Savvy Senior: How to cover dental care in retirement

DEAR SAVVY SENIOR: I had dental insurance through my work for many years but lost it when I retired and joined Medicare. Where can retirees find affordable dental care?

— Uninsured Al

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DEAR AL: Unfortunately, about two-thirds of U.S. retirees don't have dental insurance today. Without coverage from traditional Medicare, and with private dental insurance typically costing too much to be feasible, most seniors are stuck paying full out-of-pocket prices every time they visit a dentist. While there's no one simple solution to affordable dental care there are a variety of options that can help cut your costs. Here's where to look.

Medicare Advantage: While dental services are mostly excluded under original Medicare, many Medicare Advantage plans do provide coverage for dental care, but it's usually very limited. Medicare Advantage plans are government approved health plans (usually HMOs and PPOs) sold by private insurance companies that you can choose in place of original Medicare. To shop and research Advantage plans in your area, go to Medicare.gov/plan-compare or call 800-633-4227.

Dental insurance: If you have gum problems and need extensive dental care, a dental insurance plan may be worth the costs versus paying for care yourself. Monthly premiums for individual plans range from about $20 to $80. A typical plan includes two or three cleanings and checkups per year, but these plans will likely have a waiting period — anywhere from a few months to a few years — before coverage for more expensive procedures kicks in. To find dental plans in your area, see eHealthInsurance.com.

Dental savings plans: While savings plans aren't as comprehensive as insurance, they are a good option for those who don't have dental insurance. How this works is you pay an annual membership fee — around $80 to $200 a year — in exchange for 10% to 60% discounts on service and treatments from participating dentists. To find a savings plan, go to DentalPlans.com (or 888-632-5353) where you can search for plans and participating dentists, as well as get a breakdown of the discounts offered.

Veterans' benefits: If you're a veteran enrolled in the VA health care program or are a beneficiary of the Civilian Health and Medical Program (CHAMPVA), the VA offers a dental insurance program that gives you the option to buy dental insurance through Delta Dental and MetLife at a reduced cost. The VA also provides free dental care to vets who have dental problems resulting from service. To learn more about these options, go to VA.gov/dental or call 877-222-8387.

Cheaper dental care: Because prices can vary by dentist, one way to ensure you get a good deal on your dental care is to call multiple provides and compare prices. To get an idea of what different dental procedures cost in your area, see FairHealthConsumer.org. If you're paying cash, it's also perfectly reasonable to ask your dentist for a discount.

There are also a number health centers and clinics that provide low-cost dental care to those in need. And all university dental schools and college dental hygiene programs offer dental care and cleanings for less than half of what you would pay at a dentist's office. Students who are supervised by their professors provide the care. See TeethWisdom.org to search for a center, clinic or school near you.

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Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or go to SavvySenior.org. Jim Miller is a contributor to the NBC "Today" show and author of "The Savvy Senior" book.