We know quality dental care is an essential part of your overall health, which is why many Clover plans offer an allowance for comprehensive dental services in addition to preventive routine dental.

This additional coverage provides a yearly allowance for most dental services that are not listed as preventive. The allowance amount depends on the policy. Plans with comprehensive dental require a $20 copay for each of the services listed below. Clover partners with DentaQuest to provide dental services.

Comprehensive dental benefits include:

• extractions
• crowns
• bridges
• dentures
• and more

IMPORTANT:

• When you call the dentist, please make sure to ask if they accept DentaQuest.
• Be sure to bring your DentaQuest/EyeQuest card with you to every appointment.
• HMO members must see a DentaQuest provider to use their Clover Health dental benefits. In most cases, the provider will simply bill DentaQuest.

PPO members can submit a reimbursement form when paying for out-of-network services out of pocket. In the event that you have to pay for out-of-network services, you can submit a reimbursement form. Please call Member Services to have the form sent to you.

For approved services, you may be reimbursed up to your annual benefit allowance minus applicable copay. You should receive payment within 30 days from the day Clover receives your completed reimbursement form.

To help you understand your financial responsibility for dental services, please refer to your Evidence of Coverage or call DentaQuest at 1-855-343-7404.

We know that your vision is important to your quality of life. Clover works with EyeQuest to offer routine vision exams and eyewear on all plans. Many Clover plans include an allowance for comprehensive vision services in addition to preventive services. Our comprehensive vision benefits include:

• A yearly allowance for one pair of eyeglasses or contact lenses

How much you pay for glasses or contacts depends on the eyewear you choose.

Your Clover Health plan also covers medical vision care, such as diabetic retinal exams, cataract surgeries, and other treatments that fall under your medical benefits. For more information, see your Evidence of Coverage or call Clover Member Services.

IMPORTANT:

• When you call an eye care provider, please make sure to ask if they accept EyeQuest.
• Be sure to bring your DentaQuest/EyeQuest card with you to every appointment.
• HMO members must see an EyeQuest provider to use their Clover vision benefits. In most cases, the provider will simply bill EyeQuest.

PPO members can submit a reimbursement form when paying for out-of-network services out of pocket. In the event that you have to pay for out-of-network services, you can submit a reimbursement form. Please call Member Services to have the form sent to you.

For approved services, you may be reimbursed up to your annual benefit allowance. You should receive payment within 30 days from the day Clover receives your completed reimbursement form.

To help you understand your financial responsibility for vision services, please refer to your Evidence of Coverage.

At Clover we believe in treating hearing loss early. Clover works with TruHearing to provide hearing aid services at a low cost. Our TruHearing benefit includes:

• 1 hearing exam per year with a TruHearing provider, $0 copay
• 2 TruHearing branded hearing aids per year, one for each ear:
  • Advanced aid, $699 copay for each hearing aid, or
  • Premium aid, $999 copay for each hearing aid
  • First year of follow-up provider visits from date of hearing aid purchase
  • 60-day trial and
  • 3-year warranty
  • 80 free batteries per aid included with non-rechargeable hearing aid models

To learn more and schedule an appointment with a TruHearing provider, call 1-855-205-5570 (TTY/TDD 711) 7 am–6 pm Mountain time, Monday through Friday.

All Clover Health members receive access to SilverSneakers, a program that offers you access to a network of thousands of gyms as well as online fitness classes and on-demand videos on exercise, nutrition, and more—at no cost to you. SilverSneakers' gyms offer activities like recreational swimming, aerobics, weight management services, nutrition counseling, individualized fitness programs, and virtual group classes.

You can contact SilverSneakers at 1-888-502-0836 (TTY/TDD 711) 8 am–8 pm EST, Monday through Friday.

Need to see a doctor outside of normal business hours? We know how important this has become recently. All Clover members have the option to see a doctor for non-emergency health issues by video or on the phone. Appointments are available 24 hours a day, 365 days per year, with no referral or prior authorization required.

Some Clover Health plans cover medically necessary one-way trips within the plan service area to any health-related location. Each one-way trip must not exceed 50 miles. Arrangements must be made at least 1 business day in advance. Please contact Clover Member Services to arrange a ride. For emergencies, call 911.