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Solstice Benefits Insurance
At Clove DDS, we are happy to accept Solstice Benefits insurance to make your dental care more accessible and affordable. Understanding your insurance coverage can sometimes be overwhelming, but we’re here to guide you through the process and ensure that you get the most out of your plan. This page will provide an overview of Solstice Benefits, how to verify your coverage, and answers to some frequently asked questions.
Coverage Details
Solstice Benefits offers a comprehensive range of dental services with varying coverage levels. Below is a general guide to what’s typically covered under Solstice Benefits plans:
- Preventive Care: Preventive services like routine cleanings, exams, fluoride treatments, and sealants are generally covered at 100%. These services are crucial for maintaining your oral health and preventing future dental issues.
- Basic Care: Basic dental treatments such as fillings, extractions, and scaling/root planing are typically covered at 70%-80%. These services address common dental problems and help restore functionality to your smile.
- Major Care: Major procedures, including crowns, dentures, bridges, and root canals, are often covered at 50%. These treatments are typically required for more serious dental conditions where a tooth has been severely damaged or lost.
- Orthodontics: Solstice Benefits may provide partial coverage for orthodontic treatments, such as braces and clear aligners. Coverage for orthodontics often comes with a lifetime maximum, so it’s important to check your specific plan for further details.
Please note that coverage may vary based on your specific plan. We recommend reviewing your plan’s details and contacting us for a personalized benefits verification.
How to Verify Your Benefits
Verifying your Solstice Benefits coverage is easy, and we’re happy to help:
- Contact Clove DDS: Call our office, and we’ll reach out to Solstice Benefits on your behalf to verify your coverage. We’ll explain the benefits available to you and help you understand any out-of-pocket costs.
- Provide Insurance Information: Please provide your Solstice Benefits insurance details when you make an appointment. You can share your insurance card over the phone, via email, or in person at your visit. This ensures we have the correct information to verify your benefits accurately.
- Get a Treatment Estimate: After verifying your coverage, we will provide you with an estimate of your treatment costs. This helps you plan ahead and know exactly what your out-of-pocket expenses will be.
PPO Insurance and Your Options
Solstice Benefits operates as a PPO (Preferred Provider Organization) plan, which gives you the flexibility to choose your dental care provider. As an in-network provider for Solstice Benefits, Clove DDS can help you save money by maximizing your insurance benefits.
While PPO plans allow you to visit any dentist, choosing a dentist within your plan’s network ensures that you receive the highest level of benefits and pay lower out-of-pocket costs. At Clove DDS, we are transparent with our pricing and will always give you a clear picture of what you can expect to pay, so there are no surprises.
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Frequently Asked Questions
What preventive services are covered by Solstice Benefits?
Preventive services like cleanings, exams, fluoride treatments, and sealants are usually covered at 100%. These services help prevent dental problems and maintain optimal oral health.
Does Solstice Benefits cover basic dental care?
Yes, basic services like fillings, extractions, and scaling/root planing are typically covered at 70%-80%. These treatments address common dental issues and restore your smile.
Does Solstice Benefits offer orthodontic coverage?
Solstice Benefits may offer partial coverage for orthodontic treatments such as braces or clear aligners. Check your individual plan for specific details, as orthodontic coverage often has a lifetime maximum benefit.
How do I verify my Solstice Benefits coverage?
Simply contact Clove DDS, and we will work with Solstice Benefits to verify your coverage. We will provide you with a breakdown of what’s covered and give you a treatment estimate.
Will I need pre-authorization for major treatments like crowns or root canals?
For some major procedures, such as crowns and root canals, pre-authorization may be required. Our office will handle the necessary paperwork and ensure that your treatment is covered by Solstice Benefits.
Let Us Help You Maximize Your Coverage
At Clove DDS, we are committed to helping you make the most of your Solstice Benefits insurance. Our team is here to assist you with verifying your benefits, explaining your coverage, and ensuring that you receive the best care possible.
If you have any questions about your plan or need help verifying your benefits, don’t hesitate to contact us. We’re here to help you understand your coverage and make sure you get the care you deserve.
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