At Clove DDS, we are happy to accept Pequot Plus Insurance to help make your dental care more affordable and accessible. We understand that insurance can be confusing, so we've created this guide to help you understand your Pequot Plus coverage, how to verify your benefits, and answer your frequently asked questions. Our goal is to ensure that you have a clear understanding of your coverage and the costs involved, so you can focus on receiving the dental care you need.
Coverage Details
Pequot Plus Insurance offers a comprehensive range of dental benefits, with coverage for preventive, basic, and major dental services. Here is a breakdown of the typical coverage provided by Pequot Plus:
- Preventive Care: Preventive services such as cleanings, exams, fluoride treatments, and sealants are usually covered at 100%. These services help maintain good oral health and prevent future dental issues.
- Basic Care: Basic dental treatments like fillings, extractions, and scaling/root planing (deep cleanings) are typically covered at 70%-80%. These treatments address common dental issues and help prevent more serious problems later.
- Major Care: More extensive treatments, including crowns, dentures, bridges, and root canals, are generally covered at 50%. These procedures are necessary to restore the functionality and appearance of damaged or missing teeth.
- Orthodontics: Pequot Plus may offer partial coverage for orthodontic services like braces or clear aligners. However, orthodontic benefits are often capped with a lifetime maximum, so it’s important to check the specifics of your plan.
Please note that coverage specifics may vary by plan, so we encourage you to review your policy or contact us for verification.
How to Verify Your Benefits
Verifying your Pequot Plus benefits is simple, and we are here to assist you:
- Contact Our Office: Call Clove DDS, and our team will work directly with Pequot Plus to verify your benefits. We’ll help clarify what services are covered and provide a breakdown of any out-of-pocket costs.
- Bring Your Insurance Information: Please bring your Pequot Plus insurance card with you to your appointment. This will allow us to quickly access your coverage information and ensure everything is accurate.
- Receive a Cost Estimate: After verifying your benefits, we’ll provide you with a detailed cost estimate for your treatment. You’ll know exactly what is covered and what your financial responsibility will be.
Why Choose PPO Insurance Partners?
Pequot Plus is a PPO (Preferred Provider Organization) plan, which offers you the flexibility to visit any dentist who accepts Pequot Plus Insurance without needing a referral. With a PPO plan, you have greater freedom in choosing your dental provider, and Clove DDS is proud to be in-network with Pequot Plus.
We are committed to transparency in our pricing and treatment estimates, ensuring that you can make informed decisions about your care. You can rest easy knowing that we will work with Pequot Plus to help you maximize your benefits and reduce your out-of-pocket expenses.
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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 Pequot Plus Insurance?
Pequot Plus typically covers preventive services like cleanings, exams, fluoride treatments, and sealants at 100%. These services are essential for maintaining healthy teeth and gums and preventing future dental problems.
Does Pequot Plus cover basic dental services?
Yes, Pequot Plus covers basic services, such as fillings, extractions, and scaling/root planing, at 70%-80%. These treatments address common dental issues and are an important part of maintaining good oral health.
Does Pequot Plus provide coverage for orthodontics?
Pequot Plus may provide partial coverage for orthodontic treatments such as braces or clear aligners. However, orthodontic coverage often has a lifetime maximum, so it’s important to check your plan for specifics.
How can I verify my Pequot Plus benefits?
You can contact our office, and we will verify your benefits directly with Pequot Plus. We’ll provide a clear breakdown of your coverage and any costs you may need to pay.
Are there pre-authorization requirements for major treatments?
Some major treatments, like crowns and root canals, may require pre-authorization from Pequot Plus. Our team will assist you in submitting any necessary documentation to ensure your treatment is covered.
We’re Here to Help!
At Clove DDS, we want to make sure your dental experience is as easy and transparent as possible. If you have any questions about your Pequot Plus insurance benefits or need help verifying your coverage, don’t hesitate to reach out. We’re here to assist you in maximizing your benefits and receiving the dental care you need.
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