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Paper Roses

(7,473 posts)
Sat Jan 4, 2014, 06:44 PM Jan 2014

In case I missed it: Medicare/ACA Dental coverage

I am a senior with Medicare coverage for which I pay both part A and Part B. I signed up for then canceled drug coverage after finding out the cost was too great for me to pay out of my Social Security check.

There must be many others like me who wonder why we are not given the option of Dental coverage under Medicare.
I am a low income Senior with a house and minimal assets.
I need some dental care and find the cost unbelievable.

Dental insurance is out of the question, just as was the drug coverage.

Situations like mine must be fairly common. Anyone else wonder why Dental is part of ACA(a good thing) but not available under Medicare?
Perhaps I have missed something but this old brain is in slow gear as of late. Too much to assimilate.

5 replies = new reply since forum marked as read
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In case I missed it: Medicare/ACA Dental coverage (Original Post) Paper Roses Jan 2014 OP
I too could use some dental work and find the cost prohibitive. panader0 Jan 2014 #1
It's crazy but apparently teeth and eyes aren't part of the body and don't require GreenPartyVoter Jan 2014 #2
Get a Dental Discount Plan, not Insurance HockeyMom Jan 2014 #3
I was able to convert Parts A and B to a Part C plan for no premium. There are copays. freshwest Jan 2014 #4
I've wondered that myself. Blue_In_AK Jan 2014 #5

panader0

(25,816 posts)
1. I too could use some dental work and find the cost prohibitive.
Sat Jan 4, 2014, 06:49 PM
Jan 2014

Your dental health has been proven to affect your overall health.

GreenPartyVoter

(72,377 posts)
2. It's crazy but apparently teeth and eyes aren't part of the body and don't require
Sat Jan 4, 2014, 06:55 PM
Jan 2014

medical care. Otherwise health insurance would cover them, right?

 

HockeyMom

(14,337 posts)
3. Get a Dental Discount Plan, not Insurance
Sat Jan 4, 2014, 07:06 PM
Jan 2014

When I was working for a public school district they wanted to charge me $100/month for dental just for me. We went online and found a discount plan for $150 a year for family coverage. Screw insurance.

They generally give full mouth free exray, free exam, free cleanings, and the costs are about 50% what the dentist charges. They also don't tell you that you are only allowed ONE root canal and crown a year like insurance does.

freshwest

(53,661 posts)
4. I was able to convert Parts A and B to a Part C plan for no premium. There are copays.
Sat Jan 4, 2014, 07:37 PM
Jan 2014

I was offered a $35 month to month dental that can be cancelled after expensive work is done at any time and then started up again. So I pay no monthly premium for drugs and $35 for dental. Period.

I pay $15 to see my doctor, and $50 for specialists, and these were the doctors I saw before getting this, so I have not lost my regular doctors. There is no deductible, the only thing that is capped is the number of visits for some of my doctors, some 6 times or 12 times a year for routine care.

My prescription costs range from $3 for generics to $10 for brand name, which drops back to $3 if the doctor insists on brand name as a necessity. I am going to transfer all my regular prescriptions to their mail program for which I will get instead of 30 days for $3, I will get 90 days for $3. It will arrive in the mail and I do not have to take time or use gas to get it. There is no charge for them sending it to me by mail.

I do not qualify for Medicaid. This is from straight Medicare. Any lab or special work is also kept within bounds by the Medicare rules and I am getting free coverage once a year for wellness checks and conditions that are chronic.

My start up with my doctor and getting the wellness lab and check over was well over $600 but all but $49 was paid for by Medicare or was written off.

I also did not use a website, as I am not good at that and checked with all my doctors in person to see what plans paid them. A friend and I drove to one of the October sign up meetings where the company I picked then answered my questions and kept me within my budget.

I insisted that I could not pay more than what I was already paying for Parts A and B. Other than the dental, there is no charge, and I can drop the dental. Eye care is included with the plan, as well as hearing aids.

Then their agent at the meeting and at my home, went through their system and found that all my doctors, my dentist, my chiropractor, my podiatrist and the area with the doctor clinics I wanted to go to were covered.

I asked them to come out to my home and they did with my friend there to witness what I was signing on for. They gave me 90 days to back out of it.

They also have a plan to help those at home if needed even though I do not have home care insurance or long-term care. I do not qualify for Medicaid that covers that, eye glasses and dental.

But I also live in a blue state and our governor ran on implementing the ACA. It increased revenue for the doctors, hospitals and clinics as it is funded by the ACA and not affected by capricious rightwing legislators which had made our state's Medicaid program hard to get help from.

Many people are getting healthcare that had none before, and others are getting more care that they didn't have before.

Although as I said I do not qualify for the ACA Medicaid expansion, I am glad to see that those who had no coverage now get it and will be healthier. My health is getting better, too.

I bet you can get the same thing I did. Good luck getting what you need.

Blue_In_AK

(46,436 posts)
5. I've wondered that myself.
Sat Jan 4, 2014, 09:18 PM
Jan 2014

I think even people on Medicaid have dental included. I haven't been to a dentist in so long I can't remember the last time.

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