UCare Medicare dental coverage
All UCare Medicare Advantage plans provide dental coverage, and some give you the flexibility to purchase optional dental insurance coverage.
Medicare dental insurance benefits
Do Medicare plans cover dental? To get dental coverage or an allowance you can use on dental services, choose a UCare Medicare Advantage plan. With Original Medicare or a UCare Medicare Supplement Plan, dental coverage is not included, although these plans may cover certain emergency dental procedures in some cases.
Covered dental services
What dental services are usually covered by Medicare Advantage plans? Dental benefits vary by plan and coverage level, but may include:
- Routine services: Many plans cover preventive care such as 1 – 2 oral exams per year and may include routine cleanings, X-rays and fluoride treatments
- Basic restorative services: This includes fillings, root canals and periodontal (gum) services
- Major restorative procedures: These include crowns, bridges, dentures and implants
UCare Medicare dental coverage
How does UCare cover dental services? Many UCare Medicare Advantage plans offer dental coverage for routine dental care such as annual cleanings and X-rays. Some UCare plans include (or have the option to purchase) additional coverage for restorative dental care such as fillings and dentures. Other UCare plans offer an allowance that can be used for eligible dental services.
We know you want ease and flexibility when navigating your health insurance. That’s why if you’re enrolled in a UCare Medicare Advantage plan, you will automatically have access to dental coverage with no extra fees or sign-up requirements. However, if your plan includes routine coverage only and you want to add additional restorative coverage, you will need to take action to enroll and pay the additional premium for this coverage.
Dental coverage details by plan
Your UCare Medicare Advantage plan includes dental coverage. At a minimum, all plans cover routine dental services or provide an allowance for these services. Find your plan below to see coverage details or view the UCare dental coverage overview (PDF).
UCare Aware
| Dental coverage | |
| What’s covered | $600 annual dental allowance |
| Monthly premium | $0 |
| Annual deductible | $0 |
| Annual plan maximum | $600 allowance |
UCare Value
| Dental coverage | |
| What’s covered | Routine and restorative dental coverage at no additional cost |
| Monthly premium | $0 |
| Annual deductible | $75 |
| Annual plan maximum | $2,000 |
Note: Deductible does not apply to routine services or periodontal maintenance cleanings.
UCare Complete
| Dental coverage | |
| What’s covered | Routine and restorative dental coverage at no additional cost |
| Monthly premium | $0 |
| Annual deductible | $100 |
| Annual plan maximum | $2,000 |
Note: Deductible does not apply to routine services or periodontal maintenance cleanings.
UCare Essentials Rx, Standard and Value Plus
| Dental coverage | |
| What’s covered | Routine dental coverage with optional coverage available |
| Monthly premium | $0 for routine services only; $29 per month to add Choice Dental for restorative services |
| Annual deductible | $75 |
| Annual plan maximum | $2,000 |
Note: Deductible does not apply to routine services or periodontal maintenance cleanings.
UCare Classic
| Dental coverage | |
| What’s covered | Routine dental coverage with optional coverage available |
| Monthly premium | $0 for routine services only; $29 per month to add Classic Choice Dental for restorative services |
| Annual deductible | $50 |
| Annual plan maximum | $2,500 |
Note: Deductible does not apply to routine services or periodontal maintenance cleanings.
UCare Your Choice
| Dental coverage | |
| What’s covered | $1,200 flexible benefit allowance |
| Monthly premium | $0 |
| Annual deductible | $0 |
| Annual plan maximum | $1,200 annual flexible benefit allowance to use on one or a combination of eligible dental, hearing aids and prescription eyewear |
UCare Your Choice Plus
| Dental coverage | |
| What’s covered | $1,600 annual flexible benefit allowance |
| Monthly premium | $0 |
| Annual deductible | $0 |
| Annual plan maximum | $1,600 annual flexible benefit allowance to use on one or a combination of eligible dental, hearing aids and prescription eyewear |
Additional restorative dental coverage
Restorative services like fillings, root canals and crowns aren’t covered by all UCare Medicare Advantage dental plans. UCare Classic, UCare Essentials Rx, UCare Standard and UCare Value Plus members have the option to add additional coverage for restorative care. For the most comprehensive coverage, add Choice Dental or Classic Choice Dental to your eligible Medicare plan for an additional $29 per month.
Below is an overview of what's covered.
For additional details, view the UCare dental coverage overview (PDF).
Choice Dental
This plan offers restorative dental coverage and more routine benefits, like an extra exam and cleaning each year. Choice Dental is only available to UCare Essentials Rx, UCare Standard and UCare Value Plus members.
| Dental coverage | |
| Monthly premium | $29 |
| Annual deductible | $75 |
| Annual plan maximum | $2,000 |
| Basic restorative services (e.g., fillings, root canals and periodontal services) | You pay 30% coinsurance |
| Major restorative procedures (e.g., crowns, bridges, dentures and implants) Members must be enrolled in plan for 24 consecutive months before coverage applies. |
You pay 60% coinsurance |
Classic Choice Dental
This plan offers restorative coverage including basic and major restorative dental services. Classic Choice Dental is only available to UCare Classic members.
| Dental coverage | |
| Monthly premium | $29 |
| Annual deductible | $50 |
| Annual plan maximum | $2,500 |
| Basic restorative services (e.g., fillings, root canals and periodontal services) | You pay 20% coinsurance |
| Major restorative procedures (e.g., crowns, bridges, dentures and implants) Members must be enrolled in plan for 24 consecutive months before coverage applies. |
You pay 50% coinsurance |
What are Medicare dental allowances?
A dental allowance is money you can use to pay for eligible routine and restorative dental services covered by your plan.
UCare Medicare Advantage plans with allowances
UCare Your Choice Plans
UCare Your Choice and UCare Your Choice Plus plans offer flexible spending allowances that you can use on eligible dental services, hearing aids and prescription eyewear.
How to use your allowance
Your Healthy Benefits+ Visa® card comes pre-loaded with your combined flexible benefit allowance. UCare Your Choice Plans do not have a dental network. You can receive care from any licensed dentist.
UCare Aware
UCare Aware offers a dental allowance that you can use on services like exams and cleanings. Make your allowance dollars go further by visiting in-network dentists, where your care will be discounted.
How to use your allowance
If your dental provider is unable to submit the claim on your behalf, you can submit the claim yourself to:
DentaQuest
P.O. Box 2906
Milwaukee, WI 53201-2906