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medicare dental, vision and hearing benefit act

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1395x(n)), as amended by section 3, is further amended by inserting “hearing aids,” before “and eyeglass lenses”. Short title. (2) PAYMENT AND LIMITS SPECIFIED.—Section 1834 of the Social Security Act (42 U.S.C. (B) by adding at the end the following new paragraph: “(A) routine hearing exams and exams for hearing aids; and. “(A) IN GENERAL.—The payment amount under this part for low vision devices shall be, subject to subparagraph (C), the applicable percent (specified in subparagraph (B)) of the amount otherwise payable for low vision devices under this section. “(A) FREQUENCY.—With respect to routine eye exams, payment may be made under this part for only one such exam during a 12-month period. If full dental and vision coverage are important to you, consider taking out a separate policy to cover basic dental, vision, and hearing (DVH) needs. Dental and oral health care (a) Coverage “(III) contact lenses, only to the extent that the sum of such payments for contact lenses does not exceed a limitation of $200 during any 24-month period beginning during the first year beginning at least six months after the date of the enactment of this paragraph (or, beginning during a subsequent year, such limitation for a 24-month period beginning in the previous year increase by an appropriate inflation adjustment specified by the Secretary). 1395l(a)(1)), as amended by sections 2 and 3, is further amended—. “(ii) AUTHORITY TO MODIFY COVERAGE.—Notwithstanding any other provision of this title, if the Secretary determines appropriate, the Secretary may modify the coverage under this part of low vision devices to the extent that such modification is consistent with the recommendations of the United States Preventive Services Task Force. (. (h) Effective date.—The amendments made by this section shall apply to services furnished on or after January 1 of the first year beginning at least six months after the date of the enactment of this Act. It would take an act of Congress to include routine dental services, hearing aids, and eyeglasses in Medicare program coverage. [externalActionCode] => 1000 (c) Payment; coinsurance; and limitations.—, (1) IN GENERAL.—Section 1833(a)(1) of the Social Security Act (42 U.S.C. (A) in subparagraph (II), by striking “and” at the end; (B) in subparagraph (JJ), by inserting “and” at the end; and. “(i) AUTHORITY TO APPLY LIMITATIONS.—The Secretary may apply reasonable limitations on the extent to which low vision devices are covered under this part, including through application of a prior authorization requirement. Here are the steps for Status of Legislation: There is one summary for H.R.3111. H.R. Our dental plan is for everyone ages 18 to 85. With respect to such care, the bill establishes special payment rules, limitations, and coinsurance requirements. The bill was introduced in February of 2019. “(I) AUTHORITY TO APPLY ADDITIONAL LIMITATIONS.—The Secretary may apply additional limitations on the extent to which hearing aids are covered under this part, including through application of a prior authorization requirement and through application of criteria for a minimum level of hearing loss for coverage of an initial or replacement hearing aid. “(i) AUTHORITY TO APPLY ADDITIONAL LIMITATIONS.—The Secretary may apply other reasonable limitations on the extent to which vision services are covered under this part, including through application of a prior authorization requirement. H.R.576, introduced by Rep. Lucille Roybal-Allard (D-CA). 1395w–4(j)(3)) is amended by inserting “(2)(II),” before “(3)”. S.1423 would add a dental benefit to Part B of the Medicare (2) PAYMENT AND LIMITS SPECIFIED.—Section 1834 of the Social Security Act (42 U.S.C. “(i) for the first year beginning at least 6 months after the date of the enactment of this paragraph, 0 percent; “(ii) for the year following the year specified in clause (i) and each subsequent year through the seventh year following the year specified in clause (i), the applicable percent specified in this subparagraph for the previous year increased by 10 percentage points; and. (b) Payment; coinsurance; and limitations.—, (1) IN GENERAL.—Section 1833(a)(1) of the Social Security Act (42 U.S.C. 3111] would nullify the current exclusion on coverage of important items and services, while expanding the Medicare benefit package to include dental, vision and hearing care. [externalActionCode] => 1000 “(JJ) vision services (as defined in subsection (lll));”. The unfortunate reality is that Medicare doesn’t cover basic examinations for any of them. “(ii) AUTHORITY TO MODIFY COVERAGE.—Notwithstanding any other provision of this title, if the Secretary determines appropriate, the Secretary may modify the coverage under this part of vision services to the extent that such modification is consistent with the recommendations of the United States Preventive Services Task Force.”