Medicare Advantage dental in Miami-Dade 2027: the data

We analyzed Miami-Dade's 101 Medicare Advantage plans for 2027 using CMS data: dental coverage, implants, dentures and annual maximums.
Older Hispanic couple comparing plans on a laptop at home

For 2027 there are 101 Medicare Advantage plans available in Miami-Dade, according to public data from the Centers for Medicare & Medicaid Services (CMS). Almost all include some dental: 97% cover preventive care (exams, X-rays, cleanings) and 95% add broader dental coverage. But what each plan covers varies a lot. Implants, for example, appear in only 37 out of 100 plans.

We analyzed the official files so you can ask the right questions during annual enrollment, which runs October 15 to December 7, 2026.

Where this data comes from

We used two public CMS files for 2027: the plan benefit package file (PBP 2027) and the county landscape file (Landscape 2027). We matched them to keep the 101 Medicare Advantage plans offered in Miami-Dade, including special needs plans.

We counted plans, not people: a plan with many members counts the same as one with few. We do not name insurers or plans. This is a market summary, not a recommendation.

What dental benefits Miami-Dade plans include in 2027

Dental servicePlans that include it
Preventive: exams, X-rays and cleanings97%
Fillings and crowns (restorative services)87%
Extractions and oral surgery87%
Gum treatment (periodontics)85%
Removable dentures84%
Root canal treatment74%
Fixed bridges54%
Implants37%

Source: PureSmile Miami analysis of CMS public PBP and Landscape 2027 files (101 Medicare Advantage plans in Miami-Dade, October 2026). "Included" does not mean covered in full: there may be copays, coinsurance, frequency limits or prior authorization.

Cleanings

In 82 of the 101 plans, the preventive benefit includes two cleanings a year. A few offer more.

The annual maximum: the number that varies most

Many plans cap what they pay for dental each year. In Miami-Dade, 66 of the 101 plans list that cap in the CMS data:

  • Half of those plans have a cap of about $3,500 or more a year.
  • Nearly 3 in 10 reach $5,000 or more.
  • At least one goes above $10,000.

The other 30 plans do not list a dollar cap. That doesn't mean there are no limits: they often work with a dentist network and a list of copays per service. Read the details.

Special needs plans

Plans for people with both Medicare and Medicaid (D-SNPs) include the most dental services in Miami-Dade: 97% cover removable dentures and 91% cover root canals. Only people who meet each plan's requirements can enroll.

Five questions to ask your plan before December 7

  1. What is the annual dental maximum, and what counts toward it? Sometimes preventive care counts toward the cap and sometimes it doesn't.
  2. Does it cover what I need? If you're missing teeth, ask about dentures, bridges and implants separately.
  3. Is there a copay or coinsurance? 50% coinsurance on a crown is very different from a fixed copay.
  4. Are there waiting periods or authorizations? Some major services require them.
  5. Is my dentist in the network? In HMO plans, going out of network can mean paying the full cost.

For unbiased, no-cost help comparing plans, use the Medicare Plan Finder, call 1-800-MEDICARE, or call Florida's SHINE program (1-800-963-5337), which offers Medicare counseling at no cost. More options at shiphelp.org. Original Medicare generally does not cover routine dental care (Medicare.gov).

Tip from the PureSmile team

Before switching plans, write down the treatments you think you'll need next year: a cleaning, a crown, a denture. With that list, your questions to the plan or your agent get much more specific. And if you still have 2026 benefits left, use them before December 31: they usually don't roll over.

How we do it at PureSmile

PureSmile Miami opens November 2, 2026 at 8000 SW 117th Ave, Suite 100, in Kendall. We see patients with Medicare Advantage plans. Before your visit, we verify your plan for free and explain, in English or Spanish, what it covers and what it doesn't. After your checkup, you get a written treatment plan before we start.

Join the waitlist or call us at (305) 787-3642.

Related guides

Frequently asked questions

How many Medicare Advantage plans are there in Miami-Dade for 2027?

According to CMS public files, 101 Medicare Advantage plans are available in Miami-Dade for 2027, including special needs plans.

Do Medicare Advantage plans cover implants in Miami-Dade?

Some do: 37 out of 100 plans include implants in 2027. Removable dentures appear in 84 out of 100. Check each plan's limits and coinsurance.

What is a typical dental maximum?

Among Miami-Dade plans that list an annual cap, half have about $3,500 or more. It varies a lot between plans, and 30 plans don't list a dollar cap.

When can I change plans?

During annual enrollment, October 15 to December 7. The new plan starts January 1, 2027.

Does Original Medicare cover the dentist?

Generally, it doesn't cover routine dental care such as cleanings, fillings or dentures. That coverage usually comes from Medicare Advantage plans or a separate dental plan.

General information; not insurance advice or a plan recommendation. PureSmile Miami is not affiliated with or endorsed by Medicare or CMS. Coverage depends on each plan; check your plan's official documents. Sources: CMS PBP 2027 and Landscape 2027 files (our analysis, October 2026); Medicare.gov. Yoan Suárez Zayas, DMD · FL Lic. DN 21413.

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October 13, 2026