If you have a Medicare Advantage plan in Florida and you've been putting off fixing your teeth, 2026 is the year. This year's plans have the most generous dental coverage we've seen — especially for dentures and implants. But there's a catch: if you don't use your benefits before December 31, you lose them. They don't roll over.
Most Medicare Advantage beneficiaries in Miami-Dade have annual dental benefits their plan already paid for — and more than half never use them. That benefit vanishes on January 1st. Not sure what's left on yours? We'll check it for you, free, in English or Spanish.
Two cleanings per year, exams, X-rays, and fluoride. Most plans have no copay for these. If you haven't been to the dentist in years, start here.
Fillings, simple extractions, gum treatment (scaling and root planing). If you have periodontitis — and most adults over 65 have some degree of gum disease — a full gum treatment can cost $1,000-$2,000 without insurance. With a good plan, your share drops considerably.
This is where dentures and implants live. Coverage varies significantly between plans:
Complete dentures: Cost $1,500-$3,000 without insurance in Miami. Many Florida Medicare Advantage plans cover a meaningful portion — exactly how much depends on your plan, which is why it pays to verify first.
Dental implants: New for 2026 — several premium plans now cover implants for the first time. An individual implant in Miami costs $2,000-$4,000. With coverage, your share can drop significantly. Not all plans cover it, so check yours.
Implant-supported dentures: The best option for people who don't want removable dentures that slip. Two or four implants anchor a fixed denture. Total market cost $8,000-$15,000. With MA, you can cover a portion — especially if you combine the dental benefit with your plan's other allowances.
If you have Medicare AND Medicaid at the same time (dual eligible), you qualify for a DSNP (Dual Special Needs Plan). These plans have the best dental coverage in Florida:
DSNP plans from Humana Gold Plus, Simply Healthcare, WellCare Medicare, and CarePlus offer expanded dental coverage with minimal or zero copays for most preventive and basic procedures. For major services like dentures, copays are significantly lower than a standard MA plan. Have Humana? See our Humana Medicare Advantage guide for Kendall.
If you think you might qualify for dual eligibility, ask your Medicare provider or your county social worker. Many people who qualify don't know it. And if you only have Medicaid, you still have adult dental coverage — see our Miami adult Medicaid dental guide.
Step 1: Call the number on the back of your MA card and ask exactly what your annual dental benefit is, what percentage they cover by category (preventive, basic, major), and what your annual maximum is. Or let us do it for you: free verification, in English or Spanish.
Step 2: Schedule your cleaning and exam as soon as possible with your current dentist — preventive care shouldn't wait.
Step 3: If you need major work (dentures, implants, gum treatment), request a detailed estimate and submit it to your plan for pre-authorization. This confirms what they'll cover before you start.
Step 4: Plan your treatment to complete it before December 31. Benefits reset on January 1 — what you didn't use, you lost.
PureSmile Miami opens October 2026 in Kendall, and we are completing credentialing with Florida's leading Medicare Advantage plans — including Humana and DSNP plans. Our team helps you verify your exact coverage before any treatment: no surprises, no fine print.
We speak English and Spanish. If your dental benefits have been sitting unused for years, join our waitlist and we'll call you: we'll tell you exactly what your plan covers and what your options are. The verification costs you nothing.
