Fair Square Medicare Wordmark

Does Medicare Cover Orthodontic Care?

hand holding up Invisalign stock photo
By Daniel Petkevich
Nov 18, 2022

The answer might depend on your plan

More Medicare beneficiaries are seeking orthodontic care or braces later in life. If you are in a situation where orthodontic care is determined to be medically necessary, you can expect to get coverage through Medicare Parts A & B. However, usually Medicare will not cover orthodontic care for cosmetic purposes unless you have a Medicare Advantage plan with that extra benefit.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.
Let's dig deeper into what orthodontic care can mean for an elderly population.

What is orthodontic care?

Orthodontic care is a treatment that helps to straighten, align and space teeth. This type of care includes braces, retainers and other devices used to reposition teeth. Orthodontic care can help alleviate pain caused by crooked or misaligned teeth while also helping you achieve a better smile.
Some people might think that orthodontic care is something only for adolescents, but many seniors are increasingly opting for orthodontic care as they age. It can help restore a youthful appearance and improve dental health.

Does Medicare cover orthodontic care?

It is important to note that Medicare Part A will only cover orthodontic care when it’s a secondary treatment following an accident, trauma, or illness. If you need orthodontic care and are looking to have Medicare cover it, you will need to see your dentist first. They will be the ones to determine whether or not your treatment is medically necessary. If they decide that it is, they can then fill out a request form for Medicare Part B coverage. For example, if you were in an accident and needed dental care to repair the damage done to your teeth and jaw, Medicare Part A may cover the cost of braces for the purposes of restoring function.
Medicare Part B covers orthodontic care when it is determined to be medically necessary, such as correcting misaligned teeth that interfere with eating or talking. In this case, the cost of your braces will likely be covered by Medicare Part B. Typically, you will be responsible for your Part B Deductible and 20% coinsurance for the remainder of the cost. Your plan may also cover that 20% if you are on a Medicare Supplement plan.

How Medicare Advantage can cover orthodontic care

If you have a Medicare Advantage plan, you may have coverage for orthodontic care. Many of these plans include extra benefits that can help cover costs associated with orthodontic treatments, such as braces and retainers. Check your plan to see what coverage is offered and make sure to ask your provider about any additional out-of-pocket costs you may need to pay.
While Medicare Advantage is an enticing option for beneficiaries who are interested in orthodontic care, keep in mind that the added benefits of Medicare Advantage might come at the expense of your core health benefits. A Medicare Supplement Plan G offers the most comprehensive coverage but without the dental perks. If you have questions about how to weigh the pros and cons of Medicare Supplement and Medicare Advantage, talk with one of our Medicare experts.

Alternatives to getting Medicare to cover orthodontic care

If your orthodontic care is not determined to be medically necessary, or if you have a traditional Medicare plan that doesn’t cover the cost of braces, there are other options available. You may want to consider applying for dental insurance through a private insurer. Some of these policies offer coverage for orthodontic treatments and can be a more affordable option than going through Medicare.
Keep in mind that age restrictions may apply, and you might have to pay out-of-pocket costs depending on the plan. You should also check with your dentist or orthodontist to see if they offer any payment plans or discounts for seniors.


When it comes to orthodontic care, Medicare only offers coverage in specific circumstances. However, Medicare Advantage can be a great resource for seniors who need this type of treatment. With the right coverage and provider, you can get access to quality treatment and help improve your dental health. Be sure to speak with your dentist and check your plan details before beginning treatment.
If you have any questions about Medicare coverage for orthodontic care, don't hesitate to reach out to our team of insurance experts today! We are happy to answer your questions and help you find the plan that is best for your needs. Give us a call at 1-888-376-2028 to discuss your Medicare options today.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

Recommended Articles

Senior person holding tissue roll near a toilet bowl, using walker to walk to the bathroom stock photo
Is Emsella Covered by Medicare?
Nov 21, 2022
scientist mixing chemical compounds stock image
Does Medicare Cover Compounded Medications?
Apr 4, 2023
Sinusitis. stock illustration
Is Balloon Sinuplasty Covered by Medicare?
Dec 1, 2022
woman sitting on sofa feeling pain in her foot at home stock photo
Does Medicare Cover Qutenza?
Jan 13, 2023
Doctor physician consulting with male patient in hospital exam room stock photo
Does Medicare Cover Penile Implant Surgery?
Dec 9, 2022
HIFU treatment stock image
Is HIFU Covered by Medicare?
Nov 21, 2022
Medicare at 62 stock image
Does Retiring at Age 62 Make Me Eligible for Medicare?
Jun 16, 2022
Physiotherapist showing workout record on exercise bike
Does Medicare Cover Exercise Physiology?
Jan 11, 2023
Medigap vs. Medicare Advantage
May 25, 2020
heart surgery stock image
How Much Does Open Heart Surgery Cost with Medicare?
Jan 27, 2023
Cover image
Saving Money with Alternative Pharmacies & Discount Programs
Feb 1, 2024
cartoon hospital and male doctor stock image
Can I Have Two Primary Care Physicians?
Oct 3, 2022
Cover image
Can I Use Medicare Part D at Any Pharmacy?
Aug 28, 2023
An elderly couple discusses their healthcare and insurance needs with another woman stock image
Medicare Guaranteed Issue Rights by State
Feb 10, 2023
Cover image
The Fair Square Bulletin: August 2023
Aug 28, 2023
Diagnosis incontinence stock image
Does Medicare Cover Incontinence Supplies?
Dec 22, 2022
How to Choose a Medigap Plan
Jan 10, 2023
Model of the lungs with the diseased part. Cancer or Ground glass opacity GGO. stock photo
Does Medicare pay for Opdivo?
Nov 23, 2022

