![]() The plan doesnt cover expenses for services outside the Guardian Dental. Once logged in, view the Your products section on your home page. All services have set copays based on a schedule of fees. If you have specific questions regarding a provider or procedure, please call Guardian customer service at (800) 541-7846 or refer to the Guardian Dental SPD. As a member, you have access to our Dental Cost Estimator when using Guardian Anytime. The information contained in this website is an overview of your benefits. Scheduled fees are typically lower than the UCR rate, therefore if you go out-of-network, provider reimbursement may be lower than it would be under the NAP Plan and your out-of-pocket expense may be higher. Charges for visits to dentists outside of the DentalGuard Preferred Network fee schedule are the patients responsibility. This includes educational articles and dental cost estimator tools. 10 minute read Find your dental preferred provider It’s a fact: Millions of Americans skip regular dental visits. Follow the steps to select a dental procedure and input your zip. Does Aspen Dental accept Guardian insurance Please refer to your Evidence of Coverage for information on your Liberty Dental member cost-sharing and. Click on the go to dental cost estimator link. Click on the View details link that corresponds with your Dental benefit. Once logged in, view the Your products section on your home page. However, under the Value Plan, benefits are paid at higher reimbursement levels on basic and major services. Guardian Anytime includes easy-to-use tools to help understand the value of your benefits. As a member, you have access to our Dental Cost Estimator when using Guardian Anytime. So, your total out-of-pocket cost is 675 (50 deductible plus 625 coinsurance). After you pay your 50 deductible, the insurance company pays half of the remaining 1,250 charge (625), and you pay the other half. You have the flexibility to visit an in-network or out-of-network dentist for services. With a 35 in-network discount, the dentist fee goes down to 1,300. Guardian will pay the coinsurance rate based on what 9 out of 10 dentists charge in your area and you will be billed for the balance. If you go to a non-contracted dentist, the reimbursement for services is based on usual, customary and reasonable (UCR) rates for a given area. Members of the NAP can use either an in-network or out-of-network dentist for services. Materials will be made available in alternate formats upon request. Our dental plans cover oral exams and cleanings once every six months at 100% with no deductible for these preventive services. Under both plans, DentalGuard Preferred Network Providers are contractually obligated to accept the fee schedule as payment in full. Inside you will find detailed instructions on participation, credentialing, claims inquiries, payments, alternative benefit clauses and much more.The City of Woodstock offers two Guardian dental plans at the same cost. The Preferred Dentist Reference Guide is designed to help office managers learn, understand and navigate the DenteMax PPO network arrangement with Dentists, Office Managers and their practices. Download the Preferred Dentist Reference Guide.Keep up to date on important DenteMax information.Lookup effective dates for participating dentists.Download forms for updating your information with DenteMax.Look up group and administrator addresses and phone numbers.TopTenReviews gives Guardian a 9. Locate new groups or administrators that have joined DenteMax. Since 1957, Guardian received only 71 customer complaints through the BBB.Here are some of the key elements you will find there: If you have specific questions regarding claims, you should contact the patient’s benefit plan administrator.ĭenteMax has also created a Secure Portal to provide our network dental offices with access to information. Guardian Anytime is our secure website where you can check benefits and coverage. ![]() Likewise, insurer’s benefit guidelines also determine all alternative benefit payments. services denied due to frequency or contract limitations. With so many providers, there’s a great chance you’ll find a nearby network dentist. As a participating network office, the patients’ insurance company will handle all payments according to their submission guidelines. Download now Why millions of Americans choose Guardian dental insurance Dentist choice is important to a lot of people, and with more than 130,000 providers nationwide, Guardian offers one of the largest dental networks around. Rates PPO & DHMO Dental Plan Summary DHMO Copay Schedule Guardian Enrollment Form. DenteMax is not involved with processing or paying any claims. Guardian Dental Dhmo ProvidersDental Care (DHMO) Insurance Plan. ![]()
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