Page 8 - Advertise Purple Benefit Guide

Dental Insurance

Guardian | PPO
With the Guardian Preferred Provider Organization (PPO) dental plan, you may visit a PPO dentist and benefit from the negotiated
rate or visit a non‐network dentist. When you utilize a Dental Guard Preferred network dentist, your out-of-pocket expenses will
be less. You may also obtain services using a non-network dentist; however, you will be responsible for the difference between the
covered amount and the actual charges and you may be responsible for filing claims.

Guardian
Plan Name PPO

Network Name Dental Guard Preferred Non-Network
Dental Benefits
Calendar Year Maximum $1,500 Combined

Calendar Year Deductible
- Individual $50 $50
- Family $150 $150

Preventive No Charge No Charge*
Exams, X-Rays, Cleanings

Basic Services Deductible, 20% Deductible, 20%*
Fillings, Scaling & Root Planning, Simple Extractions
Major Services Deductible, 50% Deductible, 50%*
Crowns, Prosthetics
Orthodontia
- Child Not Available
- Adult

*Dentists who are out-of-network have not agreed to pricing, and may bill you for the difference between what Guardian pays
them and what the dentist usually charges.

Finding a Dental Provider
Go to www.guardiananytime.com or call (888) 600-1600. PPO participants should refer to the Dental Guard
Preferred network when prompted.

Note
We recommend you ask your dentist for a predetermination if total charges are expected to exceed $300. Predetermination
enables you and your dentist to know in advance what the payment will be for any service that may be in question.

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