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Original Medicare (Parts A and B) doesn’t cover routine dental cleanings, eye exams for glasses, or hearing aids — a surprise to many. You can add this coverage two main ways: a Medicare Advantage plan that bundles it in (often at $0 extra premium), or a standalone dental/vision/hearing plan alongside Original Medicare and Medigap. Which is best depends on what you actually need.

One of the biggest surprises for new beneficiaries: Original Medicare doesn’t cover routine dental, vision, or hearing — the everyday care people often assume is included. The good news is there are clear ways to add it.

What Original Medicare Doesn’t Cover

Parts A and B generally don’t pay for:

  • Routine dental — cleanings, fillings, crowns, dentures.
  • Routine vision — eye exams for glasses, and the glasses themselves.
  • Hearing — hearing exams for fitting, and hearing aids.

There are narrow medical exceptions — dental care tied to a covered hospital procedure, glaucoma screening for high-risk people, diabetic eye exams, cataract surgery (plus one pair of corrective lenses after it), and a doctor-ordered diagnostic hearing test. But for routine care, you add coverage one of two ways.

Option 1: A Medicare Advantage Plan (the simplest path)

Most Medicare Advantage plans bundle dental, vision, and hearing in — often at $0 extra premium. Coverage varies a lot: some cover only cleanings and exams, others include crowns, dentures, and a real hearing-aid allowance. If these benefits matter to you, this is usually the easiest route — just make sure the plan is strong on the specific benefit you’ll use.

Option 2: A Standalone Dental/Vision/Hearing Plan

If you want the go-anywhere freedom of Original Medicare + Medigap, you can add a standalone dental, vision, and/or hearing plan on top. You keep full provider flexibility and add just the ancillary coverage you want. Premiums and benefits vary widely.

What to Compare

  • Hearing-aid allowance — some plans offer $1,000+ per ear; others much less.
  • Dental annual maximum — and whether it covers major work (crowns, dentures), not just cleanings.
  • Vision allowance — how much toward frames and lenses each year, and the exam copay.
  • Networks — confirm your dentist, optometrist, or audiologist is in-network.

Get the Benefits You’ll Actually Use — Free

Some plans have great dental but weak hearing; others are the reverse. The right choice depends on what you need. Call us free at 435-219-5120 (TTY: 711) and we’ll compare the plans where your priorities — dental work, hearing aids, or eye care — are genuinely strong. See also Medigap vs Advantage, the Help Center, or the glossary.

Frequently Asked Questions

Does Original Medicare cover dental?
Not routine dental (cleanings, fillings, crowns, dentures). There are narrow exceptions — for example, dental care that’s part of a covered hospital procedure. For routine care you need a Medicare Advantage plan with dental or a standalone dental plan.
Does Medicare cover hearing aids?
Original Medicare doesn’t cover hearing aids or the exams to fit them (it does cover a diagnostic hearing test if your doctor orders it). Many Medicare Advantage plans include a hearing-aid allowance — amounts vary a lot by plan.
Does Medicare cover eye exams and glasses?
Original Medicare doesn’t cover routine eye exams or glasses (it does cover some medical eye care, like glaucoma screening for high-risk people, diabetic eye exams, and cataract surgery plus one pair of corrective lenses after it). Routine vision is added through Medicare Advantage or a standalone vision plan.
What’s the easiest way to get dental, vision, and hearing?
For most people, a Medicare Advantage plan that bundles these benefits is the simplest path — but the allowances vary widely. We compare plans side by side so the benefits you actually use are the strong ones.

Sources

Talk to a local, licensed agent

Rocco DeLuca can walk you through your options — free, no pressure.

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