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GEHA Insurance
At Clove DDS, we proudly accept GEHA insurance and are committed to making dental care accessible and affordable for all our patients. We understand that dental insurance can be confusing, so we’ve created this page to help you better understand your GEHA insurance benefits, how to verify your coverage, and answer common questions. Our goal is to ensure you have all the information you need to take full advantage of your dental benefits.
Coverage Details
GEHA insurance offers robust coverage for a variety of dental services. Below is an overview of what is typically covered under GEHA dental insurance:
- Preventive Care: Most preventive services such as routine cleanings, exams, fluoride treatments, and sealants are covered at 100%. Preventive care helps maintain oral health and prevent costly procedures in the future.
- Basic Care: Basic dental procedures like fillings, extractions, and scaling/root planing (deep cleaning) are generally covered at 70%-80%. This coverage helps you address common dental concerns without paying the full cost out of pocket.
- Major Care: GEHA typically covers major services such as crowns, dentures, bridges, and root canals at 50%. While these procedures can be expensive, GEHA helps to significantly reduce your out-of-pocket costs by covering part of the expense.
- Orthodontics: Depending on the plan, GEHA may offer partial coverage for orthodontic services, such as braces and clear aligners. Coverage for orthodontics is usually capped with a lifetime maximum, so it's important to review your policy or contact us for more details.
Coverage levels may vary depending on your specific plan. Be sure to verify your benefits with us before undergoing treatment.
How to Verify Your Benefits
At Clove DDS, verifying your GEHA benefits is easy and quick. Here’s how you can check your coverage:
- Contact Our Office: Call us, and our team will be happy to verify your GEHA coverage by reaching out to your insurance provider.
- Bring Your Insurance Information: Ensure that you bring your GEHA insurance card to your appointment. This will help us quickly confirm your coverage and determine which services are included under your plan.
- Get a Detailed Estimate: Before we begin any treatment, we will provide a clear and transparent estimate showing what your GEHA plan will cover and any additional out-of-pocket costs you may be responsible for.
Why Choose PPO Insurance Partners?
As a GEHA PPO provider, Clove DDS offers the flexibility to choose from a wide range of dental care services while making sure your insurance benefits are applied to the treatment. We are committed to helping you maximize your GEHA coverage so that you can receive the best possible care without surprises.
Our team is here to help you understand your benefits, answer any questions, and guide you through the process of using your GEHA insurance effectively.
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 GEHA?
Preventive services such as routine cleanings, exams, fluoride treatments, and sealants are typically covered at 100%. These services help prevent dental issues and avoid more expensive treatments in the future.
Are basic services like fillings and extractions covered?
Yes, basic services such as fillings, extractions, and scaling/root planing (deep cleaning) are generally covered at 70%-80%. These procedures help you maintain your oral health and address common dental concerns.
Does GEHA cover orthodontics?
Some GEHA plans offer partial coverage for orthodontics, including braces and clear aligners. However, coverage is often limited, and there may be a lifetime maximum or restrictions based on age.
How can I find out if a specific treatment is covered?
You can contact us at Clove DDS, and we’ll assist in verifying your GEHA coverage for specific treatments. We will also provide a detailed estimate showing what is covered and what your out-of-pocket expenses will be.
Will I need prior authorization for certain procedures?
For major treatments like crowns or root canals, prior authorization may be required. We can help you with this process to ensure your insurance approves the treatment before we begin.
We’re Here to Help!
At Clove DDS, we are dedicated to helping our patients with GEHA insurance get the care they need. Our team is here to assist you with verifying your benefits, providing clear cost estimates, and making sure you understand what your GEHA plan covers. If you have any questions or need assistance with your GEHA insurance, please don’t hesitate to contact us. We are here to ensure you receive the highest quality dental care with no surprises along the way.
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