Dental Care
There’s no better way to protect your smile than with regular dental care. Under both dental plans you will have coverage for basic preventive services such as teeth cleaning and X-rays, and comprehensive services such as fillings and oral surgery. The plans will differ based on the premiums and the level of coverage provided.
As with the health plans, you may visit any dental provider you choose, but you usually pay less when you stay in the network. Network dentists will also file claims for you. If you use a non-network dentist, you will have to pay out of pocket at the time services are received and then submit a claim for reimbursement.
| Feature | Advantage Dental Plan | Value Dental Plan |
|---|---|---|
| Calendar Year Deductible | None | $100 per covered individual, Max of $300 per family |
| Calendar Year Maximum | $2,000 per person | $1,000 per person |
| Preventive Services Routine Exams, dental cleanings |
100% of covered charges2,3 | 100% of covered charges |
| Basic Services Fillings, oral surgery |
You pay 20%2 | You pay 40%1 |
| Major Services Crowns, inlays, endodontics, periodontics |
You pay 50%2 | You pay 60%1 |
| Orthodontia | You pay 50%2 | No coverage |
| Orthodontia is available for children and adults up to $2,000 (per person) lifetime max | ||
|
Temporomandibular |
You pay 50%2 |
No coverage |
| $2,000 lifetime max |
1 After meeting your calendar year deductible.
2 Percentage applies to usual, customary and reasonable charges, when using an out-of-network dentist.
3 In-Network preventive services do not count toward the annual calendar year maximum.
- Visit www.guardiananytime.com and select "Find a Provider."
- Click "Search for Providers."
- Under "Find a Dentist," select the PPO plan type and search by name, location or distance.
- See a listing of dentists that meet your search criteria. Sort by name and distance or narrow down by specialty or language(s) spoken.
- Looking for a dentist that is not listed? You can nominate them for the Guardian network online!
Guardian issues ID cards to its members, however it is not required to receive dental care. When you visit your dentist either present your Guardian ID card, or identify yourself as a Guardian Dental participant and provide your Social Security number or other identifying information. This will allow your dentist to research your coverage details and file your claim (network dentists).
You can view, print or email an image of your ID card from the Forms and Materials section of the Guardian Anytime website.
Group #: 552381
After your appointment you can review your claims history and explanation of benefit statements by visiting the Guardian Anytime website.
