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 DPPO – Base
Policy number: XXXX
Effective Date: 1/1/2024
Provider Network: DentalGuard Preferred
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
Benefit Highlights
In-Network
Deductible (Per Individual)
$50 for each covered person
(Limit of 3 per family)
Plan Maximum
$2,000
Preventive Care
$0
Basic Services
20% after deductible
Major Procedures
50% after deductible
Orthodontia (Adults and Children)
$1,500
Out-of-Network
Deductible (Per Individual)
$50 for each covered person (Limit of 3 per family)
Plan Maximum
$2,000
Preventive Care
$0
Basic Services
20% after deductible
Major Procedures
50% after deductible
Orthodontia (Adults and Children)
$1,500
Plan Documents
Contact Information
Carrier Name
XXX-XXX-XXXX
www.xyz.com
Guardian DPPO – Buy Up
Plan Information
Plan Name: Guardian DPPO – Buy Up
Policy number: XXXX
Effective Date: 1/1/2024
Provider Network: DentalGuard Preferred
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
Benefit Highlights
In-Network
Deductible (Per Individual)
$50 for each covered person
(Limit of 3 per family)
Plan Maximum
$5,000
Preventive Care
$0
Basic Services
20% after deductible
Major Procedures
50% after deductible
Orthodontia (Adults and Children)
50% after deductible
Out-of-Network
Deductible (Per Individual)
$50 for each covered person
(Limit of 3 per family)
Plan Maximum
$5,000
Preventive Care
$0
Basic Services
20% after deductible
Major Procedures
50% after deductible
Orthodontia (Adults and Children)
50% after deductible
Plan Documents
Contact Information
Carrier Name
XXX-XXX-XXXX
www.xyz.com