Medicaid and Dentures: Coverage, Eligibility & State-Specific Information

Medicaid for low-income families offers dental services based on state coverage, age and income. Obtaining coverage for dentures under Medicaid depends on the state that you live in.

Eligibility

• States decide if a person can receive dentures under Medicaid. Some states offer Medicaid denture coverage, while other states do not.

Types

• States that have denture coverage under Medicaid set coverage limits on denture procedures. Limits can include only one set of dentures in a lifetime; no repairs or repairs every year or five-year period; or dentures may only be available in a post-trauma incident.

Considerations

• Depending on the state, you may have to pay a co-pay for your denture procedure. Co-pay amounts are typically small, ranging anywhere from $3 to $5, or 5 percent of total procedure amount.