Dental

Members have access to the national Guardian Preferred network with over 100,000 participating dentists.
Members can see any dentist.
Participating dentists offer the biggest opportunity for savings when having services performed.
If seeing non-participating dentists, be prepared for additional costs including balance billing.

When seeing nonparticipating dentists, watch out for balance billing!

Below is a snapshot of your total rewards. The rewards summary from the carrier will always prevail.

Benefits	In-Network	Out-Of-Network
Annual Deductible Individual/Family (per plan year)	$0/$0	$50/$150
Annual Maximum Maximum amount the plan will pay per year	$2,000 per person	$2,000 per person
Class I – Diagnostic/Preventative Services Cleanings, Oral Exams, Fluoride Treatments**, X-rays, Sealants	Plan pays 100% of AB*	Plan pays 80% of AB*
Class II – Basic Services/Major Surgical Fillings, Simple Extractions, Surgical Extractions, Periodontrics, Scaling and Root Planing, Perio Surgery, Anesthesia	Ded., then plan pays 80% of AB*	Ded., then plan pays 70% of AB*
Class III – Major Services/Restorative Brides, Dentures, Dental Implants, Inlays, Onlays, Veneers, Single Crowns	Ded., then plan pays 50% of AB*	Ded., then plan pays 40% of AB*
Class IV – Orthodontic Services Treatment for the alignment of teeth (Adults & Children up to age 26)	Plan pays 50% of AB*	Plan pays 50% of AB*

*AB is Allowed Benefit
**Fluoride Treatments only available for dependents under age 19

The amounts are listed below on a weekly basis for non-exempt, hourly employees.

Plan	Employee	Employee & Children	Employee & Adult	Family
Dental—Guardian DentalGuard Preferred	$7.10	$11.82	$13.15	$18.17

The amounts are listed below on a bi-weekly basis for exempt, salaried employees.

Plan	Employee	Employee & Children	Employee & Adult	Family
Dental—Guardian DentalGuard Preferred	$14.21	$23.65	$26.31	$36.35

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