There have been some talks that Medicare members are complaining about their dental coverage. It is known that Medicare is unable to cover most dental procedures that their members need. But is there an exemption? Does Medicare cover oral surgery? Is there a capable and experienced team of surgeons who are readily available to serve patients whose oral surgery is covered by Medicare?
What is oral surgery?
There are several dental procedures and treatments that we need to treat, restore, and protect our dental cavity, but if worse comes to worst, there is nothing we can do but to undergo surgery. Oral surgery is an invasive procedure that corrects and treats an injury or defect on the teeth, gums, and jaw.
Most common oral surgery procedures that we know are tooth extraction, corrective surgery using dental wirings and pins, and restorative or reconstructive surgery following the removal of a tumor.
Can my oral surgery be covered by Medicare?
Yes. Medicare covers oral surgery ONLY if it is related to a medical procedure. For example, your oral surgery is necessary while battling with oral cancer, or a facial fracture affected your dental cavity and jaw, or a facial tumor needs to be removed and your jaw needs to be reconstructed. These medical conditions affected the dental and oral cavity, thus surgery is also medically necessary. However, it is still best to discuss this with your surgeon so you would be sure that your oral surgery can be covered. These instances are considered on a case-to-case basis, so it is not advisable to assume that Medicare will cover the expenses when your procedure is actually going to be paid out of your own pocket.
How Medicare covers my oral surgery expenses
Do not expect that Medicare will cover all your expenses if you are undergoing oral surgery. Medicare Advantage, for example, is a special plan that has limited coverage for your dental care. If you are deemed eligible to receive dental coverage, it may cover for the procedure itself, but any follow up care after the treatment would be shouldered by you. So just to be safe when it comes to the financial aspect of your dental treatment, do not hesitate to discuss your concerns with your dentist or oral surgeon since they may be the ones who can explain these things to you more clearly.