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 Individual plan 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 plans to meet your needs.
Add Dental And Vision To Original Medicare,‡ Medicare Supplement, And Part D
From standard plans to premium benefits, shop the right dental and vision coverage to complement your existing Medicare coverage.
Need help finding the right plan? Talk to a licensed agent: 833-901-1364 (TTY: 711) Mon-Fri, 8:30 a.m. to 8 p.m. ET
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 - $23 |
$24 - $36 |
$31 - $60 |
|
Annual Plan Coverage Limit |
$500 |
$1,000 |
$2,000 |
Preventive Dental |
|
|---|---|
Benefits |
|
|
Average Monthly Premium |
$8 - $23 |
|
Annual Plan Coverage Limit |
$500 |
Dental & Vision |
|
|---|---|
Benefits |
|
|
Average Monthly Premium |
$24 - $36 |
|
Annual Plan Coverage Limit |
$1,000 |
Enhanced Dental & Vision |
|
|---|---|
Benefits |
|
|
Average Monthly Premium |
$31 - $60 |
|
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 |
|
|
Covered Dental Benefits |
Preventive Dental |
Dental & Vision |
Enhanced Dental & Vision |
|---|---|---|---|
|
Repairing/Restoring Teeth (See Plan Details) |
|
20% cost share |
20% cost share |
|
Root Canal; Periodontal Scaling & Planing; Simple & Surgical Extractions (See Plan Details) |
|
50% cost share |
50% cost share |
|
Crowns; Once Per Tooth Every 5 Years (See Plan Details) |
|
|
50% cost share |
|
Dentures; Every 5 Years (See Plan Details) |
|
|
50% Cost share |
|
Dentures Adjustment, Replacement, & Repairs (See Plan Details) |
|
|
50% cost share |
|
Anesthesia (See Plan Details) |
|
|
50% cost share |
Preventive Dental |
|
|---|---|
Covered Dental Benefits |
|
|
Repairing/Restoring Teeth (See Plan Details) |
|
|
Root Canal; Periodontal Scaling & Planing; Simple & Surgical Extractions (See Plan Details) |
|
|
Crowns; Once Per Tooth Every 5 Years (See Plan Details) |
|
|
Dentures; Every 5 Years (See Plan Details) |
|
|
Dentures Adjustment, Replacement, & Repairs (See Plan Details) |
|
|
Anesthesia (See Plan Details) |
|
Dental & Vision |
|
|---|---|
Covered Dental Benefits |
|
|
Repairing/Restoring Teeth (See Plan Details) |
20% cost share |
|
Root Canal; Periodontal Scaling & Planing; Simple & Surgical Extractions (See Plan Details) |
50% cost share |
|
Crowns; Once Per Tooth Every 5 Years (See Plan Details) |
|
|
Dentures; Every 5 Years (See Plan Details) |
|
|
Dentures Adjustment, Replacement, & Repairs (See Plan Details) |
|
|
Anesthesia (See Plan Details) |
|
Enhanced Dental & Vision |
|
|---|---|
Covered Dental Benefits |
|
|
Repairing/Restoring Teeth (See Plan Details) |
20% cost share |
|
Root Canal; Periodontal Scaling & Planing; Simple & Surgical Extractions (See Plan Details) |
50% cost share |
|
Crowns; Once Per Tooth Every 5 Years (See Plan Details) |
50% cost share |
|
Dentures; Every 5 Years (See Plan Details) |
50% Cost share |
|
Dentures Adjustment, Replacement, & Repairs (See Plan Details) |
50% cost share |
|
Anesthesia (See Plan Details) |
50% cost share |
|
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.
Frequently Asked Questions About Dental And Vision Care
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).
Plan availability, premiums, copays, deductibles, benefits, and benefit amounts may vary based on where you live, the plan you choose, and your eligibility.
Anthem Blue Cross and Blue Shield, a Medicare Advantage Organization with a Medicare Contract offers HMO, PPO, D-SNP, C-SNP, and/or I-SNP plans. Anthem Blue Cross and Blue Shield 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 PPO 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.