Guardian Dental Copay



Your teeth deserve the best dental insurance possible!

Just like regular health insurance, dental insurance offers different plan options to suit your coverage needs. Two of the most common dental insurance plans are DPPO plans and DHMO plans. From co-pays to annual maximums to your provider network, each plan offers its own advantages and disadvantages for cost and coverage options to suit your needs. Dental coverage is affordable again. The Guardian Life Insurance Company of America®, 7 Hanover Square, New York, NY 10004. GUARDIAN ® and the GUARDIAN G ® logo are registered service marks of The Guardian Life Insurance Company of America and are used with express permission. Find A Primary Care Provider: Please refer to your Patient Charges Sheet for more information about your plan.

Guardian Dental Copay

Choose a Guardian PPO or DHMO plan and gain access to one of the largest dental networks nationwide. If you are in the market for a new dentist, it’s easy to find one near your home or office. Select between a PPO and DHMO Plan:

PPO Plan: Guardian and its subsidiaries have over 124,000 dentists in over 363,000 locations*. Chances are your dentist is in our network.

DHMO Plan: Guardian and its subsidiaries have over 12,000 dentists in over 52,000 locations from which you and each family member can select a primary care dentist.

  1. With Guardian’s Group Dental PPO Insurance, you and your broker can configure a plan with features that best meet your needs. Our dental PPO is available to companies of any size — starting at just 2 employees — whether benefits are employer-paid or voluntary.
  2. PPO Plan: Guardian and its subsidiaries have over 124,000 dentists in over 363,000 locations. Chances are your dentist is in our network. DHMO Plan: Guardian and its subsidiaries have over 12,000 dentists in over 52,000 locations from which you and each family member can select a primary care dentist.Source: Guardian Internal Reporting, 2017.
  3. Your plan might limit the amount of coverage you can receive in a year through an annual maximum for dental services and procedures. People who obtain dental insurance with Guardian can elect a Maximum Rollover benefit option for their dental PPO plan.

*Source: Guardian Internal Reporting, 2017

You’ll also enjoy the cost savings. Good dental coverage should save you money. After all, isn’t that the point of having insurance? Depending on the plan you choose, preventive care such as check- ups and cleanings may cost you little or nothing. At the same time, you’ll also save on more costly and unexpected treatments like root canals and crowns.

See how you can save money when you see a dentist in Guardian’s network.

Dental

The average cost of a root canal, associated dental work and crown:

$2400

Metlife Copay Dental Plan

$1600
Estimated Saving with a
Guardian In- Network Dentist
*Source for cost of root canal/ crown: 2014 Guardian Reporting; this is an estimate only and prices differ based on location and dentist.
Choice of plan options

Guardian Dental Copay

In some states, you may be able to choose between a PPO and DHMO plan. With a PPO plan you can see any dentist, but save more when you visit a dentist in your network. A DHMO plan typically costs less, but you need to see the dentist you selected from the network.

PPO
Higher monthly costs
Freedom to visit any dentist, but save more with in- network dentists
Must see selected in- network dentist for benefits to apply
Pay an annual deductible and the plan pays a percentage of your costs once it’s met
You pay a set co- pay at each visit, so you know exactly what it will cost
Not needed
Limited to how much the plan will cover each year

These materials will be made available in alternate formats upon request.
Voice Phone: 1 (844) 561-5600
TTY: 1 (800) 947-6644
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See the available plans in your state below.
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2021 Plans
OverviewPlan NameEligibleDescription
2021 Summary
2021 Plan Details
2021 Brochure
2021 Sumario
2021 Detalles del Plan
Folleto 2021
Managed DentalGuardAll Ages
  • A DHMO copay plan.
  • Includes Pediatric Essential Health Benefits
  • A comprehensive adult and child plan.
  • Covers standard or medically necessity orthodontic coverage.
2021 Summary
2021 Plan Details
2021 Brochure
2021 Sumario
2021 Detalles del Plan
Folleto 2021
Guardian Essentials for Families and IndividualsAll Ages
  • A comprehensive family plan, including adults and children.
  • You are responsible for a percent of the total billed (coinsurance).
  • You can go to any provider you choose.
  • Out of Network benefits are based on a covered fee schedule.
2021 Summary
2021 Plan Details
2021 Brochure
2021 Sumario
2021 Detalles del Plan
Folleto 2021
Guardian Select for Families and IndividualsAll Ages
  • A comprehensive family plan, including adults and children.
  • You are responsible for a percent of the total billed (coinsurance).
  • You can go to any provider you choose.
  • Out of Network benefits are based on a covered fee schedule.
2021 Summary
2021 Plan Details
2021 Brochure
2021 Sumario
2021 Detalles del Plan
Folleto 2021
Guardian Basics for Families and IndividualsAll Ages
  • A family plan, including adults and children, that provides coverage for preventative and basic services.
  • You are responsible for a percent of the total billed (coinsurance).
  • You can go to any provider you choose.
  • Out of Network benefits are based on a covered fee schedule.
2021 Summary
2021 Plan Details
2021 Brochure
Guardian Preventive Plus for Families and IndividualsAll Ages
  • A PPO Plan for families that provides coverage for preventive and basic services.
  • You can go to any provider you choose.
  • Charges for services provided by participating dentists are reimbursed directly from Guardian.
  • Get most preventive services, such as oral exams, cleanings and x-rays covered at 100% once the annual deductible has been reached.