In most cases, Original Medicare doesn't cover dental services like routine cleanings, fillings, tooth extractions (removals), or items like dentures and implants.
Your Blue Cross and Blue Shield of Minnesota Medicare Advantage plan may include extra dental benefits that Original Medicare does not cover at no additional premium.
These added dental benefits will vary by plan. Be sure to review your Evidence of Coverage (EOC) for benefit coverage and important details.
Summary of dental coverage
All Blue Cross and Blue Shield of Minnesota Medicare Advantage plans cover preventive dental care at no extra cost.
| Your Blue Cross plan covers: | Core plan | Comfort plan | Choice plan | Complete plan | Freedom Blue plan |
|---|---|---|---|---|---|
| Preventive Oral exams (2) | $10 copay | $0 | $0 | $0 | $0 |
| Preventive Cleanings (2), fluoride treatments (2), X-rays (1), periodontal cleanings (2) | $0 | $0 | $0 | $0 | $0 |
| Restorative Fillings | Not covered | 30% coinsurance Metro; 50% coinsurance West | 30% coinsurance | 30% coinsurance | 20% coinsurance |
| Comprehensive Extractions, endodontics, periodontics (treatment of periodontitis and gingivitis), special restorative, prosthetics, crowns, oral surgical procedures Note: Cosmetic procedures and implants are not covered. | Not covered | 60% coinsurance Metro; 70% coinsurance West | 50% coinsurance | 50% coinsurance | 20% coinsurance |
| Maximum plan benefit* | $1,000 | $1,750 Metro; $1,250 West | $2,000 Metro and South; $1,500 West | $2,000 | $2,500 |
*The maximum plan benefit is the maximum amount the plan will pay for all in-network and out-of-network covered dental services.
For dental services performed by an out-of-network dentist, you will be responsible for paying the difference between the dentist's fees and Blue Cross Medicare Advantage out-of-network provider reimbursement rates, even for services listed as $0 copay.
To find your Evidence of Coverage:
For complete details, including the cost sharing of covered services, exceptions and limitations, please log in to your member account to access your Evidence of Coverage (EOC) document. Dental care information can be found in Chapter 4 of the document.
To find a dentist:
- Visit our Find a Dentist tool
- Search by location or by specific dentist
Note: For verification of in-network status, please talk to your dentist or contact dental customer service at the number in the help and support section.
Help and support
Questions? We can help
For assistance finding a dental provider or if you have questions, please contact dental customer service.
Call 1-844-397-4182 (TTY: 711)
Monday through Friday
8 a.m. to 8 p.m., Central time
Blue Cross offers PPO plans with Medicare contracts. Enrollment in these Blue Cross plans depends on contract renewal.
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