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Foundation for Medical Care Insurance

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At Clove DDS, we are proud to accept Foundation for Medical Care insurance, ensuring that our patients can receive the highest quality dental care with the support of their coverage. We understand that dental insurance can sometimes be confusing, so we’ve created this page to help you better understand your Foundation for Medical Care benefits, how to verify your coverage, and address any common questions you may have. Our goal is to make your dental experience as seamless and transparent as possible.

Coverage Details

Foundation for Medical Care insurance generally offers comprehensive coverage for a variety of dental services. Below is an overview of what is typically covered under this plan:

  • Preventive Care: Most preventive services like routine cleanings, exams, fluoride treatments, and sealants are covered at 100%. These services are essential for maintaining good oral health and preventing the development of more complex dental issues.
  • Basic Care: Basic procedures such as fillings, extractions, and scaling/root planing (deep cleanings) are generally covered at 70%-80%. This coverage helps address common dental concerns while reducing the financial burden on patients.
  • Major Care: For more complex treatments, including crowns, dentures, bridges, and root canals, Foundation for Medical Care typically provides coverage at around 50%. This coverage helps lower the out-of-pocket cost of major dental procedures, which can otherwise be quite expensive.
  • Orthodontics: Depending on your specific plan, Foundation for Medical Care may offer partial coverage for orthodontic treatments like braces or clear aligners. Coverage for orthodontics is typically limited and may have a lifetime maximum, so it’s important to review your plan or contact us for more details.

Remember, coverage varies based on your specific policy. Feel free to contact us to verify your benefits before undergoing any treatment.

How to Verify Your Benefits

At Clove DDS, we aim to make verifying your Foundation for Medical Care coverage simple and straightforward. Here’s how you can check your benefits:

  1. Contact Our Office: Reach out to us, and our team will be happy to assist in verifying your benefits directly with Foundation for Medical Care.
  2. Provide Your Insurance Information: Bring your Foundation for Medical Care insurance card to your appointment. This will allow us to quickly confirm your coverage and determine what services are included under your plan.
  3. Receive a Transparent Estimate: We will provide you with a clear estimate of what will be covered by your insurance, along with any out-of-pocket expenses you may need to pay before treatment begins.

Why Choose PPO Insurance Partners?

Choosing Clove DDS as your dental provider with Foundation for Medical Care means you’ll receive comprehensive care with flexible PPO options. We are committed to making the most of your insurance benefits, ensuring that you receive the best care possible while minimizing your out-of-pocket expenses.

Our team is available to help you understand your coverage, answer any questions, and guide you through the process of utilizing your insurance to its fullest.

Book Your Appointment Today

Contact Clove Dental today to schedule your appointment if you're a Guardian member. Let us help you get the most out of your insurance plan while providing exceptional care for a healthy smile.

Frequently Asked Questions

What preventive services are covered by Foundation for Medical Care?

Preventive services, including routine cleanings, exams, fluoride treatments, and sealants, are typically covered at 100%. These services are designed to keep your smile healthy and avoid costly dental procedures in the future.

Are basic procedures like fillings and extractions covered?

Yes, basic services such as fillings, extractions, and deep cleanings (scaling and root planing) are generally covered at 70%-80%, depending on your specific plan.

Does Foundation for Medical Care cover orthodontics?

Some Foundation for Medical Care plans offer partial coverage for orthodontics, including braces and clear aligners. However, coverage is typically limited, and some plans have a lifetime maximum benefit.

How can I find out if my specific treatment is covered?

You can contact us at Clove DDS, and we’ll help verify your benefits for specific treatments. We’ll provide a clear estimate of what your Foundation for Medical Care insurance will cover.

Is prior authorization needed for major treatments?

For more complex treatments like crowns or root canals, prior authorization may be required. We can assist you in handling this process to ensure everything is covered before beginning your treatment.

We’re Here to Help!

At Clove DDS, we are dedicated to making your dental experience as easy and transparent as possible when using Foundation for Medical Care insurance. If you have any questions about your coverage, need assistance verifying your benefits, or would like more information about your out-of-pocket costs, don’t hesitate to contact us. We are here to provide exceptional care and support every step of the way.

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