. The Bipartisan Budget Act of 2018 gave MA plans the flexibility to offer more supplemental benefits. What’s worse is that Medicare doesn’t cover copays that deal with the health of your ears, smile, and eyes. Dental, Vision & Hearing plans for less than $50 a month! (B) by inserting before the semicolon at the end the following: “, and (DD) with respect to dental and oral health services (as defined in section 1861(jjj)), the amount paid shall be the payment amount specified under section 1834(v)”. “(B) AUTHORITY TO MODIFY COVERAGE.—Notwithstanding any other provision of this title, if the Secretary determines appropriate, the Secretary may modify the coverage under this part of audiology services and hearing services to the extent that such modification is consistent with the recommendations of the United States Preventive Services Task Force.”. There was a big gap in vision care depending on MA status. Vision and dental insurance for is highly sought after, but don’t overlook your hearing. Because dental coverage isn’t considered medically necessary to survive — though it can be incredibly painful when left untreated — Medicare Part B doesn’t cover dental either. [chamberOfAction] => House (3) SPECIAL PAYMENT RULES FOR HEARING AIDS.—Section 1834(a) of the Social Security Act (42 U.S.C. (1) REPEAL OF GROUND FOR EXCLUSION.—Section 1862(a)(7) of the Social Security Act (42 U.S.C. When you enroll in your MedicareBlue SM Supplement plan, you will also have a chance to add dental (Iowa only) and Avēsis vision with Amplifon hearing benefits. This bill provides for Medicare coverage of dental, vision, and hearing care. Learn which dental, vision, and hearing care benefits you can get through Medicare and how to find coverage for the procedures it doesn't cover. There is considerable unmet need for dental, vision, and hearing services among Medicare beneficiaries, and a high level of cost burden. (1) IN GENERAL.—Section 1833(a)(1) of the Social Security Act (42 U.S.C. “(z) Payment and limits for hearing services.—. “(A) IN GENERAL.—The payment amount under this part for eyeglass lenses, eyeglass frames, and contact lenses shall be, subject to subparagraph (C), the applicable percent (specified in subparagraph (B)) of the amount otherwise payable for such eyeglass lenses, eyeglass frames, and contact lenses, respectively, under this section. (f) Definition of durable medical equipment To include eyeglasses, contact lenses, and low vision provisions as fall within the jurisdiction of the committee concerned. This is why I introduced the Medicare and Medicaid Dental, Vision and Hearing Benefits Act, to expand Medicare and Medicaid coverage for these services for all Medicare beneficiaries. (a) Coverage.—Section 1861(s)(2) of the Social Security Act (42 U.S.C. 1395m(a)), as amended by sections 2 and 3, is further amended by adding at the end the following new paragraph: “(26) PAYMENT AND LIMITS FOR HEARING AIDS.—. Contact the plan for more information. (2) SPECIAL PAYMENT RULES.—Section 1834(a) of the Social Security Act (42 U.S.C. “(2) APPLICABLE PERCENT.—For purposes of paragraph (1), the applicable percent specified in this paragraph is—. 1395x) is amended by adding at the end the following new subsection: “(kkk) The term ‘dental and oral health services’ means—. “(1) IN GENERAL.—The payment amount under this part for vision services (as defined in section 1861(lll)) shall be, subject to paragraph (3), the applicable percent (specified in paragraph (2)) of the lesser of the actual charge for the services or the amount determined under the payment basis determined under section 1848. Medicare coverage of dental … (f) Repeal of ground for exclusion.—Section 1862(a) of the Social Security Act (42 U.S.C. They may also include coverage toward the purchase of hearing aids. “(II) AUTHORITY TO MODIFY COVERAGE.—Notwithstanding any other provision of this title, if the Secretary determines appropriate, the Secretary may modify the coverage under this part of hearing aids to the extent that such modification is consistent with the recommendations of the United States Preventive Services Task Force.”. Medicare Dental, Vision, and Hearing Benefit Act of 2017. Updated on Tuesday, August 21 2018 | by Kayda Norman. “(A) IN GENERAL.—The payment amount under this part for hearing aids shall be, subject to subparagraph (C), the applicable percent (specified in subparagraph (B)) of the amount otherwise payable for hearing aids under this section. 1395y(a)(7)), as amended by section 3(g), is further amended by striking “, hearing aids or examinations therefor,”. This represents another milestone in recent efforts to underscore the need for improved coverage of oral health benefits in public health care programs. I have heard story after story of seniors struggling to afford these basic benefits. S 1423:“Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2019,” introduced by Sen. Robert Casey, D-Penn. Here are the steps for Status of Legislation: To amend title XVIII of the Social Security Act to provide for coverage of dental, vision, and “(y) Payment and limits for vision services.