Does Medicare Cover Oral Surgery in Manteca?

Navigating dental coverage can be confusing, especially when Medicare is involved. If you are considering oral surgery at Manteca Smiles and want to know whether Medicare will help cover the cost, it is important to understand what Medicare includes, what it excludes, and how coverage works in different situations. This guide explains the essentials so you can plan confidently before scheduling your oral surgery in Manteca, CA.

What Does Medicare Typically Cover?

Original Medicare (Parts A and B) focuses on medical care that is considered medically necessary for overall health. It does not include routine dental treatment.

This means the following services are not covered under standard Medicare:

• Preventive dental cleanings
• Routine oral exams
• Tooth extractions
• Dental implants
• Crowns, dentures, or most dental surgeries
• Cosmetic dental procedures

Because oral surgery is usually categorized as dental treatment instead of medical treatment, most procedures performed in a dental office are not eligible for Medicare benefits.

Exceptions When Medicare May Cover Dental-Related Procedures

Medicare may cover dental treatment if it is directly tied to another medical procedure that Medicare has already approved. These situations are uncommon but possible. For example:

• Dental treatment that is required during a hospital stay after a facial injury
• Oral surgery is necessary before receiving radiation for head or neck cancer.
• Dental procedures that are part of a larger medical treatment plan

These cases require evaluation by both your medical doctor and dentist.

What This Means for Oral Surgery in Manteca, CA

If you need oral surgery at Manteca Smiles and you only have traditional Medicare, you should be prepared for out-of-pocket expenses. Tooth extractions, bone grafting, dental implants, and most other oral surgeries are considered non-medical procedures, so Medicare does not provide coverage.

If you would like to review oral surgery treatment options, you can learn more about our oral surgery services.

Alternatives to Medicare for Dental Coverage

If Medicare does not cover the dental care you need, here are possible alternatives:

• Private dental insurance that includes oral surgery benefits
• Dental discount or membership plans that offer reduced treatment fees
• Financing or payment plans through the dental practice
• Medicare Advantage plans that include optional dental coverage
• Care Credit or similar third-party financing options

Review each option carefully to understand deductibles, limits, and treatment exclusions.

How to Prepare for Oral Surgery at Manteca Smiles

If you need oral surgery in Manteca, here is a recommended approach:

1. Schedule a consultation for a detailed examination.
2. Review your insurance plan to check for any supplemental dental coverage.
3. Request a written treatment plan with clear cost estimates.
4. Ask about available payment or financing options if you do not have dental insurance.
5. Follow all preoperative and postoperative instructions for the best healing outcome.

The team at Manteca Smiles is here to guide you through each step of the process.

FAQ: Medicare and Oral Surgery in Manteca

Does Medicare cover tooth extractions or dental implants?

No. These procedures are considered dental services, so Original Medicare does not cover them.

Are there any dental procedures Medicare will pay for?

Yes, but only when dental care is directly related to a covered medical treatment, such as surgery after trauma or preparation for cancer treatment.

What if I do not have dental insurance?

You can explore financing options, in-office payment plans, or dental savings programs. Manteca Smiles can review available options with you.

Can Medicare Advantage plans cover dental services?

Some Medicare Advantage plans include limited dental benefits. Coverage varies by plan, so review details carefully.

Conclusion

In most cases, Medicare does not cover oral surgery at Manteca Smiles. Patients who need extractions, bone grafts, implants, or other surgical dental procedures should consider alternative insurance or financing options. Understanding Medicare limitations ahead of time helps you plan your treatment without unexpected costs.

To learn more about oral surgery options or to schedule a consultation, give us a call today. Our team is here to support you with expert care and clear guidance.