Dental, vision and hearing: what Medicare covers

Routine dental, vision and hearing care are among the biggest gaps in Original Medicare. Here's what is and isn't covered.

Dental

Original Medicare doesn't cover routine dental care: cleanings, fillings, extractions, dentures or implants. It may cover dental care tied to other covered treatment, like an exam before a heart valve replacement or organ transplant, removing an infected tooth before chemotherapy, or some dental care during a hospital stay.

Vision

Original Medicare doesn't usually cover eyeglasses or contact lenses. The exception: after cataract surgery with a lens implant, Part B covers one pair of glasses with standard frames or one set of contacts. You pay 20% after the Part B deductible, and the full cost of upgraded frames. Medically necessary eye care, like care for glaucoma or macular degeneration, is covered.

Hearing

Original Medicare doesn't cover hearing aids or exams to fit them. Part B covers diagnostic hearing and balance exams when your doctor orders them, and you can see an audiologist once every 12 months without an order for certain conditions. You pay 20% after the Part B deductible. Over-the-counter hearing aids, sold without a prescription since 2022, can be much cheaper than prescription ones.

Where to get routine coverage

• Medicare Advantage plans often include some dental, vision and hearing benefits. Check the yearly limits and which dentists are in network.
• Stand-alone dental or vision plans can be added to Original Medicare and Medigap.
• Medicaid covers some dental care in many states, and dental schools and community health centers often offer lower-cost care.