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Does Medicare Cover Oral Surgery?

Christian Worstell by Christian Worstell    |    Published Oct 03, 2019    |    Reviewed by John Krahnert

Medicare may cover your oral surgery, even though it typically does not cover dental care, dental procedures or dental supplies. Read on to learn if your oral surgery could be be covered by Medicare.

When Will Medicare Cover Oral Surgery?

While routine dental care is outside of what Medicare will help pay for, Medicare may cover certain medically necessary procedures related to dental care. This could include oral surgery in some cases.

Some examples of oral surgery that may be covered include:

  • Dental splits and wiring that result from jaw surgery
  • Surgery to repair jaw or facial fractures
  • You have a disease like oral cancer
  • You have a jaw reconstruction as part of a facial tumor removal

It’s important to keep in mind, however, that every circumstance is different. The best way to know whether your surgery is covered is to speak with the physician who ordered the surgery. Before you seek treatment, ask for a written quote of what the surgery will cost, and whether or not they participate in Medicare.

Your Out-of-Pocket Costs

Even if Medicare covers your oral surgery, there are some out-of-pocket costs that may be left to you, including your Medicare Part B deductible and coinsurance.

In 2019, the Part B deductible is $185 per year. Your Part B deductible must be paid before Medicare will begin paying its share. Once your deductible is met, you’ll pay 20 percent of the Medicare-approved amount of a service (known as your Part B coinsurance), and Medicare will pay 80 percent. 

 

Medicare Supplement Insurance can help cover your out-of-pocket oral surgery costs.

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