Dental
Taking care of your oral health is not a luxury; it is a necessity for long-term optimal health. With a focus on prevention, early diagnosis, and treatment, Dental insurance can greatly reduce your costs when it comes to restorative and emergency procedures.
When you visit a dentist in the network, you will maximize your savings. These dentists have agreed to reduced fees, which means you won’t get charged more than your expected share of the bill.
Guardian PPO Base
Plan Information
Plan Name: Guardian PPO Base
Policy Number: 579839
Effective Date: 01/01/2025
Provider Network: Guardian
In-Network Benefit Highlights
Deductible (Per Individual)
$50
Out-of-Pocket Max (Individual/Family)
$2,000/$2,000
Preventive Care
$0
Basic Services
You pay 10% after deductible
Major Procedures
You pay 40% after deductible
Orthodontia (Adults and Children)
Not Covered
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Out-of-Pocket Max
$2,000
Preventive Care
$0
Basic Services
10% after deductible
Major Procedures
40% after deductible
Orthodontia (Adults and Children)
Not covered
Plan Documents
Year Carrier Document Name
Contact Information
In-Network Benefit Highlights
Deductible (Individual/Family)
$XX/$XX
Out-of-Pocket Max (Individual/Family)
$XX/$XX
Preventive Care
$XX
Primary Care Visit
$XX
Specialist Visit
$XX
Urgent Care
$XX
Emergency Room
$XX
In-Network
Deductible (Per Individual)
$50
Out-of-Pocket Max (Individual/Family)
$2,000/$2,000
Preventive Care
$0
Basic Services
You pay 10% after deductible
Major Procedures
You pay 40% after deductible
Orthodontia (Adults and Children)
Not covered
Plan Documents
Contact Information
Guardian PPO Buy-Up w/ Orthodontia
Plan Information
Plan Name: Guardian PPO Buy-Up w/ Orthodontia
Policy Number: 579839
Effective Date: 01/01/2025
Provider Network: Guardian
In-Network Benefit Highlights
Deductible (Per Individual)
$50
Out-of-Pocket Max (Individual/Family)
$5,000/$5,000
Preventive Care
$0
Basic Services
You pay 10% after deductible
Major Procedures
You pay 40% after deductible
Orthodontia (Adults and Children)
You pay 50%
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Out-of-Pocket Max
$5,000
Preventive Care
$0
Basic Services
10% after deductible
Major Procedures
40% after deductible
Orthodontia (Adults and Children)
50%
Plan Documents
Year Carrier Document Name
Contact Information
In-Network Benefit Highlights
Deductible (Individual/Family)
$XX/$XX
Out-of-Pocket Max (Individual/Family)
$XX/$XX
Preventive Care
$XX
Primary Care Visit
$XX
Specialist Visit
$XX
Urgent Care
$XX
Emergency Room
$XX
In-Network
Deductible (Per Individual)
$50
Out-of-Pocket Max (Individual/Family)
$5,000/$5,000
Preventive Care
$0
Basic Services
You pay 10% after deductible
Major Procedures
You pay 40% after deductible
Orthodontia (Adults and Children)
You pay 50%