—. This Act may be cited as the Medicare Dental, Vision, and Hearing Benefit Act of 2019. (b) Vision services defined.—Section 1861 of the Social Security Act (42 U.S.C. Be it enacted by the Senate and House of Representatives of the “(D) LOW VISION DEVICE DEFINED.—In this paragraph, the term ‘low vision device’ means a device, prescribed by a physician, that magnifies, enhances, or otherwise augments or interprets visual images irrespective of the size, form, or technological features of such device and does not include ordinary eyeglasses or contact lenses. In addition, the government would get authority to … 1395m), as amended by section 2, is further amended by adding at the end the following new subsection: “(y) Payment and limits for vision services.— “(1) IN GENERAL.—The payment amount under this part for vision services (as defined in section 1861(lll)) shall be, subject to paragraph (3), the applicable percent (specified in paragraph (2)) of the lesser of the actual charge for the services or the amount determined under the payment basis determined under section 1848. 1395x(s)(2)), as amended by sections 2 and 3, is further amended—. Senator Bob Casey (D-PA) and the Senate Special Committee on Aging recently introduced the Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2019, S.1423. (1) in subparagraph (HH), by striking “and” after the semicolon at the end; (2) in subparagraph (II), by adding “and” after the semicolon at the end; and. “(2) other necessary services related to eye and vision health (as defined by the Secretary).”. A voluntary supplemental benefit, administered by Medicare, could cover preventive care visits at a total cost of about $1.9 billion per year, paid for by $25 monthly premiums. 1395w–4(j)(3)) is amended by inserting “(2)(JJ),” after “(2)(II),” (as added by section 2). (B) by inserting before the semicolon at the end the following: “, and (EE) with respect to vision services (as defined in section 1861(lll)), the amount paid shall be the payment amount specified under section 1834(y)”. “(II) not more than one partial upper denture and one partial lower denture once every five years. The Center for Medicare Advocacy is pleased that oral health in Medicare is gaining attention and focus, as evidenced by the number of Congressional bills introduced this year that would add dental benefits to the Medicare program. 1395x(ll)) is amended—, (A) in the subsection heading, by inserting “; Hearing Services” after “Audiology Services”; and. (b) Dental and oral health services defined.—Section 1861 of the Social Security Act (42 U.S.C. (d) Payment under physician fee schedule.—Section 1848(j)(3) of the Social Security Act (42 U.S.C. Current Medicare Legislation in the 116 th Congress. (a) Coverage.—Section 1861(s)(2) of the Social Security Act (42 U.S.C. 1395l(a)(1)) is amended—. “(x) Payment and limits for dental and oral health services.—. On behalf of our millions of members and supporters, I write to strongly support the “Medicare Dental, Vision, and Hearing Benefit Act of 2019,” which creates routine hearing, vision and dental benefits under Medicare. This represents another milestone in recent efforts to underscore the need for improved coverage of oral health benefits in public health care programs. Hearing benefits Network plans cover one annual routine hearing exam and hearing aid fitting at 100%. 1395y) is amended by striking paragraph (12). (1) IN GENERAL.—Section 1861(s)(2) of the Social Security Act (42 U.S.C. “(II) AUTHORITY TO MODIFY COVERAGE.—Notwithstanding any other provision of this title, if the Secretary determines appropriate, the Secretary may modify the coverage under this part of dentures to the extent that such modification is consistent with the recommendations of the United States Preventive Services Task Force.”. Mr. Doggett introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such 2951), the Medicare and Medicaid Dental, Vision, […] Dental, Vision and Hearing Benefits Dental Care. 1393 Representative Lloyd Doggett introduced the bill to amend title XVIII of the Social Security Act to provide for coverage of dental, vision, and hearing care under the Medicare program. (e) Special payment rules for eyeglasses, contact lenses, and low vision devices.—Section 1834(a) of the Social Security Act (42 U.S.C. (1) IN GENERAL.—Section 1861(s)(8) of the Social Security Act (42 U.S.C. 1395m(a)), as amended by section 2, is further amended by adding at the end the following: “(24) PAYMENT AND LIMITS FOR EYEGLASSES AND CONTACT LENSES.—. 1395m(a)) is amended by adding at the end the following new paragraph: “(A) IN GENERAL.