The Allied Health’s dental plan provides network access through Guardian . The plan gives you access to the Guardian Dental network of preferred dentists. If you use a Guardian network dentist, your preventive care is covered at 100% and you’ll pay less out -of-pocket costs for other services because network dentists provide services at pre-negotiated rates. To find Guardian Dental network dentists, call 1-866-494-4542 (or use Rightway!)
Plan Highlights
PPO (In-Network)
OUT-OF-NETWORK
Not applicable Not applicable
$50 per person $150 per family
Calendar Year Deductible
Calendar Year Maximum Benefit
$1,500 Maximum combined for in and out of network
Office Visit Copay
N/A
$5
Diagnostic & Preventive Care Services Oral exams, x-rays, other diagnostic services, routine preventive services Basic Services Minor restorative, endodontics, periodontics, oral surgery Major Services Removable dentures, crowns & fixed bridges
100%
100%
80%
80%
50%
50%
Orthodontia Services (to age 19)
50%
50%
Calendar Year Maximum Benefit
$1,500 Maximum combined for in and out of network
16
2023 Benefits Guide
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