![]() You can also use the Find a Pharmacy tool to look up which local pharmacies are in the Clover Health pharmacy network, managed by our partner CVS Caremark. ![]() ![]() To check if your medication is covered or to find its tier, please refer to the Online formulary for your specific plan. If a dental procedure that you receive requires you to take a prescription medication for pain or inflammation, or to prevent infection, the prescription will only be covered if it is on the plan’s formulary. Most Clover Health Medicare Advantage plans include prescription drug coverage (Part D)**. †Clover Health Premier PPO (054) or Clover Health Premier Value PPO (055) do not have comprehensive dental coverage.ĭental-Related Prescription Drug Coverage (Medicare Part D) (Limitations may apply.) Once your allowance is used, you will be responsible to pay for any additional dental costs for the rest of the year. The allowance can be used to cover the dental services listed below. These plans also have a low copay for each comprehensive service. Plans that include comprehensive dental coverage have an annual allowance. If you call to ask if a dentist accepts your insurance, please refer to your dental plan as “DentaQuest,” not “Clover Health,” to avoid confusion.Ĭomprehensive dental includes most services that are not listed as preventive services. These routine dental services are covered at low costs to you:įor Medicare-covered dental services, like diseases or injuries that are treated in a hospital, refer to your Evidence of Coverage. Most plans cover preventive and comprehensive services†. Your dentist will be able to find dental problems early when they’re easier to fix. Regular dental visits are important to your health and well-being. 1 set of dental X-rays per year with $0 copayīenefits may vary based on your service area, so enter your zip code on our plans page to see the Clover Health plans and benefits available in your area.Many of our plans include coverage for both preventive and comprehensive dental care. Unlike Original Medicare, Clover Health plans have low copays and an out-of-pocket maximum, so your costs are predictable. Clover Health plans include other benefits and services like prescription drug coverage, vision, hearing, wellness, over-the-counter items, and dental-all with a zero or low monthly premium. More and more seniors are recognizing the importance of dental coverage, which is one of the reasons they choose a Medicare Advantage (Part C) plan.ĭental Benefits through a Clover Health Medicare Advantage PlanĬlover Health Medicare Advantage plans include all the benefits of Original Medicare (Part A and Part B), but we don’t stop there. To have dental coverage with one of these two types of Medicare plans, you would need to purchase a separate dental plan. Neither Original Medicare nor Medigap covers preventive and comprehensive dental. However, these plans come with an additional monthly premium. A Medigap plan covers some or most of the costs that Original Medicare doesn’t pay. Medicare Part B helps cover routine care like doctor’s appointments, outpatient care, many preventive services, durable medical equipment, and occupational/physical therapies.Īnother option is Medicare Supplement Insurance, also known as Medigap. ![]() Medicare Part A helps cover hospitalization, skilled nursing facility care, hospice care, and home health. One of these options is Original Medicare, also known as Medicare Part A and Medicare Part B. There are many Medicare options available to you. This page gives you an overview of the dental coverage offered with different types of Medicare plans and how Clover Health can expand your coverage to provide this essential benefit.ĭental Benefits with Medicare Parts A and B So we want to let you know which types of Medicare plans include preventive and comprehensive dental coverage. Medicare Advantage Plans & Dental CoverageĪt Clover Health, we know how important dental care is to our members’ overall health.
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