Am I covered? Does your insurance cover some of the cost of your clear aligners? We’ll Check For You! We just need some basic information to see if you’re eligible. We’ll use this info to contact you about the details of your coverage. Mobile Number*Email* Are you the policyholder or a dependent?*Policy HolderDependentThe policyholder is the person who "owns" the insurance and is responsible for payments. Dependents are people that the policyholder picks to have covered under their plan. Patient InformationName* First Last Date of Birth* Zip Code*Insurance Provider InformationInsurance Provider*AETNABCBSCIGNADelta DentalGuardianHumanaMetLifeUnited ConcordiaUnited HealthOTHEROther Insurance ProviderPolicy Number*Insurance Phone Number*NameThis field is for validation purposes and should be left unchanged.