Medicare Dental, Hearing, and Vision Expansion Act of 2025

Expanded Dental Coverage: Individuals would gain coverage for preventive and screening services, such as oral exams and cleanings, as well as procedures like fillings, crowns, and dentures (Section 2(b)).

Hearing Care Access: The bill provides coverage for audiology services and hearing aid examination services, as well as coverage for hearing aids for those with moderately severe, severe, or profound hearing loss (Section 3(a) and 3(b)).

Vision Care Access: People would be eligible for routine eye examinations to determine the refractive state of the eyes, as well as coverage for one pair of conventional eyeglasses or contact lenses (Section s 4(b)).

Increased Support for Rural Areas: The bill provides incentives for dental and oral health professionals who work predominantly in designated health professional shortage areas (Section 2(c)(4)).

Support for Health Centers: The bill establishes temporary payment rates for dental, audiology, and vision services furnished by rural health clinics and Federally qualified health centers (Section 2(g) and 3(e)).

Service Limitations: Coverage for certain services is subject to specific limits, such as a maximum of two oral exams and two dental cleanings per year (Section 2(c)(3)), or a limit of one routine eye examination every two years (Section 4(c)).

Hearing Aid Restrictions: Payment for hearing aids is limited to once per ear during a five-year period (Section 3(b)(2)).

Eyeglass Limitations: Coverage for eyeglasses is limited to one pair during a two-year period, and the bill explicitly excludes coverage for deluxe eyeglasses or conventional reading glasses (Section 4(f)(1)).

Premium Adjustments: The bill outlines a method for a phase-in of the impact of these new coverages on Medicare Part B premiums, which involves determining an alternative monthly actuarial rate for enrollees (Section 5).