Plan guide

Dental, vision and hearing

Original Medicare skips routine cleanings, glasses and hearing aids. Here is how our clients fill those gaps.

Eye care professional in clinic using ophthalmology equipment, wearing glasses and a lab coat.

Overview

Original Medicare does not cover routine dental care, eye exams for glasses, or hearing aids. For many retirees in Indianapolis, these are the services they use most often, and the costs add up quickly. A set of hearing aids can run several thousand dollars, and a crown can cost more than $1,200.

There are two main routes. Many Medicare Advantage plans include some dental, vision and hearing benefits. If you prefer Original Medicare with a Supplement, you can add a stand-alone dental, vision and hearing policy from a private carrier.

Benefits vary a great deal. Some plans cover only preventive cleanings, while others include fillings, extractions, crowns and dentures with waiting periods. We read the fine print on annual maximums, waiting periods and networks before you choose.

What's included

  • Preventive dental

    Cleanings, exams and X-rays, often at 100 percent in network.

  • Basic and major dental

    Fillings, extractions, root canals, crowns and dentures on richer plans, sometimes after a waiting period.

  • Routine eye exams

    An annual exam with an allowance for glasses or contact lenses.

  • Hearing exams and aids

    Hearing tests and a per-ear or per-year allowance for hearing aids.

  • Network discounts

    Reduced fees at participating dentists and optical stores even when benefits run out.

  • Medically necessary care

    Original Medicare still covers eye care for conditions such as cataracts and glaucoma.

Costs to plan for

Sample figures
Stand-alone DVH premium
$28 to $62/mo

Indiana range by plan richness (sample)

Annual dental maximum
$1,000 to $3,000

Per calendar year (sample)

Eyewear allowance
$100 to $250

Per year or every two years (sample)

Hearing aid allowance
$500 to $1,500/ear

Every one to three years (sample)

Figures are illustrations for Central Indiana. Your actual costs depend on the plan, your ZIP code, age and income. Confirm current amounts at Medicare.gov.

How we help with Dental, vision and hearing

  1. 1

    Note your upcoming care

    Planned crowns, dentures, new glasses or hearing aids change which plan makes sense.

  2. 2

    Check your dentist

    We confirm your dentist and eye doctor participate in the plan network.

  3. 3

    Compare waiting periods

    Some plans delay major dental coverage for 6 to 12 months.

  4. 4

    Coordinate with your medical plan

    We avoid paying twice for benefits your Advantage plan already includes.

Is it a fit?

Often a good fit when

  • You have Original Medicare and a Supplement
  • You expect major dental work or new hearing aids
  • Your Advantage plan's extras feel too thin

Watch out for

  • Annual maximums cap what the plan pays
  • Waiting periods on major services
  • Allowances may require in-network providers

Questions about Dental, vision and hearing

Original Medicare does not. Some Advantage plans and richer stand-alone dental policies contribute toward implants, usually up to the annual maximum and often after a waiting period.

Many Advantage plans in Central Indiana include a hearing aid benefit, usually through a partner network with set prices or an allowance per ear.

Yes. Cataract surgery is medically necessary and covered by Original Medicare Part B, including one pair of standard glasses or contacts after surgery with an intraocular lens.

Questions about Dental, vision and hearing?

A licensed Beacon advisor will compare plans against your doctors, prescriptions and budget. No cost, no obligation.

Licensed in Indiana. TTY 711. Mon - Fri 8:00 am - 6:00 pm

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