When Medicare was enacted in 1965, more than half of Americans over 65 had no health insurance. The fact that Medicare provided affordable, basic health insurance was a huge boon for older Americans and their families (and eventually, people with disabilities, who were added to the program in 1972). But, despite the tremendous successes of the program over the past 50 years, Medicare can do more to safeguard older people and those with disabilities. While major strides have been made in providing coverage for medications and preventive services, Medicare still lacks coverage in three important areas — eye care, hearing aids, and dental care — no matter how extreme the need. These are all key to health and well-being. Oral health and dental care are particularly important for older people and people with disabilities, who are often more vulnerable to infection, malnutrition, and serious illness. Unfortunately, efforts to clarify and expand Medicare’s coverage of dental services have been stymied. At best, non-routine dental services are only sometimes covered — when they are coupled with exacerbating medical conditions and generally only after lengthy appeals. Medicare contractors regularly deny coverage for nearly any care that has to do with the jaw or mouth. This was not the intent of the law. The Center for Medicare Advocacy frequently hears from beneficiaries with urgent health issues who cannot obtain even extraordinarily complex dental and oral health services due to inappropriately broad Medicare denials.
For the article from The Hill, click here.
