Will my insurance help pay for Natural Teeth™? We will need to collect some information to help determine your benefits. Our insurance team do the legwork and contact you with results. Do you have dental insurance?* Yes No What dental insurance plan do you have?* Aetna Dental Dental Guardian MetLife What is the phone number on the back of your card?* Insurance subscriber name (not necessarily the patient)* What is the subscriber or member ID number?* What is the group number on the policy?* Do you currently have a flexible spending account (FSA) or health savings account (HSA) or both?* HSA FSA HSA and FSA None Do you have a debit card associated with your plan?* Yes No What implant option are you interested in?* Full upper teeth replacement Full lower teeth replacement Full mouth teeth replacement (upper and lower) Just a few teeth to be replaced Name* First Last Email* Phone Number*How did you hear about us?*SelectFriend or familyMy dentist referred meGoogle/web searchBillboardTV/RadioSocial Media
