The amount of the Individual Deducible you have satisfied. The amount of the Individual Dental max you have used to date.ĭeductible Met to Date for Benefit Period The maximum Guardian will pay in a calendar/policy year, per person. (Refer to your Certificate Booklet for your plan's frequency.) Coverage is limited to permanent, unrestored molar teeth. Limited to 1 per tooth in a 36 month period. The amount you must pay on your claims before your coverage percentage is applied. Sealants Sealants or preventive resin restorations: Limited to covered persons under age 16. (It can be used to calculate your eligibility for frequently used services.) Indicates if the deductible is waived for this type of service. Orthodontic (If your plan does not have Orthodontic coverage, this section won’t display.) Max Rollover Summary (If your plan does not have this feature, this section won’t display.) The View Benefits - Dental Eligibility page displays the following sections.Įffective Dates of Coverage (by Service Category). If an effective date is not listed for a service, the service is not covered.Ĭoverage Information for Preventative, Basic, Major, TMJ and Cosmetic services. Locate the Coverage column and click the Dental hyperlink. Call the number mentioned in the message for benefits. IMPORTANT: You cant buy a Marketplace dental plan unless youre buying a health plan at the same time. Note: If a message displays requesting you to call, the benefits are not available in Guardian Anytime. įrom the menu options, select Benefits and then Overview to view your enrolled benefits. As a member, you can view your PPO Dental benefits by following these steps in Guardian Anytime.
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