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Medicare Expansion: Coverage for Medically Necessary Dental Care in Serious Illnesses.

This law introduces a crucial change to the Medicare program, allowing coverage for dental treatment that is medically necessary and directly linked to serious underlying health conditions. This means citizens suffering from specific diseases, such as head and neck cancers or those awaiting organ transplants, will no longer face out-of-pocket costs for essential dental procedures required before or during their major medical treatment. The goal is to improve overall health outcomes and reduce the risk of medical complications, effective January 1, 2024.
Key points
Medicare Part B will cover dental services if they are medically necessary and directly impact the treatment of a serious underlying medical condition.
Coverage applies specifically to patients diagnosed with head/neck cancer, leukemia, lymphoma, organ transplantation, or prosthetic heart valve replacement.
The necessary dental services must be furnished within one year following the diagnosis or related surgical/medical treatment.
These changes will apply to procedures performed starting January 1, 2024.
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Additional Information
Print number: 118_HR_831
Sponsor: Rep. Cohen, Steve [D-TN-9]
Process start date: 2023-02-06