ENGLISH
Resources

Guardian Group Number: 00654321




Downloads



Certificate of Coverage


Fax Dental Claim Forms To:
(509) 468-4590

Guardian Customer Service
1-800-627-4200

ESPANOL
Recursos

Guardian Numero de Poliza: 00654321



Descargas

Guardian Enrollment Kit 2018



Fax Reclamos Dentales al:
(509) 468-4590

Guardian Servicio al Cliente
1-800-627-4200
 

                                    Dental Benefits Summary

  Provided through The Guardian Life Insurance Company of America

 

Core Plan

 
Buy-Up Plan 


Network

DentalGuard Preferred (PPO) DentalGuard Preferred (PPO)  

Preventive Care

In-Network: 100%

Out-of-Network: 80%  

In-Network: 100%

Out-of-Network: 100%  


Basic Care 

In-Network: 80%

Out-of-Network: 70%

In-Network: 80%

Out-of-Network: 80%

 

 

Major Care 









Orthodontia

In-Network: 50%

Out-of-Network: 40%



In-Network: 50%

Out-of-Network: 50%

In-Network: 50%

Out-of-Network: 50%



In-Network: 50%

Out-of-Network: 50%

 
 
  Annual Deductible Annual Deductible
 


Individual


In-Network: $50
Out-of-Network: $100

*Family limit: 3 per family

In-Network: $50
Out-of-Network: $50

* Family limit: 3 per family

 
  Benefit Maximums                          Benefit Maximums  
Calendar Year  $1,000 $1,500   
  *This site provides a brief summary of your plans; it is not a contract. Please see insurance contracts (available from Human Resources) for complete details and limitations.