Affordable Dental Care for Seniors: A Guide to Getting the Care You Need

Ask About Senior Discounts or Cash Pay Incentives

Being a senior has its perks! Many dental offices extend complimentary senior discounts or a price reduction if you pay with cash. You most likely can’t combine the two options, so opt for the discount that best suits your budget. Some dental offices don’t actively promote these discounts, so don’t be shy about asking what perks your dentist offers. This is especially important if you decide that going without dental insurance and paying out-of-pocket is the most economical option.

Ask Your Dentist About an In-House Membership Plan

Does your dentist offer an in-house membership? Many dental offices now provide this service to their new and existing patients. Membership plans allow patients without dental coverage to purchase care in advance at a discounted rate. The benefits mirror the same type of coverage you receive from a third-party insurer but eliminate the need for a middleman.

Does Medicare Cover Dental?

Many older adults are surprised to find out Medicare does not cover dental exams, routine dental or oral health care, or dental appliances such as partial plates or full dentures.1 There are a few Medicare exceptions in which dental needs are covered, such as oral sleep appliances or major oral surgery following a life-threatening injury or illness.

Purchase an Independent Dental Insurance Plan

Retirees have the option of purchasing an independent private dental insurance policy. These plans are similar to the traditional plans offered by employers and have “tiers” of coverage. Keep in mind that a policy that offers higher coverage on restorative dental care may come with expensive premiums or deductibles. A lower-tier plan may not cover much more than basic checkups.

Senior Independent Dental Plans: Important Questions to Ask

Choosing a dental plan requires some detective work. As you research and compare independent dental plans, ask the potential carriers these five key questions:

1. Is your dental insurance available in my state?
2. Do I have to choose a primary dentist?
3. Is there a waiting period for higher-care coverage like dentures or implants?
4. Are pre-existing conditions such as broken teeth or bridge issues covered?
5. Is your coverage offered both internationally and domestically?

Use Your Flexible Spending Account for Dental Care

Many older adults working toward retirement take advantage of their company’s flexible spending account (FSA). Money is put into an FSA to pay for qualified medical and dental expenses. You can choose how much you’d like deducted per paycheck (the IRS allows a maximum of $3,200 per employer).

Dentistry, including copays and deductibles, qualifies as an approved FSA expense.2 These deductions are tax-free, so it’s a financial win-win. This type of fund is excellent, especially if an updated pair of dentures or extensive dental work is needed soon. FSAs are typically on an annual “use it or lose it” basis, so be sure to properly estimate how much dental care you’ll need during the current benefit year.

Visit a Dental or Hygiene School for Discounted Dental Work

If you live in an area with a dental school, you may be able to receive the same services your dentist offers for much less. Universities with dental schools or dental hygiene programs often provide comprehensive oral health services without the staggering costs of private dental care. That means you can access essential dental care without the hassle of dental insurance or financing plans.

Keep in mind that you may need to go through a dental screening process (sometimes several appointments) before you receive treatment. If you only need a routine checkup and cleaning, you may be able to book this service directly with the dental hygiene department. Keep your calendar flexible – you might have to wait a few months for an appointment, and the time slots may be limited. Each school is different, so contact them for a breakdown of their services, pricing, and availability.

Keep Your Regular Dental Checkup

Seeing your dentist twice a year for exams and cleanings plays a major part in keeping your dental costs to a minimum. It’s important to follow this six-month rule even if you’re paying out-of-pocket.

Preventative dentistry, including routine checkups and cleanings, is your first line of defense against these common oral health concerns. Your routine dental checkups will ensure that potential problems (including gum disease, root cavities, or aging dental work) can be intercepted before they cause painful, expensive consequences.

Don’t Put off Getting Dental Treatment or Repair

Your dentist is part of your health care team. Avoiding dental treatments can have a major impact on your mouth and your wallet. Waiting longer to get help increases the odds of your dental problems getting worse. What starts as a minor toothache may turn into something much larger. Remember, the earlier you address your dental concerns, the more affordable your overall care will be.

Ask About Alternative Treatment Options

As we move into our golden years, our dental needs and concerns change. Talking with your dentist about your personal dental goals helps ensure you’re receiving therapeutic care that’s affordable.

For example, the traditional way to preserve a cracked molar that has become infected is with a root canal and crown. This procedure can be both costly and extensive. An alternative treatment option is to simply have the tooth extracted. Before undergoing any recommended major dental work, ask your dentist, “What other options do I have?”