Plus, you won’t have to wait for weeks or months for your dental claims to be paid. Guardian Dental insurance also offers plans in 20 states through the ACA state health care insurance exchanges on. The Guardian Dental DHMO plans are available in: There are 12,000 dentists and 52,000 dental offices located in the United States in the Guardian Dental DHMO network. The Guardian Dental PPO network is made up of 120,000 dentists and 420,000 dental offices across the country. Both the PPO and DHMO options are available in many states (some states only allow for one or the other). You should choose this option if you visit the dentist often and you think you’ll need more complex dental work.įinding a dentist with Guardian Dental is easy. Gold: This is the maximum amount of coverage available.Silver: This is the best plan if you believe you’ll need dental work that goes beyond the occasional filling.This plan offers the most affordable coverage. Bronze: This is a good choice if you are only looking to get regular cleanings and an occasional filling.You can choose from three tiers of Guardian PPO dental insurance plans. Prices will also differ according to whether you choose an individual plan or a family plan. The average cost for dental insurance through a Guardian PPO ranges from around $16 to $60, depending on the state you live in and the type of coverage you select. Keep in mind that your insurance will pay an annual maximum.
Plus, your dentist will file all of your claims for you.
This means you might not be able to get an appointment right away. PPO dentists don’t require a referral, but some may have a waiting period.You can visit any dentist you wish, but you’ll save money by choosing one that’s in the Guardian Dental Preferred Provider Organization. You don’t need a referral to visit a dental specialist.Dentists in the Guardian PPO must accept the maximum fee allowed as dictated by Guardian Dental. You pay a monthly premium for dental insurance that covers a percentage of your dental costs after you meet a deductible.An indemnity dental plan like the Guardian PPO (also known as traditional insurance) pays a percentage of your claims’ costs based on the specific dental procedures that are performed. Guardian Dental Preferred Provider Organizations (PPO): This is your typical indemnity insurance plan that uses a network of dentists who are under contract with Guardian Dental and who provide specific services for set fees. The Guardian Dental PPO plan has 420,000 dental clinics and 120,000 providers in its network of dentists. You can click on the link to view the EOB.Ī Letter button displays when information has been requested for a claim and when clicked, a copy of the letter sent to the patient and provider displays.ĭue to HIPAA Privacy Regulations, members are not able to view claim information for a spouse or dependent children aged 18 and over unless the spouse or dependent has provided authorization.You can choose from a number of plans, including a Preferred Provider Organization (PPO) plan or a Dental Health Maintenance Organization (DHMO) plan according to your individual requirements and budget. If the claim is paid, an Eob button displays.
GURADIAN ANYTIME DENTAL REVIEWS DOWNLOAD
The Download button creates a spreadsheet of the claims displayed on this page, not the Explanation of Benefits (EOB). To search for claims over 30 days old, enter the Advanced Search criteria for the claim and click Search. Claims for the past 30 days will automatically display. Call the number listed on your insurance card for assistance.įrom the menu options, select Claims and then Claim status. Note: For members enrolled in a Managed Dental Care (MDC) plan, dental claims are not viewable in Guardian Anytime. To view your dental claims status, follow these steps in Guardian Anytime.
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