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Dental Coverage in Medicare Advantage Plans
Most MA plans offer at least basic dental benefits:
- Preventive: Cleanings (typically 2/year), X-rays — usually covered at 100% with no copay.
- Basic: Fillings, extractions — covered at 50–80% after meeting deductible.
- Major: Crowns, root canals, bridgework — covered by fewer plans; annual allowances typically $1,000–$3,000.
- Orthodontia: Rarely covered for adults in standard MA plans.
Vision Coverage in Medicare Advantage Plans
- Eye exams: Annual routine exam covered by most MA plans.
- Eyeglasses or contacts: Annual allowance typically $100–$300. Some plans offer more through network providers.
- Medically necessary eye care: Covered under medical benefits (glaucoma treatment, macular degeneration, etc.).
Tips for Maximizing These Benefits
- Use your full annual dental allowance before December 31 — it doesn’t roll over.
- Use network dental and vision providers for maximum coverage.
- Check whether your plan offers a buy-up dental option for higher coverage limits.
Hearing Aid Benefits
Many MA plans include hearing benefits: annual hearing exams and allowances of $500–$2,500 for hearing aids per ear. This is a significant benefit, as hearing aids can cost $3,000–$7,000 per pair without coverage.
See also: Best Plans • Medicare Advantage Guide