With Guardian Managed DentalGuard DHMO, you and your family can count on accessible, concerned care. All covered services are based on a list of fixed patient charges, so you’ll always know exactly what your out-of-pocket costs will be. Plus, there are never any claim forms to complete! If you should need a dental specialist, the ManagedDentalGuard DHMO network includes oral surgeons, periodontists, endodontist, orthodontist and pediatric dental specialist. Your primary care dental office can obtain a specialist referral. If you use a dentist who does not participate with the Managed DentalGuard network or do not obtain a specialists referral, your procedures will not be covered.
Rates are for new and renewing groups effective 4/1/2024 — 6/1/2024
Dental coverage can only be elected by a group enrolling in HealthPass medical coverage.
Rates are subject to final verification at the time of enrollment. Domestic Partner coverage is included with all carriers. Rates for Domestic Partners will be the same as rates for Employee/Spouse and Family.
This is a summary of plan information. Please refer to the Eligibility Guidelines for further information.
The following billing and administrative fees apply to the following products: Dental In-Network plans: EE $3.50, EE/Spouse $4.25, EE+Child(ren) $4.25, Family $5.00