Is Dental Covered by Medicare?

February 8, 2022

In Australia, Medicare has helped millions of people get access to insurance coverage for almost 50 years. But some people are unsure if Medicare covers dental services. Medicare will cover not all dental treatments, but some plans are present to enhance Australians’ dental health. If you find it challenging to pay for dental care, reach out to a dentist in Melbourne CBD  and understand your options. In the meantime, here is what you need to know about Medicare and how it will help you when going for dental treatments. 

Understanding Medicare: Does It Pay for Your Dental Services?

Medicare covers crucial dental treatments. Recently, the Australian Government introduced some schemes that will help its citizens access dental treatment. They include: 

Child and Adult Public Dental Scheme 

This plan attempts to offer dental services to adults and children at a reduced price. Also, it provides shared funding with states and territories to help them provide dental services to the public.


Child Dental Benefits Schedule 

This scheme offers dental services to kids between ages 2 to 17 who are permitted to access Medicare. This provides benefits for essential dental services for children aged 2 to 17 who have qualified for Medicare and can access government benefits. Some benefits include the Family Tax Benefit Part A. Every child’s benefits will be capped once $1,000 has been used after two years. The child will be eligible to get x-rays, fillings, examinations, cleaning, extractions, and root canals. 

Understanding the Dental Treatments That Medicare Covers

Medicare will cover the following dental procedures: 

  • Preventative Treatments – Cleaning your teeth is essential, and it will help you avoid severe dental problems from developing. Also, you will save money since some dental procedures are expensive. If you’re qualified, this treatment will be covered to a particular degree.
  • Diagnostic Treatments– Diagnostic treatments will involve analyzing dental problems. It will be covered when let’s say, and the dentist insists a dental x-ray is necessary. 
  • Dental Surgery – There are specific dental surgeries done for a particular reason, mouth surgery, and correct teeth that are not correctly positioned. 
  • Cosmetic Dentistry – Medicare will not cover cosmetic dentistry, but there are vital treatments that will involve cosmetic treatments that will be covered.
  • Restorative Dentistry – Restorative dentistry is not fully covered and might not be applied in all states. The procedures might bear unexpected costs out of pocket and may cost you in the long-term. 

Still, some people are unsure if Medicare covers dental insurance. Dental insurance is vital as it will give patients access to high-quality dental procedures that will sustain their dental health. By choosing preventative treatments and going to a dental clinic regularly, you will minimize the chance of suffering from oral diseases. So, in the end, you will save money by visiting the dentist today. 

Medicare can be accessed by specific families who might have qualified to get treated both publicly and privately. If the price is an issue, ensure you speak to the dentist and ask to see their payment plans. There is a chance you may get a considerate payment plan from the dentist. 

Other Dental Services Covered by Medicare

Even though Medicare doesn’t entirely cover dental treatment plan, it will provide slight coverage if the procedure is involved in another pre-existing health condition. Some dental treatments that might be covered include:

  • Having a dental examination before you get a heart valve replaced or a liver transplant. 
  • An oral examination is required while undergoing oral cancer treatment. 
  • Suppose you’ve suffered jaw damage in a car accident. Jaw reconstruction treatment will get covered by Medicare.

Importance of Getting Dental Coverage

Excellent oral health is essential if you wish to preserve your overall wellness. If you have poor oral hygiene, there is a chance that you could get diabetes, cardiovascular diseases, inflammation, and other severe health problems. Some studies have discovered that most people may disregard their oral health, citing costly dental care. 

And because of that, it is advised to choose a suitable payment plan to make dental procedures affordable. Ensuring your mouth is healthy when you grow older is crucial to keeping your body healthy. Medicare will not cover some of the treatments. But your kids can access the Child Dental Benefits Schedule. This scheme allows them to access tooth extraction, examination, fillings, root canals at a specific amount. It is worth noting that Medicare doesn’t cover treatments such as braces and dentures. 

If you wish to have healthy teeth, it is recommended to go for regular checkups at the dental clinic. Also, ensure a highly trained and certified dentist performs the treatments.


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