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 |
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Dental Benefits Summary
Provided through The Guardian Life Insurance Company of America
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Network
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DentalGuard Preferred (PPO) |
DentalGuard Preferred (PPO) |
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Preventive Care |
In-Network: 100%
Out-of-Network: 80%
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In-Network: 100%
Out-of-Network: 100%
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Basic Care |
In-Network: 80%
Out-of-Network: 70%
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In-Network: 80%
Out-of-Network: 80%
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Major Care
Orthodontia |
In-Network: 50%
Out-of-Network: 40%
In-Network: 50%
Out-of-Network: 50%
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In-Network: 50%
Out-of-Network: 50%
Out-of-Network: 50%
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Annual Deductible |
Annual Deductible
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Individual |
In-Network: $50
Out-of-Network: $50
*Family limit: 3 per family
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In-Network: $50
Out-of-Network: $50
* Family limit: 3 per family
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Benefit Maximums |
Benefit Maximums |
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Calendar Year |
$1,000 |
$1,500 |
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*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. |
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