once Every 12 Months)	$20 COPAY
Eyeglass Frames (Once Every 24 Months)	$100 ALLOWANCE 20% off remaining amount
Eyeglass Lenses (Standard Plastic; Once Every 24 Months)	$20 COPAY
Contact Lenses (Once Every 24 Months)	$80 ALLOWANCE Non-elective 100% covered

Premium Plus Dental & Vision
Vision Benefits
Vision Exam (Once Every 12 Months)	$10 COPAY
Eyeglass Frames (Once Every 24 Months)	$130 ALLOWANCE 20% off remaining amount
Eyeglass Lenses (Standard Plastic; Once Every 24 Months)	$10 COPAY
Contact Lenses (Once Every 24 Months)	$80 ALLOWANCE Non-elective 100% covered

Premium Plus Dental Only
Vision Benefits
Vision Exam (Once Every 12 Months)
Eyeglass Frames (Once Every 24 Months)
Eyeglass Lenses (Standard Plastic; Once Every 24 Months)
Contact Lenses (Once Every 24 Months)

*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

Benefits	Preventive Dental	Dental & Vision	Enhanced Dental & Vision
Average Monthly Premium	$8 - $30	$23 - $37	$41 - $67
Annual Plan Coverage Limit	$500	$1,000	$2,000

Preventive Dental
Benefits
Average Monthly Premium	$8 - $30
Annual Plan Coverage Limit	$500

Dental & Vision
Benefits
Average Monthly Premium	$23 - $37
Annual Plan Coverage Limit	$1,000

Enhanced Dental & Vision
Benefits
Average Monthly Premium	$41 - $67
Annual Plan Coverage Limit	$2,000

$0 Copay For The Following Preventive Dental Benefits	Preventive Dental	Dental & Vision	Enhanced Dental & Vision
Two Oral Exams Per Year
Two Routine Cleanings Per Year
Dental X-Rays
Two Fluoride Treatments Per Year

Preventive Dental
$0 Copay For The Following Preventive Dental Benefits
Two Oral Exams Per Year
Two Routine Cleanings Per Year
Dental X-Rays
Two Fluoride Treatments Per Year

Dental & Vision
$0 Copay For The Following Preventive Dental Benefits
Two Oral Exams Per Year
Two Routine Cleanings Per Year
Dental X-Rays
Two Fluoride Treatments Per Year

Enhanced Dental & Vision
$0 Copay For The Following Preventive Dental Benefits
Two Oral Exams Per Year
Two Routine Cleanings Per Year
Dental X-Rays
Two Fluoride Treatments Per Year

Additional Dental Benefits	Dental & Vision	Enhanced Dental & Vision
20% Cost Of Replacing/Repairing Teeth	20% REPLACE/REPAIR	20% REPLACE/REPAIR
50% Cost Of Root Canal; Periodontal Scaling & Planing; Simple & Surgical Extractions (See Plan Details)	50% SEE PLAN DETAILS	50% SEE PLAN DETAILS
20% Cost of Crowns; Once Per Tooth Every 5 Years (See Plan Details)		20% SEE PLAN DETAILS
50% Cost of Dentures; Every 5 Years (See Plan Details)		50% SEE PLAN DETAILS
50% Cost of Dentures Adjustment, Replacement, & Repairs (See Plan Details)		50% SEE PLAN DETAILS
50% Cost of Anesthesia (See Plan Details)		50% SEE PLAN DETAILS

Preventive Dental
Additional Dental Benefits
20% Cost Of Replacing/Repairing Teeth
50% Cost Of Root Canal; Periodontal Scaling & Planing; Simple & Surgical Extractions (See Plan Details)
20% Cost of Crowns; Once Per Tooth Every 5 Years (See Plan Details)
50% Cost of Dentures; Every 5 Years (See Plan Details)
50% Cost of Dentures Adjustment, Replacement, & Repairs (See Plan Details)
50% Cost of Anesthesia (See Plan Details)

Dental & Vision
Additional Dental Benefits
20% Cost Of Replacing/Repairing Teeth	20% REPLACE/REPAIR
50% Cost Of Root Canal; Periodontal Scaling & Planing; Simple & Surgical Extractions (See Plan Details)	50% SEE PLAN DETAILS
20% Cost of Crowns; Once Per Tooth Every 5 Years (See Plan Details)
50% Cost of Dentures; Every 5 Years (See Plan Details)
50% Cost of Dentures Adjustment, Replacement, & Repairs (See Plan Details)
50% Cost of Anesthesia (See Plan Details)

Enhanced Dental & Vision
Additional Dental Benefits
20% Cost Of Replacing/Repairing Teeth	20% REPLACE/REPAIR
50% Cost Of Root Canal; Periodontal Scaling & Planing; Simple & Surgical Extractions (See Plan Details)	50% SEE PLAN DETAILS
20% Cost of Crowns; Once Per Tooth Every 5 Years (See Plan Details)	20% SEE PLAN DETAILS
50% Cost of Dentures; Every 5 Years (See Plan Details)	50% SEE PLAN DETAILS
50% Cost of Dentures Adjustment, Replacement, & Repairs (See Plan Details)	50% SEE PLAN DETAILS
50% Cost of Anesthesia (See Plan Details)	50% SEE PLAN DETAILS

Vision Benefits	Preventive Dental	Dental & Vision	Enhanced Dental & Vision
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.)		$150	$200

Preventive Dental
Vision Benefits
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.)

Dental & Vision
Vision Benefits
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.)	$150

Enhanced Dental & Vision
Vision Benefits
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.)	$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.

Check For Dentists And Other Providers

Frequently Asked Questions About Dental And Vision Care

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.

Broaden Your Knowledge

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Have questions? Talk to a licensed agent:

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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.

Dental And Vision Plans From Anthem