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 couple working in a greenhouse stock image
Medicare Supplement Plans for Low-Income Seniors
Mar 23, 2023
Health insurance form on a table with pen, calculator and glasses stock image
What You Need to Know About Creditable Coverage
Jan 18, 2023
Doctor physician consulting with male patient in hospital exam room stock photo
Is Gainswave Covered by Medicare?
Dec 6, 2022
Cover image
How Can I Get a Replacement Medicare Card?
Aug 14, 2023
senior man on a phone call stock image
What is a Medicare Beneficiary Ombudsman?
Apr 11, 2023
Senior woman smiling after vaccination stock photo
Does Medicare Cover Flu Shots?
Dec 9, 2022
Doctor talking to patients are explaining the treatment of a patient's illness stock photo
How Much Does Rexulti Cost with Medicare?
Jan 24, 2023
Costco & Fair Square
Costco Pharmacy Partners with Fair Square
Jan 13, 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
Cover image
The Fair Square Bulletin: June 2023
Jun 30, 2023
Fair Square
Is Displacement Affecting Your Medicare Coverage?
Oct 6, 2022
Senior woman receiving an ear exam stock photo
Does Medicare Require a Referral for Audiology Exams?
Nov 22, 2022
Charlotte skyline stock image
14 Best Ways to Stay Active in Charlotte
Mar 9, 2023
A women's restroom sign that has been modified to show the stick figure woman needing to use the toilet
Does Medicare Cover Bladder Sling Surgery?
Jan 11, 2023
Medicare Set Aside funds stock image
What Happens to Unused Medicare Set-Aside Funds?
Jan 20, 2023
Cover image
Does Medicare cover Hyoscyamine?
Nov 30, 2022
A doctor with a clipboard consults a female patient with cancer
Does Medicare Cover Inqovi?
Jan 11, 2023
senior man holding out his medicare card stock image
Can I Laminate My Medicare Card?
Dec 22, 2022

More of our articles

13 Best Ways for Seniors to Stay Active in Jacksonville

13 Best Ways for Seniors to Stay Active in Philadelphia

13 Best Ways for Seniors to Stay Active in Phoenix

14 Best Ways for Seniors to Stay Active in Washington, D.C.

Are Medicare Advantage Plans Bad?

Building the Future of Senior Healthcare

Can I Choose Marketplace Coverage Instead of Medicare?

Can I Have Two Primary Care Physicians?

Can I switch From Medicare Advantage to Medigap?

Can Medicare Advantage Plans Deny Coverage for Pre-Existing Conditions?

Can Medicare Help with the Cost of Tyrvaya?

Comparing All Medigap Plans | Chart Updated for 2023

Do I Need to Renew My Medicare?

Do Medicare Supplement Plans Cover Dental and Vision?

Does Medicare Cover a Spinal Cord Stimulator?

Does Medicare Cover Cala Trio?

Does Medicare Cover Cartiva Implants?

Does Medicare Cover Chiropractic Visits?

Does Medicare Cover Cold Laser Therapy (CLT)?

Does Medicare Cover Disposable Underwear?

Does Medicare Cover ESRD Treatments?

Does Medicare Cover Exercise Physiology?

Does Medicare Cover Hoarding Cleanup?

Does Medicare Cover Home Heart Monitors?

Does Medicare Cover Ilumya?

Does Medicare Cover INR Machines?

Does Medicare Cover Inspire for Sleep Apnea?

Does Medicare Cover Jakafi?

Does Medicare Cover Ketamine Infusion for Depression?

Does Medicare Cover Krystexxa?

Does Medicare Cover Linx Surgery?

Does Medicare Cover LVAD Surgery?

Does Medicare Cover Medical Marijuana?

Does Medicare Cover Mental Health?

Does Medicare Cover Nuedexta?

Does Medicare Cover Ofev?

Does Medicare Cover Orthodontic Care?

Does Medicare Cover Oxybutynin?

Does Medicare Cover Penile Implant Surgery?

Does Medicare Cover PTNS?

Does Medicare Cover Qutenza?

Does Medicare Cover Stair Lifts?

Does Medicare Cover Vitamins?

Does Medicare Cover Zilretta?

Does Retiring at Age 62 Make Me Eligible for Medicare?

Does Your Medicare Plan Cover B12 Shots?

Estimating Prescription Drug Costs

Everything About Your Medicare Card + Medicare Number

Explaining IRMAA on Medicare

Explaining the Different Enrollment Periods for Medicare

Finding the Best Vision Plans for Seniors

Health Savings Accounts (HSAs) and Medicare

How Do I Sign up for Medicare? A Simple How-To Guide For You

How Does Medicare Pay for Emergency Room Visits?

How Much Does Medicare Cost?

How Much Does Medicare Part B Cost in 2023?

How to Choose a Medigap Plan

How to Enroll in Social Security

Is Botox Covered by Medicare?

Is Emsella Covered by Medicare?

Is the Shingles Vaccine Covered by Medicare?

Medicare 101

Medicare Consulting Services

Medicare Savings Programs in Kansas

The Fair Square Bulletin: July 2023

What Does Medicare Cover for Stroke Patients?

What If I Don't Like My Plan?

What Is a Medicare Supplement SELECT Plan?

What is the 8-Minute Rule on Medicare?

What's the Deal with Flex Cards?

When to Choose Medicare Advantage over Medicare Supplement

Will Medicare Cover Dental Implants?

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.