GUARDIAN DENTALGUARD PREFERRED PPO MAC

GUARDIAN DENTALGUARD PREFERRED PPO MAC

Guardian DentalGuard Preferred PPO MAC combines the freedom of a PPO dental plan with the economy of managed care. Whenever you or a family member needs dental services, you may visit a carefully screened In-Network dentist or any dentist you wish. If you visit an In-Network dentist, you will typically receive a higher level of benefits and save on out-of-pocket costs.

GUARDIAN DENTALGUARD PREFERRED PPO MAC

Rates are for new and renewing groups effective 4/1/2025 — 6/1/2025

PLAN RATES (MONTHLY)

Employee
$43.66
Employee/Spouse (DP)
$91.68
Employee/Child(ren)
$85.33
Family (DP)
$133.57

PLAN HIGHLIGHTS

  • 100%/80%/50% In-Network, no specialist referrals, no waiting periods; Cleaning every 6 months
  •  $50 In-Network/$75 Out-of-Network calendar deductible, preventive waiver
  •  80%/80%/50% Out-of-Network
  •  $1,000 annual maximum In-Network/Out-of-Network combined, rollover benefit
  •  Implant benefit


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 PPO plans: EE $9.25, EE/Spouse $18.25, EE+Child(ren) $18.25, Family $26.50