—The payment amount under this part for dentures shall be, subject to subparagraph (C), the applicable percent (specified in subparagraph (B)) of the amount otherwise payable for such dentures under this section. 1393: Medicare Dental, Vision, and Hearing Benefit Act of 2019 Track H.R. 4) House Bill: Medicare Dental, Vision, and Hearing Benefit Act of 2019, H.R. (g) Repeal of ground for exclusion.—Section 1862(a)(7) of the Social Security Act (42 U.S.C. Members must see a dentist that is in the plan's network. “(I) not more than one pair of eyeglass lenses during any 12-month period; “(II) not more than one set of eyeglass frames during any 24-month period; and. 1395x(s)(8)) is amended—, (A) by striking “(other than dental)” and inserting “(including dentures)”; and. They may also include an allowance to purchase hearing aids. ), Payment and limits for dental and oral health services, Special payment rules for eyeglasses, contact lenses, and low vision devices, Definition of durable medical equipment To include eyeglasses, contact lenses, and low vision [description] => Introduced The easiest time to add dental and vision benefits is during Medicare supplement enrollment. “(i) IN GENERAL.—Payment may be made under this part for an individual for not more than one hearing aid per ear during a 48-month period. Bill summaries are authored by CRS. When it comes to vision and dental care, things can get a bit confusing concerning what coverage you have with your Medicare benefits. Add dental and vision when you enroll in Medicare supplement. We have options for dental insurance that include vision and hearing, that are the most affordable. A related bill, the Medicare Dental, Vision and Hearing Benefit Act of 2019, was introduced in the House and also would increase Medicare dental benefits. ( Phil Moeller: The failure of Medicare to cover most dental, hearing and vision expenses is perhaps its greatest failing. The “Seniors Have Eyes, Ears and Teeth Act” is a straightforward bill that provides Medicare benefits for hearing, dental and vision. “(1) IN GENERAL.—The payment amount under this part for audiology services (as defined in section 1861(ll)(3)) and hearing services (as defined in section 1861(ll)(5)), shall be, subject to paragraph (3), the applicable percent (specified in paragraph (2)) of the lesser of the actual charge for the services or the amount determined under the payment basis determined under section 1848. “(A) for the first year beginning at least 6 months after the date of the enactment of this subsection, 0 percent; “(B) for the year following the year specified in subparagraph (A) and each subsequent year through the seventh year following the year specified in subparagraph (A), the applicable percent specified in this paragraph for the previous year increased by 10 percentage points; and. This covers cleaning and restorative care, such as fillings and dentures. (1) in subparagraph (GG), by striking “and” after the semicolon at the end; (2) in subparagraph (HH), by adding “and” after the semicolon at the end; and. H.R. 1395l(a)(1)), as amended by section 2, is further amended—. (3) by adding at the end the following new subparagraph: “(II) dental and oral health services (as defined in subsection (kkk));”. Basic Medicare coverage does not cover vision, hearing or dental care, but the failure to get regular care in any of these areas can lead to serious health issues in later life. 1393 Call or Write Congress Add to List React to this bill with an emoji Array Access to services is … 1395y(a)(7)) is amended by striking “, eyeglasses (other than eyewear described in section 1861(s)(8)) or eye examinations for the purpose of prescribing, fitting, or changing eyeglasses, procedures performed (during the course of any eye examination) to determine the refractive state of the eyes”. “(I) AUTHORITY TO APPLY ADDITIONAL LIMITATIONS.—The Secretary may apply such other reasonable limitations on the extent to which eyeglass lenses, eyeglass frames, and contact lenses are covered under this part, including through application of a prior authorization requirement. As in past years, it … [chamberOfAction] => House This bill mostly mirrors HR 1393, but also includes funding for state Medicaid programs to expand coverage of hearing, dental and vision services. [description] => Introduced [actionDate] => 2017-06-29 The hearing provision includes coverage of audiology and hearing services, as well as coverage for hearing aids and classifies hearing aids as durable medical equipment. (. The Medicare Dental, Vision, and Hearing Benefit Act of 2017 [H.R. (g) Effective date.—The amendments made by this section shall apply to services furnished on or after January 1 of the first year beginning at least six months after the date of the enactment of this Act. ), Blog – In Custodia Legis: Law Librarians of Congress, House - Energy and Commerce; Ways and Means, House - 07/14/2017 Referred to the Subcommittee on Health. 