More of our articles

13 Best Ways for Seniors to Stay Active in Columbus

13 Best Ways for Seniors to Stay Active in Phoenix

14 Best Ways for Seniors to Stay Active in Seattle

15 Best Ways for Seniors to Stay Active in Denver

20 Questions to Ask Your Medicare Agent

2023 Medicare Annual Election Period (AEP)

2024 Cost of Living Adjustment

2024 Medicare Price Changes

Are Medicare Advantage Plans Bad?

Building the Future of Senior Healthcare

Can Doctors Choose Not to Accept Medicare?

Can I Change My Primary Care Provider with an Advantage Plan?

Comparing All Medigap Plans | Chart Updated for 2023

Does Medicare Cover a Spinal Cord Stimulator?

Does Medicare Cover Abortion Services?

Does Medicare Cover an FMT?

Does Medicare Cover Bladder Sling Surgery?

Does Medicare Cover Cervical Disc Replacement?

Does Medicare Cover Cosmetic Surgery?

Does Medicare cover Deviated Septum Surgery?

Does Medicare Cover Disposable Underwear?

Does Medicare Cover Driving Evaluations?

Does Medicare Cover Flu Shots?

Does Medicare Cover Hearing Aids?

Does Medicare Cover Hepatitis C Treatment?

Does Medicare Cover Hypnotherapy?

Does Medicare Cover Ilumya?

Does Medicare Cover Iovera Treatment?

Does Medicare Cover Ketamine Infusion for Depression?

Does Medicare Cover Kidney Stone Removal?

Does Medicare Cover Mouth Guards for Sleep Apnea?

Does Medicare Cover Oxybutynin?

Does Medicare Cover Physicals & Blood Work?

Does Medicare Cover RSV Vaccines?

Does Medicare Cover Service Animals?

Does Medicare Cover SI Joint Fusion?

Does Medicare Cover Urodynamic Testing?

Does Medicare Cover Wart Removal?

Does Medicare Cover Xiafaxan?

Does Medicare Require a Referral for Audiology Exams?

Does Your Plan Include A Free Gym Membership?

Explaining the Different Enrollment Periods for Medicare

Fair Square Bulletin: We're Revolutionizing Medicare

Finding the Best Dental Plans for Seniors

Finding the Best Vision Plans for Seniors

How Does Medicare Pay for Emergency Room Visits?

How Much Does Rexulti Cost with Medicare?

How Much Does Trelegy Cost with Medicare?

How Often Can I Change Medicare Plans?

How to Deduct Medicare Expenses from Your Taxes

How to Enroll in Social Security

How Your Employer Insurance and Medicare Work Together

Is Botox Covered by Medicare?

Is Fair Square Medicare Legitimate?

Is the Shingles Vaccine Covered by Medicare?

Medicare Advantage Plans for Disabled People Under 65

Plan G vs. Plan N

Should You Work With A Remote Medicare Agent?

The Fair Square Bulletin: July 2023

The Fair Square Bulletin: June 2023

The Fair Square Bulletin: November 2023

The Fair Square Bulletin: The End of the COVID Emergency Declaration

Welcome to Fair Square's First Newsletter

What Does Medicare Cover for Stroke Patients?

What If I Don't Like My Plan?

What Is a Medicare Advantage POS Plan?

What is the 8-Minute Rule on Medicare?

What is the Medicare ICEP?

What You Need to Know About Creditable Coverage

When to Choose Medicare Advantage over Medicare Supplement

Will Medicare Cover Dental Implants?

Will Medicare Cover it?

Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap. 100% free.
Get the Fair Square Bulletin

Medicare savings tips, helpful guides, and more.


Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans

Fair Square 2023

Terms of Use
Notice of Privacy Practices

Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2022 Help Button Inc

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.