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Dental care, eyewear and hearing aids

Many of our Medicare plans include dental, eyewear and hearing benefits. Compare our plans and find the coverage that’s best for you.

Learn about these benefits

Dental, eyewear and hearing coverage is offered through a network plan or as a direct member reimbursement (DMR). You can find specific plan information in the Evidence of Coverage (EOC).

Network plans

These plans require you to see a network provider. You may have a different network for medical benefits than for dental, eyewear or hearing services. The EOC can help you find the right network for your plan.

Direct Member Reimbursement (DMR)

A DMR is an annual allowance to see any licensed provider in the U.S. that has not opted out of Medicare. Members will pay out of pocket and then submit a form to get reimbursed up to the plan’s allowance.

Dental benefits
 

Network plans cover preventive care 100% (such as oral exams, cleanings and X-rays).* Some plans include comprehensive services (such as fillings and extractions).

 

DMR plans cover most ADA dental codes, including preventive care and comprehensive services. Members will pay out of pocket and then submit to get reimbursed up to the plan’s allowance.

 

Network

DMR

Who you can see for care

Has a separate dental network to use

Allows you to see any dental provider**

Oral exams

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Routine cleanings

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X-rays

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Fillings

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Extractions

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Teeth whitening

***

***

Network

Who you can see for care

Has a separate dental network to use

Oral exams

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Routine cleanings

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X-rays

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Fillings

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Extractions

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Teeth whitening

***

DMR

Who you can see for care

Allows you to see any dental provider**

Oral exams

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Routine cleanings

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X-rays

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Fillings

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Extractions

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Teeth whitening

***

*Coverage for the frequency of these services may vary based on your plan.

 

**Must be a licensed provider in the U.S that has not opted out of Medicare. Providers who opt out of Medicare have chosen not to receive money from the Medicare program for services. This means we can’t reimburse them (or their patients) for care.

 

***Generally, cosmetic services (such as teeth whitening) are not covered.

Eyewear benefits
 

Network plans cover one annual routine vision exam. They also include an annual allowance that can be used to purchase eyewear.

 

DMR plans also get an annual allowance to purchase eyewear. Members will pay out of pocket and then submit a form to get reimbursed up to the plan’s allowance.

 

Network

DMR

Who you can see for care

Has a network of vision providers to use

Allows you to see any vision provider*

How it works

Provider submits claim to us

Member pays up front and submits information to get reimbursed

Routine vision exam

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No data available

Eyewear coverage (glasses/contacts)

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Network

Who you can see for care

Has a network of vision providers to use

How it works

Provider submits claim to us

Routine vision exam

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Eyewear coverage (glasses/contacts)

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DMR

Who you can see for care

Allows you to see any vision provider*

How it works

Member pays up front and submits information to get reimbursed

Routine vision exam

No data available

Eyewear coverage (glasses/contacts)

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*Must be a licensed provider in the U.S that has not opted out of Medicare. Providers who opt out of Medicare have chosen not to receive money from the Medicare program for services. This means we can’t reimburse them (or their patients) for care.

Hearing benefits
 

Network plans cover one annual routine hearing exam and hearing aid fitting at 100%. They may also include coverage toward the purchase of hearing aids.

 

DMR plans cover one annual hearing exam and hearing aid fitting at 100% if the provider is in-network. They may also include an allowance to purchase hearing aids. Members will pay out of pocket and then submit a form to get reimbursed up to the plan’s allowance.

 

Network

DMR

Who you can see for care

Has a network of hearing providers to use

Allows you to see any hearing provider*

How it works

Member will contact hearing network provider

Member pays up front and submits information to get reimbursed

Routine hearing exam

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No data available

Hearing aid coverage

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Hearing aid fitting

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Network

Who you can see for care

Has a network of hearing providers to use

How it works

Member will contact hearing network provider

Routine hearing exam

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Hearing aid coverage

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Hearing aid fitting

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DMR

Who you can see for care

Allows you to see any hearing provider*

How it works

Member pays up front and submits information to get reimbursed

Routine hearing exam

No data available

Hearing aid coverage

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Hearing aid fitting

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*Must be a licensed provider in the U.S that has not opted out of Medicare. Providers who opt out of Medicare have chosen not to receive money from the Medicare program for services. This means we can’t reimburse them (or their patients) for care.

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