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Medicare: New Dental Benefits for Seniors and Low-Income Individuals

This act introduces new dental benefits under the Medicare program, meaning that seniors and eligible individuals will have access to a wider range of dental services. These changes aim to improve oral health and reduce the financial burden of dental care for millions of Americans.
Key points
Medicare will begin covering basic and major dental services, including cleanings, exams, fillings, root canals, crowns, and dentures.
Coverage will be phased in, reaching 80% after eight years, except for low-income individuals who will receive 80% coverage immediately.
Frequency limits are set for some services, such as two cleanings and two exams per year, and restrictions on prostheses (one full upper and one full lower denture every five years).
Federal financial support for states covering dental costs for low-income Medicare beneficiaries has been increased, meaning 100% federal coverage.
The act takes effect on January 1, 2025.
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Additional Information
Print number: 118_HR_4146
Sponsor: Rep. Barragan, Nanette Diaz [D-CA-44]
Process start date: 2023-06-15