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Preferred Health Professionals Insurance
At Clove DDS, we are happy to accept Preferred Health Professionals (PHP) insurance as part of our commitment to making dental care more affordable. We understand that insurance can be confusing, which is why we’ve provided this helpful guide to explain your coverage, how to verify your benefits, and answer your frequently asked questions. Our goal is to make your experience as easy as possible, so you can focus on maintaining your healthy smile.
Coverage Details
Preferred Health Professionals offers coverage for a variety of dental services. Here’s a breakdown of the typical coverage provided:
- Preventive Care: Preventive services like cleanings, exams, fluoride treatments, and sealants are generally covered at 100%. These services help you maintain optimal oral health and prevent future dental issues.
- Basic Care: Basic treatments, such as fillings, extractions, and scaling/root planing, are typically covered at 70%-80%. These services are essential for addressing common dental problems and keeping your smile healthy.
- Major Care: For more extensive treatments like crowns, dentures, bridges, and root canals, Preferred Health Professionals typically covers these at 50%. These procedures are necessary to restore the function and aesthetics of your teeth.
- Orthodontics: Preferred Health Professionals may provide partial coverage for orthodontic treatments, such as braces and clear aligners. Be aware that orthodontic coverage often comes with a lifetime maximum, so it's important to review your specific plan for details.
Please note that coverage specifics may vary depending on your plan, so we recommend reviewing your policy or contacting us to verify your exact benefits.
How to Verify Your Benefits
Verifying your benefits with Preferred Health Professionals is straightforward, and Clove DDS is here to assist you:
- Contact Our Office: You can call us, and we’ll verify your insurance benefits with Preferred Health Professionals directly. We will explain what services are covered and provide an estimate of any out-of-pocket costs.
- Bring Your Insurance Information: Please bring your Preferred Health Professionals insurance card with you to your appointment. This will allow us to quickly verify your coverage and ensure accuracy.
- Receive a Treatment Estimate: After we verify your benefits, we will provide you with a detailed treatment estimate, so you know exactly what is covered and what you may need to pay.
Why Choose PPO Insurance Partners?
Preferred Health Professionals is a PPO (Preferred Provider Organization) plan, which provides flexibility in choosing your dental care provider. With PPO plans like PHP, you are not restricted to a specific dentist and can visit any provider who accepts your insurance. This means you can receive care from trusted providers like Clove DDS without needing a referral.
We’re committed to working with Preferred Health Professionals to help maximize your coverage and reduce your out-of-pocket expenses. Transparency in our pricing means there are no hidden costs—what you see is what you get.
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 Preferred Health Professionals?
Preventive services like cleanings, exams, fluoride treatments, and sealants are typically covered at 100%. These services are key to maintaining a healthy smile and preventing dental issues.
Does Preferred Health Professionals cover basic dental services?
Yes, Preferred Health Professionals covers basic services such as fillings, extractions, and scaling/root planing at 70%-80%. These services are important for treating common dental problems.
Is orthodontic treatment covered by Preferred Health Professionals?
Preferred Health Professionals may offer partial coverage for orthodontic treatments such as braces or clear aligners. Coverage is often subject to a lifetime maximum, so it’s important to check your plan for specific details.
How can I verify my Preferred Health Professionals benefits?
You can contact our office, and we will verify your benefits with Preferred Health Professionals. We will provide a detailed breakdown of your coverage and help you understand your costs.
Are there any pre-authorization requirements for major dental procedures?
Some major dental procedures, such as crowns or root canals, may require pre-authorization from Preferred Health Professionals. Our office will assist you with submitting the necessary paperwork to get approval.
We’re Here to Help!
At Clove DDS, we want to make sure you have a smooth and transparent experience when using your Preferred Health Professionals insurance. If you have any questions about your benefits or need help verifying your coverage, don’t hesitate to reach out. Our team is here to assist you in maximizing your insurance benefits and ensuring you receive the best care possible.
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