1395m), as amended by sections 2 and 3, is further amended by adding at the end the following new subsection: “(z) Payment and limits for hearing services.— “(1) IN GENERAL.—The payment amount under this part for audiology services (as defined in section 1861(ll)(3)) and hearing services (as defined in section 1861(ll)(5)), shall be, subject to paragraph (3), the applicable percent (specified in paragraph (2)) of the lesser of the actual charge for the services or the amount determined under the payment basis determined under section 1848. introduced the Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2019, S.1423. 1. 1395m) is amended by adding at the end the following new subsection: “(x) Payment and limits for dental and oral health services.— “(1) IN GENERAL.—The payment amount under this part for dental and oral health services (as defined in section 1861(kkk)) shall be, subject to paragraph (3), the applicable percent (specified in paragraph (2)) of the lesser of the actual charge for the services or the amount determined under the payment basis determined under section 1848. 1395x(s)(2)) is amended—. 1395w–4(j)(3)), as amended by section 2(d), is further amended by inserting “(2)(KK),” before “(3)”. 1395x(n)) is amended—, (1) by striking “and” before “eye tracking” and inserting a comma; and. “(i) IN GENERAL.—Payment may be made under this part (other than for eyewear described in section 1861(s)(8)) for an individual for—. “(ii) AUTHORITY TO MODIFY COVERAGE.—Notwithstanding any other provision of this title, if the Secretary determines appropriate, the Secretary may modify the coverage under this part of dental and oral health services to the extent that such modification is consistent with the recommendations of the United States Preventive Services Task Force.”. Among them are the Medicare Dental Benefit Act of 2019 (S.22/H.R. Sponsored by Lloyd Doggett D-Texas Introduced to the House on Feb. 27, 2019 -- Medicare Dental, Vision, and Hearing Benefit Act of 2019 This bill provides for Medicare coverage of dental, vision, and hearing care. “(ii) routine exams, payment may be made under this part for only two such exams during a 12-month period. Contact the plan for more information. “(2) basic dental services, such as fillings and crowns; “(3) major dental services, such as root canals, and extractions; “(5) other necessary services related to dental or oral health (as defined by the Secretary).”. Some Medicare Advantage Plans (Part C) offer extra benefits that Original Medicare doesn’t cover - like vision, hearing, or dental. “(I) AUTHORITY TO APPLY ADDITIONAL LIMITATIONS.—The Secretary may apply such other reasonable limitations on the extent to which dentures are covered under this part, including through application of a prior authorization requirement. Members get up to two routine dental exams per year. “(iii) for the eighth year following the year specified in clause (i) and each subsequent year, 80 percent. To fill this gap in Medicare coverage private insurance carriers offer add-on coverage which compliments your Medicare plan. This bill provides for Medicare coverage of dental, vision, and hearing care. “(C) for the eighth year following the year specified in subparagraph (A) and each subsequent year, 80 percent. “(1) IN GENERAL.—The payment amount under this part for dental and oral health services (as defined in section 1861(kkk)) shall be, subject to paragraph (3), the applicable percent (specified in paragraph (2)) of the lesser of the actual charge for the services or the amount determined under the payment basis determined under section 1848. (2) DEFINITION OF DURABLE MEDICAL EQUIPMENT TO INCLUDE HEARING AIDS.—Section 1861(n) of the Social Security Act (42 U.S.C. Approximately 1 in 3 people between the ages of 65 and 74 have some degree of hearing loss, so it’s wise to have some protection in place. Original Medicare, Part A and Part B, doesn’t cover everything. [displayText] => Introduced in House 1393, Medicare Dental, Vision, and Hearing Benefit Act. ( Medicare Advantage now covers more than a third of beneficiaries and is driving improvements in coverage for dental, vision, and hearing services. Routine dental care, hearing aids, and eyeglasses are statutorily excluded from Medicare coverage. This also applies to seniors on Medicare! The Medicare Dental Benefit Act of 2019 was introduced in the Senate to repeal the exclusion and expand Medicare Part B benefits to cover dental and oral health care services. To amend title XVIII of the Social Security Act to provide for coverage of dental, vision, and hearing care under the Medicare program. Introduced by Rep. Lloyd Doggett (D-TX), this measure includes vision, dental, and hearing aid coverage under Medicare. (2) by inserting “, and eyeglass lenses, low vision devices (as defined in section 1834(a)(25)), eyeglass frames, and contact lenses” before “; except”. “(A) AUTHORITY TO APPLY LIMITATIONS.