Navigating dental care options with Medicare Advantage can open doors to comprehensive oral health services that traditional Medicare doesn’t cover. For Englewood residents seeking a dental practice that accepts Medicare Advantage plans, finding the right provider means more than just insurance acceptance—it means discovering a practice equipped to address the unique dental needs that often arise later in life. Quality dental care remains essential at every age, particularly as oral health directly impacts overall wellness, from nutrition to systemic health conditions.
Sopris Smiles welcomes Medicare Advantage patients and understands the specific dental challenges and opportunities these plans present. We recognize that many Medicare Advantage beneficiaries have postponed dental care due to traditional Medicare’s limited dental coverage, often resulting in accumulated treatment needs. Our comprehensive approach combines advanced technology with compassionate care, ensuring you receive the treatment you need while maximizing your Medicare Advantage dental benefits.
Medicare Advantage plans, also known as Medicare Part C, are offered by private insurance companies approved by Medicare. Unlike traditional Medicare, many Medicare Advantage plans include dental benefits as part of their coverage package. These dental benefits vary significantly between plans, ranging from basic preventive care to comprehensive coverage including major restorative work.
Most Medicare Advantage dental plans structure benefits similarly to traditional dental insurance, with different coverage levels for various service categories. Preventive services like cleanings and examinations typically receive the highest coverage, often at 100% after any applicable copayment. Basic services such as fillings and simple extractions usually have 70-80% coverage, while major services including crowns, bridges, and dentures may be covered at 50%.
Your Medicare Advantage plan likely includes an annual maximum benefit for dental services, which can range from $1,000 to $4,000 or more, depending on your specific plan. Some plans also feature quarterly or semi-annual maximums instead of annual limits. Understanding these benefit structures helps you plan treatment timing to maximize coverage, especially when extensive dental work is needed.
Years of wear, previous dental work reaching its lifespan, and age-related changes in oral health often mean Medicare Advantage patients require comprehensive dental care. Gum disease becomes increasingly common with age, affecting not just oral health but potentially contributing to heart disease, diabetes complications, and other systemic conditions. Regular periodontal maintenance becomes crucial for preserving both teeth and overall health.
Many Medicare Advantage patients benefit from restorative procedures to replace failing crowns, bridges, or fillings placed decades earlier. Modern materials and techniques often provide longer-lasting solutions than older dental work, making replacement a worthwhile investment in long-term oral health. Dental crowns created with our CEREC technology can be completed in a single visit, eliminating the inconvenience of temporary crowns and multiple appointments.
Tooth loss, whether from decay, gum disease, or injury, significantly impacts quality of life, affecting nutrition, speech, and self-confidence. Medicare Advantage plans often provide coverage for tooth replacement options, from traditional dentures to dental implant restorations. Our practice specializes in implant restorations, working with oral surgeons to ensure precise placement while we handle the crown portion that completes your smile.
Many Medicare Advantage beneficiaries take multiple medications that can affect oral health, particularly causing dry mouth (xerostomia). Reduced saliva flow increases cavity risk, accelerates gum disease, and can make wearing dentures uncomfortable. We provide specialized preventive care strategies for patients experiencing medication-related dry mouth, including prescription fluoride treatments and saliva substitutes that may be covered under your plan.
Our team reviews your medications during each visit to identify potential oral health impacts and adjust your preventive care accordingly. This proactive approach helps prevent problems before they require extensive treatment, preserving both your oral health and your Medicare Advantage benefits for when you truly need them.
Modern dental technology at Sopris Smiles particularly benefits Medicare Advantage patients who may have mobility concerns, health conditions requiring shorter appointments, or anxiety about dental procedures. Our Solea laser enables many procedures without injections, ideal for patients on blood thinners or those with conditions making traditional anesthesia challenging. The laser’s precision also means less post-operative discomfort and faster healing.
Digital impressions eliminate the discomfort of traditional impression materials, which can be particularly challenging for patients with strong gag reflexes or breathing difficulties. Our 3D imaging technology provides comprehensive views of your oral structures, helping identify issues like bone loss or hidden infections that might otherwise go unnoticed until they become serious problems.
For patients requiring extensive treatment, our technology often reduces the number of appointments needed. CEREC crowns completed in one visit mean fewer trips to our office, less time in the dental chair, and reduced transportation challenges—important considerations for Medicare Advantage patients who may rely on others for transportation or have limited mobility.
Strategic treatment planning becomes especially important with Medicare Advantage dental coverage. We begin by thoroughly reviewing your benefits, including annual maximums, waiting periods, and coverage percentages for different procedures. This detailed understanding allows us to create treatment plans that address your most urgent needs while optimizing benefit utilization.
Phased treatment approaches work well for Medicare Advantage patients needing comprehensive care. By spreading treatment across benefit periods, we can help you receive necessary care while managing out-of-pocket costs. We prioritize treatments based on urgency, addressing active disease and pain first, then moving to restorative and preventive care that maintains long-term oral health.
Our office handles Medicare Advantage claims directly, ensuring proper coding and documentation for maximum reimbursement. We understand that Medicare Advantage plans often have specific requirements for pre-authorization or documentation, and we manage these details to minimize claim delays or denials.
While Medicare Advantage dental benefits provide valuable coverage, some treatments may exceed your plan limits or fall outside covered services. We offer various financial options to ensure you can receive necessary care regardless of coverage limitations. Cherry financing provides flexible payment plans for larger treatments, with options for interest-free periods that make care more affordable.
Our wellness membership plans offer an alternative or supplement to Medicare Advantage coverage, providing predictable costs for preventive care and discounts on additional treatments. These plans can be particularly valuable if you’ve exhausted your annual maximum but still need treatment, or for services like cosmetic procedures that Medicare Advantage typically doesn’t cover.
We believe everyone deserves quality dental care regardless of insurance limitations. Our team works individually with each patient to find financial solutions that make necessary treatment accessible while respecting budget constraints.
At Sopris Smiles, we understand that Medicare Advantage patients often have unique dental needs and concerns. Dr. Golnaz Samimifar and our entire team create a comfortable, unhurried environment where you can discuss your dental health openly. We take time to explain procedures thoroughly, answer questions patiently, and ensure you feel confident about your treatment decisions. Our practice philosophy centers on treating each patient like family, providing the same level of care we would want for ourselves.
Our commitment to continuing education means we stay current with the latest techniques for treating age-related dental changes, managing complex medical histories, and coordinating care with your other healthcare providers. We maintain membership in prestigious organizations including the American Academy of Cosmetic Dentistry and the Academy of General Dentistry, ensuring we bring the highest standards of care to every patient. Whether you need routine preventive care, complex restorations, or anything in between, we’re here to help you maintain optimal oral health while maximizing your Medicare Advantage benefits. Call us at (303) 761-2999 or submit our contact form to schedule your consultation and discover how quality dental care can improve your overall health and quality of life.
We’re conveniently located in Englewood, CO, serving both Englewood and Cherry Hills communities in the charming Marks complex. Our office offers free, dedicated parking in an abundant on-site lot, ensuring a stress-free arrival for every visit. Located just off Hampden Ave (US-285) with quick access to Broadway, Lincoln, I-25, and C-470, we’re perfectly positioned for easy access from all parts of the Denver metro area. Whether you’re driving or taking public transit, getting to your appointment has never been more convenient.
Sopris Smiles is thrilled to welcome the patients of Dr. Gregory Bevans