—The Secretary may apply reasonable limitations on the extent to which audiology services and hearing services are covered under this part, including through application of a prior authorization requirement. Medicare beneficiaries would get dental, vision and hearing coverage if several bills now before Congress pass. (2) HEARING SERVICES DEFINED.—Section 1861(ll) of the Social Security Act (42 U.S.C. ), (PDF provides a complete and accurate display of this text. “(B) APPLICABLE PERCENT.—For purposes of subparagraph (A), the applicable percent specified in this subparagraph is—. If you are looking for dental, vision, and hearing insurance, you should consider a Medicare Advantage plan. Some Medicare Advantage Plans (Part C) offer extra benefits that Original Medicare doesn’t cover - like vision, hearing, or dental. (c) Payment under the physician fee schedule.—Section 1848(j)(3) of the Social Security Act (42 U.S.C. United States of America in Congress assembled. “(3) LIMITATIONS AND SECRETARIAL AUTHORITY.—, “(A) FREQUENCY.—With respect to dental and oral health services that are—, “(i) routine dental cleanings, payment may be made under this part for only two such cleanings during a 12-month period; and. 2. Only 4 percent had vision care through a stand-alone supplement to traditional Medicare. “(25) PAYMENT AND LIMITS FOR LOW VISION DEVICES.—. Because Original Medicare Part A and Part B provide coverage for care that is medically necessary, they do not help pay for routine vision and dental care such as regular examinations, teeth […] Dental, vision, and hearing coverage is often grouped together and is sometimes referred to simply as “DVH”. [displayText] => Introduced in House This Act may be cited as the “Medicare Dental, Vision, and Hearing Benefit Act of 2019”. DMR plans cover one annual hearing exam and hearing aid fitting at 100% if the provider is in-network. hearing care under the Medicare program. (B) by inserting before the semicolon at the end the following: “, and (FF) with respect to audiology services (as defined in section 1861(ll)(3)) and hearing services (as defined in section 1861(ll)(5)), the amount paid shall be the payment amount specified under section 1834(z)”. The report stressed that neglected dental, vision and hearing issues can have a cascading effect on one's physical health. 1395x), as amended by section 2, is further amended by adding at the end the following new subsection: “(1) routine eye examinations and procedures performed (during the course of any eye examination) to determine the refractive state of the eyes; and. devices.—Section 1861(n) of the Social Security Act (42 U.S.C. Text for H.R.1393 - 116th Congress (2019-2020): Medicare Dental, Vision, and Hearing Benefit Act of 2019 For those with an MA plan, 67 percent were covered for vision. In the previous sentence, the term ‘ordinary eyeglasses or contact lenses’ means lenses that are intended to fully correct visual acuity or fully eliminate refractive error.”. (C) by adding at the end the following new subparagraph: “(KK) audiology services (as defined in subsection (ll)(3)) and hearing services (as defined in subsection (ll)(5));”. [actionDate] => 2019-02-27 Many people have questions about whether Medicare has any dental, vision, and hearing plans. Array (d) Payment under physician fee schedule.—Section 1848(j)(3) of the Social Security Act (42 U.S.C. (2) PAYMENT AND LIMITS SPECIFIED.—Section 1834 of the Social Security Act (42 U.S.C. “However, Medicare is not required to cover dental, hearing or vision services. With respect to such care, the bill establishes special payment rules, limitations, and coinsurance requirements. 1395x(s)(2)), as amended by section 2, is further amended—. Medicare Dental, Vision, and Hearing Benefit Act of 2017. devices, Blog – In Custodia Legis: Law Librarians of Congress, House - Energy and Commerce; Ways and Means, House - 03/01/2019 Referred to the Subcommittee on Health. Your browser is not supported by Congress.gov. If a specific dental service is needed that requires prior authorization, the dentist must contact Healthplex. (e) Effective date.—The amendments made by this section shall apply to services furnished on or after January 1 of the first year beginning at least six months after the date of the enactment of this Act. “(C) LIMITATIONS AND SECRETARIAL AUTHORITY.—, “(i) IN GENERAL.—Payment may be made under this part for an individual for—, “(I) not more than one full upper and one full lower denture once every five years; and. “(II) AUTHORITY TO MODIFY COVERAGE.—Notwithstanding any other provision of this title, if the Secretary determines appropriate, the Secretary may modify the coverage under this part of eyeglass lenses, eyeglass frames, and contact lenses to the extent that such modification is consistent with the recommendations of the United States Preventive Services Task Force.

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